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Team Leader - Operations

Date Posted: Dec 30, 2021

Location: Noida, IN, 0

Company: MetLife

Basic Function

Provide opinions as to the adjudication of dental claims, based upon clinical experience and the guidelines provided in the current MetLife Dental Consultant Manual.

Essential Functions

 

  •  Review Dental claim and diagnostic material and make a benefit recommendation
  • Review dental claims and offer professional recommendations
  • Interpret Dental X-rays and Dental operative notes
  • Read and interpret narrative descriptions of dental claims
  • Properly communicate each recommendation to claim approver personnel
  • Send request for additional/missing information

 

Primary Internal Interactions (GOSC)

  • Unit Manager/ Manager for the purpose of reporting performance, escalation handling, clarifying concerns, and seeking feedback and support as well as consultant’s development.
  • Senior Manager/ Service Delivery Leader for the purpose of settling issues left unresolved and involved in management of senior internal/ external stakeholder

 

  • Quality Compliance Analyst (QCA) for the purpose of feedback and audit.

 

  • Trainers for the purpose of pre-process and process training

 

Technical Skills

 

  • Computer navigation skills
  • Keyboarding and data entry speed (minimum 20 wpm with 90% accuracy)

 

Process Specific Skills

 

  • Effective communicator / Speaks clearly & succinctly.
  • Strong understanding and comprehension of the English language
  • Knowledge of Insurance principles in relation to the US Dental Insurance industry (nice to have)

 

Soft skills (Desired)

  • Strong organizational skills
  • Demonstrate ability to work independently and in a team environment
  • Self disciplined and results oriented

 

Soft Skills (Minimum)

 

  • Good written and verbal communication skills
  • Good PC skills
  • Team player
  • Positive attitude

 

Education Requirements

  • Bachelor of Dental Surgery

 

Work Experience Requirements
  • 2+ years of clinical practice desired and actively registered with the Dental Council of India
  • Must have some clinical experience
  •  
  • Confirm no complaints and that a valid license is in place

 

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.