Insurance Associate

2 weeks ago


Noida, India MetLife Full time

**Position Summary**

Metrefer/Dental Claims Operations is the MetLife correspondence queues contain processing of dental claims basis the response received from the customer. All the claims which cannot be processed by the sub-contractor, comes in Metrefer/Dental Claims Operations queue

Work queues that have claims route to GOSC can be defined by the type of edit that requires resolution (eligibility, plan, provider or code related). Claims are researched and reviewed for approval, non-payment, referral or request for additional information.

**Responsibilities**:

- Scrutinizing dental claim documents & settlements
- Process claims as per the set healthcare guidelines
- Follow HIPAA guidelines
- Accurate processing of Dental claims and meeting productivity targets
- Good understanding of Claims adjudication fundamentals
- Good understanding of ICT & CPT Codes
- Knowledge of policy concepts like Deductible, coinsurance, copay, out of pocket
- Able to learn, adapt, implement process guideline into practice, work as a natural team-player in the process
- Handle escalations
- Need to ensure quality and productivity targets are met
- Ensure compliance with internal policies and procedures, external regulations and information security standards

**MetLife**:
MetLife, through its subsidiaries and affiliates, is one of the world’s leading financial services companies, providing insurance, annuities, employee benefits and asset management to help its individual and institutional customers navigate their changing world. Founded in 1868, MetLife has operations in more than 40 countries and holds leading market positions in the United States, Japan, Latin America, Asia, Europe and the Middle East.

We are ranked #44 on the Fortune 500 list for 2019. In 2019, we were named to the Dow Jones Sustainability Index (DJSI) for the fourth year in a row. DJSI is a global index to track the leading sustainability-driven companies.

MetLife is committed to building a purpose-driven and inclusive culture that energizes our people. Our employees work every day to help build a more confident future for people around the world.


  • Insurance Associate

    5 days ago


    Noida, India MetLife Full time

    **Position Summary** The process consists of responsibilities currently performed by the Implementation Specialist (IS) when installing a new group customer within MetLife U.S. Affiliate systems. The role consist of a verification and confirmation that all MetLife U.S. Affiliate systems and group customer eligibility information has been properly loaded and...

  • Insurance Associate

    7 days ago


    Noida, India MetLife Full time

    **Position Title** Associate **Function, Responsibility Level** Operations **Reports to** Manager **Associate Name** **Span of Control** **0** **Location - GOSC Noida**: **Permanent/ Temporary**: **Permanent**: **Basic Function**: - Monitor and resolve intraday pre-trade compliance restrictions and warnings via Dashboard and override where...

  • Insurance Associate

    4 weeks ago


    Noida, India MetLife Full time

    **Position Title** Associate **Function, Responsibility Level** Operations **Reports to** Manager **Associate Name** **Span of Control** **0** **Location - GOSC Noida**: **Permanent/ Temporary**: **Permanent**: **Basic Function**: - Monitor and resolve intraday pre-trade compliance restrictions and warnings via Dashboard and override where...

  • Process Associate

    1 week ago


    noida, India Genpact Full time

    Genpact (NYSE: G) is a global professional services and solutions firm delivering outcomes that shape the future. Our 125,000+ people across 30+ countries are driven by our innate curiosity, entrepreneurial agility, and desire to create lasting value for clients. Powered by our purpose – the relentless pursuit of a world that works better for people –...

  • Insurance Associate

    4 weeks ago


    Noida, India MetLife Full time

    **Position Summary** Front End process handles the initial implementation process for New Business Cases. The process begins after final underwriting and concludes with the enrollment process. All Automated cases (non-excluded) are routed to the GOSC for Automated case setup on the MetLife U.S Affiliated Systems. - The main steps include- Ensuring the...

  • Insurance Associate

    4 weeks ago


    Noida, India MetLife Full time

    **Position Summary** Front End process handles the initial implementation process for New Business Cases. The process begins after final underwriting and concludes with the enrollment process. All Automated cases (non-excluded) are routed to the GOSC for Automated case setup on the MetLife U.S Affiliated Systems. - The main steps include- Ensuring the...

  • Process Associate

    4 weeks ago


    Noida, India Genpact Full time

    Genpact (NYSE: G) is a global professional services and solutions firm delivering outcomes that shape the future. Our 125,000+ people across 30+ countries are driven by our innate curiosity, entrepreneurial agility, and desire to create lasting value for clients. Powered by our purpose – the relentless pursuit of a world that works better for people –...

