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Dental Claims Approver III

Dental Claims Approver III

Metlife

2 - 6 years

5 - 9 Lacs

Noida

Posted:2 months ago| Platform:

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Skills Required

Claims Excel Information security Claims adjudication HIPAA Healthcare MS Word ICT Claims processing Data entry

Work Mode

Work from Office

Job Type

Full Time

Job Description

Description and Requirements Job 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

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Metlife

www.metlife.com

Insurance and Financial Services

New York

49,000 Employees

297 Jobs

Key People

C. Robert Henrikson

Chairman
Michel A. Khalaf

President and CEO
John D. Fitzpatrick

Executive Vice President and Chief Financial Officer
Maria R. Morris

Executive Vice President, Head of Global Employee Benefits

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Dental Claims Approver III

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Dental Claims Approver III

Experience & Salary

Skills Required

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