Job Responsibilities
- Scrutinizing dental claim documents & settlements
- Process claims as per the set healthcare guidelines
- Respond to customer requests via multiple sources, providing excellent service to MetLife's customers who have insurance or other financial service products or benefit plans.
- Research requests regarding various product aspects, policy provisions, claim status, basic procedures, etc.
- 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
- Efficiently access and navigate multiple electronic systems to provide a complete and integrated response to the customer's inquiry.
- Handle escalations
- Need to ensure quality and productivity targets are met
- Ensure compliance with internal policies and procedures, external regulations and information security standards
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
- Written- External/Internal (Free Flow) Email Writing
- Free flow correspondence creation
- Excellent comprehension skills - Interpret/analyze data from various resources , understands , documents and responds appropriately
Soft Skills
- Strong organizational skills
- Excellent Language skills (written ,verbal and comprehension)
- 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 "World's Most Admired Companies" and Fortune World's 25 Best Workplaces™, 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 our core values - Win Together, Do the Right Thing, Deliver Impact Over Activity, and Think Ahead - we're inspired to transform the next century in financial services. At MetLife, it's #AllTogetherPossible . Join us!
#BI-Hybrid
Skills Required
- Experience processing dental claims and claims adjudication fundamentals
- Knowledge of CPT Codes
- Knowledge of ICT Codes
- Understanding of insurance policy concepts (deductible, coinsurance, copay, out-of-pocket)
- HIPAA compliance and following related guidelines
- Computer navigation and ability to access multiple electronic systems
- Keyboarding and data entry speed (minimum 30 wpm with 90% accuracy)
- Working knowledge of MS Excel and MS Word
- Knowledge of US insurance principles and US culture
- Excellent English language skills (written, verbal, comprehension) and email writing
- Strong organizational skills, attention to detail, ability to multitask and work in a team
- Knowledge of dental claims terminologies and processes
What the Team is Saying
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MetLife Compensation & Benefits Highlights
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Retirement Support — Retirement benefits combine a 401(k) with company match and a company‑funded cash‑balance pension. This uncommon pairing strengthens long‑term security.
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Parental & Family Support — Family supports include paid parental leave, adoption assistance, caregiving resources, fertility coverage, and practical travel supports for nursing parents. These provisions go beyond core insurance to address real‑world family needs.
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Leave & Time Off Breadth — Time away includes a minimum of 22 days of PTO annually and a paid volunteer day, alongside bereavement and other leave options. This breadth provides meaningful flexibility for rest and life events.
MetLife Insights
What We Do
We're honored to be No. 10 on Great Place to Work's World's Best Workplaces and recognized in the Fortune 100 Best Companies to Work For® list in 2025. At MetLife, we're leading the global transformation of an industry we’ve defined for over 157 years. At MetLife, every innovation and line of code is a lifeline for our customers and their families—from victims of natural disasters to people living with disabilities and beyond. With operations in more than 40 markets and leading positions across the globe, MetLife fosters an inclusive culture where our people are energized and inspired to deliver for our customers and communities. Join our remarkable journey—one in which you help write the next century of innovation in financial services—because with MetLife, making the world a better place is All Together Possible.
Why Work With Us
At MetLife, you’ll be working for a company whose purpose is to help customers throughout their life’s journey, and often in their most critical time of need. You’ll be a part of developing leading-edge platforms that will have a lasting impact on the lives and well-being of tens of millions of customers.
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MetLife Teams
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Hybrid Workspace
Employees engage in a combination of remote and on-site work.
MetLife's current workplace policies classify roles as Office, Hybrid or Virtual based on the nature of work, encouraging new ways of working together
