Claims Representative Associate
Optum Global Solutions · Noida · onsite · Posted 21d ago
Undisclosed0–2 yrsfulltimeSourced from
About a minute. You'll make an account on the way through.
About this role
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
- Result-oriented and goal-driven
- Demonstrated solid verbal and written communication skills
- 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.
Sourced from naukri
Skills
Writinginterpersonal skillsclaims adjudicationUS HealthcareClaimsBusiness DevelopmentCommunication SkillsSalesanalyticalmarketingClaims ProcessingMS OfficeProduct Knowledge
About Optum Global Solutions

Optum Global Solutions
IT Services & Consulting
33.0k+
employees
2002
24 years old
Hyderabad / Secunderabad, Telangana
India
₹11L PA avg
Avg at Optum Global Solutions
About
We are at the helm of a digital health care revolution, which is being accelerated by a combination of technology and talent. We build and deliver end-to-end digital health solutions for our clients.
Industries
IT Services & ConsultingHardware & NetworkingHealthcareSoftware Product
Employee ratings
10 reviews
4.0/ 5
Culture
3.6
Career growth
3.0
Work-life
3.6
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