Senior Insurance Associate - #956792

MetLife


Date: 1 week ago
City: Jaipur, Rajasthan
Contract type: Full time

Job Description - Dental Business Procedure Consultant

Position Title

Dental business procedures

Function, Responsibility Level

Operations

Reports to

Unit Manager / Manager

Approved By:

Span of Control

0

Location - MetLife GOSC

Permanent/ Temporary

Permanent

Basic Function

  • To manage dental business procedures of Dental claims in partnership with stateside
  • This role will document new or revise guidelines for process, procedures and initiatives to support dental claim operations in all areas of claim management.

Essential Functions

  • Documents all standard and non-standard Dental process guidelines and correspondence within the Group Dental Product. Able to document business requirements into efficient process steps and actions for the development of guidelines.
  • Assist with the management, processing and documentation of customer variances from a process and correspondence perspective.
  • Ensure that requested updates are handled timely and accurately and meeting our customer needs while remaining within all compliance and regulatory requirements.
  • Review, investigate and respond to questions related to individual change requests. Identify gaps in content and/or inefficiencies in proposed process and recommend alternative solutions.
  • Work with multiple partners for investigation, analysis, and development of nonstandard process and/or correspondence requests including but not limited to claim operations, customer delivery and legal. Works with all parties to ensure agreement and sign off on final outcome.
  • May communicate information to requestors and other business partners to help resolve inquiries related to a requested change for process and/or correspondence.
  • Performs other duties as assigned or required

Any other essential function that may occur from time to time as directed.

Primary Internal Interactions

  • Unit Manager / Manager for the purpose of reporting performance, escalation handling, clarifying concerns, and seeking feedback and support.
  • Unit Manager / Manager for the purpose of settling issues left unresolved and monthly evaluation of performance.
  • Stateside Auditors for the purpose of seeking cooperation & clarification on process-related matters & providing assistance and support when required.
  • Subject Matter Expert for the purpose of work thread related issues and escalated transactions.
  • Trainers for the purpose of Pre-process and Process training.

Primary External Interactions

  • Stateside process owner for business discussion.

Essential Business Experience and Technical Skills:

Required:

  • 3-5 years of Group Life or Group Dental claims management experience. Expert knowledge/experience level of varied process/products, Federal and State regulations, claim management and correspondence systems.
  • Excellent verbal & written communication skills/ content writing skills
  • Highly organized able to work independently and prioritize work to meet changing business needs, timelines, goals and metrics.
  • Demonstrated leadership skills and self-direction a must.
  • Demonstrated ability to manage multiple, completing priorities.

Preferred

  • Able to work with various company databases (SharePoint, Livelink), Webex and Microsoft program suite (Word, Excel).

Pre-requisite

Educational Qualification

  • Bachelor's degree (Any Stream) or diploma with a minimum of 15 years of education.
  • Excellent verbal & written communication skills
  • Proficient in usage of MS Office suite

Work Experience Requirements:

Experienced:

3 - 5 years of experience in Dental claims adjudication

Technical Skills

. Computer navigation skills

. Keyboarding and data entry speed (minimum 30 wpm with 90% accuracy)

. Proficiency in MS Office suite.

Process Specific Skills

. Excellent written & verbal communication skills

. Strong understanding and comprehension of the English language

Organizational Relationships

Reports To: Unit Manager / Manager Supervises: 0

Skills

Technical Skills

  • Good computer navigation skills
  • Good keyboarding speed
  • Excellent knowledge of complete Ms Office suite

Process Specific Skills

  • Knowledge about the Insurance industry in US
  • Knowledge about US Culture
  • Knowledge of Insurance principles.
  • End to end product knowledge on Dental required

Soft skills (Minimum)

  • Proficiency in English language both written & verbal skills
  • Excellent Communication skills - should be able to read, interpret business documents.
  • Analytical and interpersonal skills
  • Data gathering ability/ Eye for detail
  • Team work/ Managing Self / Adaptability
  • Highly organized with ability to work independently
  • Prioritize work to meet changing business needs, timelines, goals and metrics. (Project management skills)
  • Adaptability to change

Soft Skills (Desired)

  • Self disciplined and result oriented
  • Ability to multi task
  • Familiarity with Dental Terminology

Education Requirements

  • Bachelor's degree (Any Stream) or diploma with a minimum of 15 years of education.(Candidates with B.Tech, MBA, BCA, or with any technical education would not be required)

Work Experience Requirements

3 - 5 years of experience in Dental claims management & process documentation.

Enclosures:

Acknowledgement (acknowledge that the information contained in this document is factual and complete)

___________________________________

Candidate Manager Date

MetLife Values :

Core Values:

The employee should adhere to MetLife Core values:

People Count - It's all about people MetLife's key resource. MetLife will succeed in the marketplace because we are winning from within.

Integrity and Honesty - Conducting our business endeavors with truth, sincerity and fairness.

Innovation - Continuously creating and introducing new and original ideas and ways of doing things.

Financial Strength - Operating with an intense dedication to managing monetary resources for strong business results.

Partnership - Functioning productively in teams towards a common purpose-realizing the collective power of diverse work groups.

Personal Responsibility - Coming into your own-performing as a leader to be really effective and successful-by acting and making decisions independently to get results.

How to apply

To apply for this job you need to authorize on our website. If you don't have an account yet, please register.

Post a CV

Similar Jobs

Sales Manager-Used 2 Wheeler Loan

IDFC FIRST Bank, Jaipur, Rajasthan
4 days ago
Role/ Job Title:Sales Manager- Used 2 Wheeler LoanFunction/ Department: 2 Wheeler LoanJob Purpose:The role entails scaling up the business for the Two-wheeler lending for a designated area by delivering banking needs to the customers in the most cost efficient and technology effective manner. Role will closely collaborate with Retail team - Product Head, Operations, Sales, Information Technology , Credit, Business...

Stewarding Manager

Accor Hotels, Jaipur, Rajasthan
5 days ago
Company DescriptionAs Accor we are far more than a worldwide leader. We welcome you as you are and you can find a job and brand that matches your personality. We support you to grow and learn every day, making sure that work brings purpose to your life, so that during your journey with us, you can continue to explore Accor’s...

Regional Asset Cross Sell Manager-BRANCH BANKING-Regional sales

JPMorgan Chase, Jaipur, Rajasthan
1 week ago
There is a need from customers for various loan and credit products – be it Home Loans, LAP, Car Loans, SME Loans & Working Capital, Business & Personal Loans, Credit Cards & Consumption Finance products and even Agri, Tractor and Gold Loans. Branches are our biggest strength & now with specific focus on Prime, Growth, Emerging markets, these are exciting...