UnitedHealth Group Looking for Claims Representative at Gurgaon, Haryana Full Time

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. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and 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:
Graduation (BTECH / BE / MCA / MBA / B pharm / M pharm are not eligible to apply)

Working Knowledge of MS Office

Good typing speed (English) and accuracy

Willing to work night shifts

Good communication skills written and verbal

Result-oriented and goal-driven

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

Solid 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

Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.

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.