Specialist

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Date Posted: Apr 17, 2024

Location(s): Noida, IN

Company: MetLife

Position Summary

Highly specialized job function that is responsible for claim analysis and claim processing for long term care services.  This position is also accountable for reviewing claims for accuracy, timeliness, completeness and eligibility for multiple groups with varied benefits..

Job Responsibilities
  • Analyze and process claims in a productive environment through our TLC claim system, SIR, plan specs and

specimen policy
  • Appropriately interpret a variety of plan provisions and process claims accordingly, calculating claim payments and

overpayments
  • Review claims for receipt of all needed documentation and make outbound calls to providers for additional

information
  • Collaborate with our Claim Support Specialists, Customer Call Center and Care Coordinators to provide a seamless

        claims experience
  • Abide by department guidelines and appropriately follow up on necessary tasks to process claims
  • Meet quality review standards of processed claims
  • Meet performance standards for financial accuracy, processing accuracy and claim timeliness

Respond to insured inquiries regarding specific claim details via telephone conversations and/or written

correspondence
  • Gather and analyze information skillfully to identify and resolve problems in a timely manner

 

 

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.

 

MetLife is a proud Equal Employment Opportunity and Affirmative Action employer dedicated to attracting, retaining, and developing a diverse and inclusive workforce. All qualified applicants will receive consideration for employment at MetLife without regards to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, national origin, marital or domestic/civil partnership status, genetic information, citizenship status, uniformed service member or veteran status, or any other characteristic protected by law.

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