...Scrutinizing dental claim documents & settlements
Process claims as per the set healthcare guidelines
Follow HIPAA guidelines
Accurate processing of Dental claims and meeting productivity targets
Good un...
~ In this Role you will be Responsible For
Reviewing and researching insurance claims to determine possible payment accuracy.
Validating Member, Provider and other Claims information.
Determining accurate payment criteria for clearing pend...
~ In this Role you will be Responsible For
Reviewing and researching insurance claims to determine possible payment accuracy.
Validating Member, Provider and other Claims information.
Determining accurate payment criteria for clearing pend...
Job Description Key Responsibilities
Act as Job Description's primary advocate, ensuring Job Description upholds its commitment to provide world-class service.
Champion customer-facing and internal product enhancements to deliver a stellar pu...
...A claims examiner needs to analyse multiple documents / contracts and decide to pay / deny the claim submitted by member or providers with respect to client specifications
The claims examiner should also route the claim to di...
...Should have managed Group Claims- credit life and MFI
Experience of managing high volume claims
Compliance to regulatory requirements... ...as per Group regulatory framework
Close li...
A claims examiner needs to analyse multiple documents / contracts and decide to pay / deny the claim submitted by member or providers with respect to client specifications
The claims examiner should also route the claim to different department ...
Responsible for management of claims allied processes dealing with pre and post claims evaluation activities & m anaging outsourced associates
Claims Adjudication
Coordination with other departments viz Finance, Legal, CS & POS etc
Ext...
...resolution.
Verbally and in writing, explain the results of an escalated warranty investigation.
Answer internal and external warranty related questions.
Learn about an ever-changing technical product and explain...
...Summary
Metrefer/Dental Claims Operations is the MetLife correspondence queues contain processing of dental claims basis the response received from the customer. All the claims which cannot be processed by the su...
