Sr Insurance Associate
MetLife · Delhi
- Experience0–1 yrs
- SalaryNot disclosed
- Work modeonsite
- Levelfresher
- Posted14 Sept 2026
About MetLife
MetLife is hiring in Delhi in insurance. This role looks for around 0+ years of experience.
Skills
- claims adjudication
- CPT Codes
- HIPAA
- policy concepts
- healthcare guidelines
- information security standards
- regulatory compliance
The role
An insurance operations associate at a health insurance company processes dental claims using claims adjudication, CPT Codes, and HIPAA, and handles policy inquiries and escalations through electronic systems while maintaining regulatory compliance.
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 fundamentals Good 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