Dental Claims Approver III

As a Dental Claims Processor at MetLife, you will be responsible for scrutinizing dental claim documents and settlements, ensuring accurate processing of claims according to healthcare guidelines and HIPAA regulations. Your role will involve handling escalations, meeting quality and productivity targets, and complying with internal policies, external regulations, and information security standards. You will need to have a good understanding of claims adjudication fundamentals, ICT & CPT Codes, and be able to learn, adapt, and implement process guidelines effectively. To qualify for this position, you should hold a Bachelor's degree in any stream or a diploma with a minimum of 15 years of education. Additionally, you should have at least 2 years of work experience in US Health Claims processing, preferably in claims adjudication. Proficiency in computer navigation, keyboarding, data entry, MS Excel, and MS Word is required. Knowledge of insurance principles related to the US Insurance industry, US culture, and dental claims terminologies will be advantageous. As a successful candidate, you must possess strong organizational and communication skills, demonstrate the ability to work independently and in a team environment, be self-disciplined, results-oriented, and have the ability to multitask. Attention to detail, a positive attitude, and being a team player are essential soft skills for this role. Joining MetLife, a globally recognized financial services company, will provide you with the opportunity to contribute to creating a more confident future for colleagues, customers, communities, and the world at large. If you are motivated by purpose and empathy, and aspire to transform the next century in financial services, MetLife welcomes you to be #AllTogetherPossible. Join us in making a difference!,