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Requirements Description and Requirements Job Responsibility
- Create, update, and maintain provider records in internal systems
- Conduct research in multiple systems to resolve the discrepancies in provider information (submitted Claims vs referral systems)
- Utilizes multiple mainframes, Dental applications, PC, and Internet based systems
- Validate/ update provider information (billing and rendering) for accuracy, completeness and eligibility according to established guidelines to support claim processing
- Efficiently update system logs basis the call / action taken
- Efficiently access and navigate multiple applications to gather and assess information
- Efficiently coordinate with process specialist in prescribed scenarios i.e.
- Any other essential function that may occur from time to time as directed by the Supervisor
- Perform these responsibilities in a consistent, professional manner while exercising strong verbal, written, and high-quality service skills
Essential Functions:
- Good written and oral communication skills
- Good analytical skills to be able to analyze
- English language skill – should be able to read, comprehend and write correctly
- Should be comfortable working on 2 to 3 computer screens
- Keyboarding and data entry speed (minimum 30 wpm with 90% accuracy)
- Ability to research & take decision to resolve problem
- Prefer to have knowledge of Insurance principles in relation to the US Insurance industry
- Knowledge about US Culture. Strong organizational skills
- Demonstrate ability to work independently and in a team environment
- Self-disciplined and results oriented, ability to multitask
- Must be open to work in rotational shifts X 5 days work from office
Technical/Soft Skills
- Good computer navigation skills
- Excellent Keyboarding and data entry speed
- Multi-tasking, Knowledge of Insurance principles in relation to the US Insurance industry is preferred
- Knowledge about US Culture is preferred
- Typing speed test is required
- Good Communication skills
- Probing, problem-solving and interpersonal skills
- Escalate issues if required
- Data gathering ability/ Eye for detail
- Team work/ Managing Self / Adaptability
- Ability to work successfully in production driven environment
- Adaptability to change
- Ability to work on routine/standardized transactions
- Excellent written & verbal communication skills
- Strong customer satisfaction focus
- Positive mindset and willingness to learn
- Ability to work with autonomy
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!