Claims Representative

Optum (UnitedHealth Group) · Healthcare & Pharma

Gurgaon, Haryana, India
On-site
Posted yesterday
Finance & Accounting

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About the job

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

Primary Responsibilities:

Accurate processing and completion of medical claims

Process claims that route out of automatic adjudication, within current turnaround standards

Demonstrate proficiency in product lines applicable to processing unit

Understand and apply plan concepts: Deductible, Coinsurance, Copay, Out-of-pocket, State variations

Comply with all applicable Company policies, procedures, and business directives, changes including those relating to work location, team assignments, work schedules, and flexible work arrangements

Required Qualifications:

Graduation (BTECH / BE / MBA / B pharm / M pharm are not eligible to apply)

Working knowledge of MS Office

Demonstrated solid verbal and written communication skills

Proven to be result-oriented and goal-driven

Proven excellent communication skills written and verbal

Proven analytical ability: Research skills combined with effective decision-making and superior interpersonal skills

Proven ability to accept constructive criticism with being coached and growing as a professional

Proven critical thinking abilities

Proven ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product

Proven ability to remain focused and productive each day though tasks may be repetitive

Good typing speed (English) and accuracy

Willing to work night shifts

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

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