Claims Representative Associate Gurgaon Human Resources
Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that\'s improving the lives of millions. Here, innovation isn\'t about another gadget, it\'s about making health care data available wherever and whenever people need it, safely and reliably. There\'s no room for error. Join us and start doing your life\'s best work.(sm)
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 the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so.
Required Qualifications:
- Fresher / Graduation (BTECH / BE / MCA / MBA / B pharm / M pharm are not eligible to apply)
- Good communication skills written and verbal.
- Good typing speed (English) and accuracy.
- Result-oriented and goal-driven
- Analytical ability: Research skills combined with effective decision-making and superior interpersonal skills.
- Strong verbal and written communication skills.
- Ability to accept constructive criticism with being coached and growing as a professional.
- Critical thinking abilities
- Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product.
- Ability to remain focused and productive each day though tasks may be repetitive.
- Willing to work night shifts (5:45 PM to 3:15 AM and 8:30 PM to 6:00 AM)
Careers with Optum. Here\'s the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world\'s large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the United Health Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life\'s best work.(sm)
Job Keywords: Claims Representative Associate, Gurgaon, Human Resources , Haryana.