Sr Insurance Associate
MetLife · Delhi
- Experience2–5 yrs
- SalaryNot disclosed
- Work modeonsite
- Levelmid
- Posted16 Sept 2026
About MetLife
MetLife is hiring in Delhi in insurance. This role looks for around 2+ years of experience.
Skills
- claims adjudication
- CPT Codes
- HIPAA
- Deductibles
- Coinsurance
- Copay
- Out-of-pocket
- Information security standards
The role
An insurance operations associate at a dental insurance company processes dental claims using claims adjudication, CPT Codes, and HIPAA, researches policy provisions and claim status, and handles customer inquiries and escalations with accurate electronic-system navigation.
Full job description
Position Summary Dental Claims & Services operations is the MetLife correspondence queues contain processing of dental claims basis the response received from the customer and review the email queries in detail and provide correct response following thorough research for all dental products.
Claims are thoroughly researched and reviewed to determine approval, non‑payment, referral, or the need for additional information. Email inquiries typically involve questions about coverage, claims status, policy status, and Met Dental profile–related issues
Job Responsibilities
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 met
Ensure compliance with internal policies and procedures, external regulations and information security standards