  • Process Associate

    1 month ago


    noida, India Genpact Full time

    Genpact (NYSE: G) is a global professional services and solutions firm delivering outcomes that shape the future. Our 125,000+ people across 30+ countries are driven by our innate curiosity, entrepreneurial agility, and desire to create lasting value for clients. Powered by our purpose – the relentless pursuit of a world that works better for people –...

  • Insurance Associate

    4 weeks ago


    Noida, India MetLife Full time

    Skills Technical SkillsComputer navigation skillsKeyboarding and data entry speed (minimum 20 wpm with 90% accuracy)Working knowledge of MS Excel and MS Word.Understands basic principles of accounting. (preferred) Process Specific SkillsEffective communicator / Speaks clearly & succinctly.Strong understanding and comprehension of the English...

  • Insurance Associate

    3 weeks ago


    Noida, India MetLife Full time

    **Skills**: **Technical Skills**: - Computer navigation skills - Keyboarding and data entry speed (minimum 20 wpm with 90% accuracy) - Working knowledge of MS Excel and MS Word. - Understands basic principles of accounting. (preferred) **Process Specific Skills** - Effective communicator / Speaks clearly & succinctly. - Strong understanding and...

  • Insurance Associate

    4 weeks ago


    Noida, India MetLife Full time

    **Job Description**: Basic Function - Review the forms submitted by Bene, Employer on death claims and process the claim as per the guidelines Essential Functions - Review of the beneficiary form and enrollments form for acceptability, - Updating systems with beneficiary and enrollment requests, changes, designations, and initial solicitation at...

  • Insurance Associate

    4 weeks ago


    Noida, India MetLife Full time

    **Basic Function**: - Voluntary billing-P&C Account rep., is accountable for end to end billing management for Billing & Remittance customers (P&C). Facilitate a working dialog with Group contacts, stateside account managers, remittance team and internal business partners in order to provide solutions to the client billing needs. **Essential...

  • Insurance Associate

    4 weeks ago


    Noida, India MetLife Full time

    **Basic Function**: - Voluntary billing-P&C Account rep., is accountable for end to end billing management for Billing & Remittance customers (P&C). Facilitate a working dialog with Group contacts, stateside account managers, remittance team and internal business partners in order to provide solutions to the client billing needs. **Essential...


  • Noida, India Genpact Full time

    Genpact (NYSE: G) is a global professional services and solutions firm delivering outcomes that shape the future. Our 125,000+ people across 30+ countries are driven by our innate curiosity, entrepreneurial agility, and desire to create lasting value for clients. Powered by our purpose – the relentless pursuit of a world that works better for people –...


  • noida, India Genpact Full time

    Genpact (NYSE: G) is a global professional services and solutions firm delivering outcomes that shape the future. Our 125,000+ people across 30+ countries are driven by our innate curiosity, entrepreneurial agility, and desire to create lasting value for clients. Powered by our purpose – the relentless pursuit of a world that works better for people –...

  • Insurance Samadhan

    4 days ago


    Noida, India Insurance Samadhan Full time

    About the Role :- Develop PRDs and user stories around the required features in specific formats, aligning stakeholders around the vision for the app.- Execute the user journeys of the roadmap with internal stakeholders (like engineering, business, operations, design) and external stakeholders/vendors.- Plan sprints and deliverables with a focus on the...

  • Insurance Samadhan

    4 days ago


    Noida, India Insurance Samadhan Full time

    About the Role :- Develop PRDs and user stories around the required features in specific formats, aligning stakeholders around the vision for the app.- Execute the user journeys of the roadmap with internal stakeholders (like engineering, business, operations, design) and external stakeholders/vendors.- Plan sprints and deliverables with a focus on the...

  • Insurance Samadhan

    4 days ago


    Noida, Ghaziabad, India Insurance Samadhan Full time

    About the Role :- Develop PRDs and user stories around the required features in specific formats, aligning stakeholders around the vision for the app.- Execute the user journeys of the roadmap with internal stakeholders (like engineering, business, operations, design) and external stakeholders/vendors.- Plan sprints and deliverables with a focus on the...

  • Insurance Associate

    4 weeks ago


    Noida, India MetLife Full time

    **Basic Function**: Review and count incoming records and translate those records into transactions. Activities are researched and the request is processed as per procedure. **Essential Functions**: - Analyze, validate and process transactions as per Desktop procedures (L3 & L4). - Analyze and research all discrepancies. - Investigate and resolve...

  • Insurance Associate

    4 weeks ago


    Noida, India MetLife Full time

    **Basic Function**: Review and count incoming records and translate those records into transactions. Activities are researched and the request is processed as per procedure **Essential Functions**: - Analyze, validate and process transactions as per Desktop procedures (L3 & L4). - Analyze and research all discrepancies. - Investigate and resolve...