Dental Claims Approver Iii
7 days ago
Location(s) - Posting Location: Noida, India - City/Cities - Noida - Country - India - Working Schedule - Full-Time - Work Arrangement - Hybrid - Relocation Assistance Available - No - Posted Date - 24-May-2024 - Job ID - 3150 **Description and Requirements**: **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 **Knowledge, Skills and Abilities** **Education** - Bachelor’s degree (Any Stream) or diploma with a minimum of 15 years of education **Experience**: - 2 years of work experience in US Health Claims processing preferably in claims adjudication **Knowledge and skills**(general and technical) **Technical Skills** - Computer navigation skills - Keyboarding and data entry speed (minimum 30 wpm with 90% accuracy) - Working knowledge of MS Excel and MS Word. - Process Specific Skills - Knowledge of Insurance principles in relation to the US Insurance industry - Knowledge about US Culture - Knowledge of Dental claims terminologies and processes will be an added advantage **Soft Skills** - Strong organizational skills - Good communication skills - Demonstrate ability to work independently and in a team environment - Self-disciplined and results oriented - Ability to multi task - Strong understanding and comprehension of the English language - Good PC skills - Attention to detail - Team player - Positive attitude **About MetLife** Recognized on_ Fortune magazine's list of the 2024 "World's Most Admired Companies" and Fortune World’s 25 Best Workplaces for 2024, _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 individual and institutional customers. With operations in more than 40 markets, we hold leading positions in the United States, Latin America, Asia, Europe, and the Middle East. Our purpose is simple - to help our colleagues, customers, communities, and the world at large create a more confident future. United by purpose and guided by empathy, we’re inspired to transform the next century in financial services. At MetLife, it’s #AllTogetherPossible. Join us
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