Optum Hiring for Claims Representative Associate 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. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity 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 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:
Graduate of (BTECH / BE / MBA / B pharm / M pharm are not eligible to apply)

Working Knowledge of MS Office

Good typing speed (English) and accuracy

Proven result-oriented and goal-driven

Proven good communication skills written and verbal

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

Proven solid verbal and written communication skills

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

Proven critical thinking abilities

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

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

Willing to work night shifts

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.