Sr Insurance Associate
MetLife · Delhi
- Experience2–3 yrs
- SalaryNot disclosed
- Work modeonsite
- Levelmid
- Posted11 Sept 2026
About MetLife
MetLife is hiring in Delhi in insurance. This role looks for around 2+ years of experience.
Skills
- Dental claims adjudication
- US insurance principles
- HIPAA
- ICT codes
- CPT codes
- Policy provisions
- Microsoft Excel
- Microsoft Word
- Data entry
- English
The role
An insurance operations associate at a global insurance company processes dental claims and settlements, applies US insurance principles and HIPAA, and handles policy and claim inquiries. The role uses Microsoft Excel and Microsoft Word to provide accurate customer responses and manage escalations.
Full job description
Scrutinizing dental claim documents & settlementsProcess claims as per the set healthcare guidelinesRespond 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 guidelinesAccurate processing of Dental claims and meeting productivity targetsGood understanding of Claims adjudication fundamentalsGood understanding of ICT & CPT Codes Knowledge of policy concepts like Deductible, coinsurance, copay, out of pocketAble to learn, adapt, implement process guideline into practice, work as a natural team-player in the processEfficiently access and navigate multiple electronic systems to provide a complete and integrated response to the customer’s inquiry.Handle escalationsNeed to ensure quality and productivity targets are metEnsure compliance with internal policies and procedures, external regulations and information security standards
Knowledge, Skills And Abilities
Education
Bachelor’s degree (B.com,BBA,BA,BSC) or diploma with a minimum of 15 years of education except specialized skills like BCA ,BTech ,Medical Graduates etc.
Experience
2 years of work experience
Knowledge and skills (general and technical)
Technical Skills
Computer navigation skillsKeyboarding and data entry speed (minimum 30 wpm with 90% accuracy)Working knowledge of MS Excel and MS Word.Process Specific SkillsKnowledge of Insurance principles in relation to the US Insurance industryKnowledge about US CultureKnowledge of Dental claims terminologies and processes will be an added advantageWritten- External/Internal (Free Flow) Email WritingFree flow correspondence creationExcellent comprehension skills – Interpret/analyze data from various resources , understands , documents and responds appropriately
Soft Skills
Strong organizational skillsExcellent Language skills (written ,verbal and comprehension)Demonstrate ability to work independently and in a team environmentSelf-disciplined and results orientedAbility to multi taskStrong understanding and comprehension of the English languageGood PC skillsAttention to detailTeam playerPositive attitude
Working Relationships
Internal Contacts
(And Purpose Of Relationship)
AM/TL for the purpose of reporting performance, escalation handling, clarifying concerns, and seeking feedback and support as well as associate development.Manager for the purpose of settling issues left unresolved by the AM/TL and monthly evaluation of performance.Quality Compliance Analyst (QCA) for the purpose of feedback and audit.Trainers for the purpose of pre-process and process training.
External Contacts
(And purpose of relationship) – If Applicable
MetLife Subject Matter Experts for the purpose of seeking missing information.MetLife Subject Matter Expert for the purpose of work-related issues and escalated transactions.