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Date Posted: May 10, 2024
Location(s):
Noida, IN
Company:
MetLife
- Analyze and process claims in a productive environment through our TLC claim system, SIR, plan specs and
specimen policy
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- Appropriately interpret a variety of plan provisions and process claims accordingly, calculating claim payments and
overpayments
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- Review claims for receipt of all needed documentation and make outbound calls to providers for additional
information
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- Collaborate with our Claim Support Specialists, Customer Call Center and Care Coordinators to provide a seamless
claims experience
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- Abide by department guidelines and appropriately follow up on necessary tasks to process claims
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- Meet quality review standards of processed claims
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- Meet performance standards for financial accuracy, processing accuracy and claim timeliness
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Respond to insured inquiries regarding specific claim details via telephone conversations and/or written
correspondence
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- Gather and analyze information skillfully to identify and resolve problems in a timely manner
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