Associate Enrollment or Eligibility Representative

Optum India; Bengaluru; On-site; INR 402,000 - 580,000; Full time

Job summary

Optum India is seeking a detail-oriented graduate to process new member enrollments, verify eligibility, update records, and handle enrollment changes across internal systems. Strong communication, basic computer skills, and the ability to learn multiple applications are essential.

This on-site role in Bengaluru requires teamwork, attention to accuracy, and flexibility to work night shifts. It aligns with CMS and regulatory requirements and emphasizes quality, turnaround time, and compliant data

Qualifications

• Graduate in any discipline with good communication skills.
• Typing speed of 30 WPM with 99% accuracy requires.
• Proven ability to learn multiple applications and systems.
• Flexibility to work from the office and night shifts.

Responsibilities

• Process new member enrollments and eligibility transactions.
• Update and maintain member records in internal systems.
• Verify member eligibility and enrollment status.
• Process enrollment changes and data updates.
• Respond to standard enrollment and eligibility inquiries.
• Support inventory and workflow management activities.
• Maintain quality, accuracy, and turnaround-time standards.
• Ensure compliance with CMS, regulatory, and business requirements.
• Adhere to company policies, including work location, schedules, and flexible work arrangements.

Skills

Verbal communication

Written communication

Teamwork

Attention to detail

Typing speed

Basic computer skills

Education

Graduate in any discipline

Tools

MS Office

AI tools basic understanding

Job description

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

• Process new member enrollments and eligibility transactions
• Update and maintain member records in internal systems
• Verify member eligibility and enrollment status
• Process enrollment changes, corrections, and member data updates
• Respond to standard inquiries related to enrollment and eligibility
• Support inventory and workflow management activities
• Maintain required quality, accuracy, and turnaround-time standards
• Ensure compliance with CMS, regulatory, and business requirements
• 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

• Graduate in any discipline
• CAT Score: 3.0
• Typing Speed: 30 WPM with 99% accuracy
• Basic computer skills
• Proven excellent verbal and written communication skillsProven ability to learn and navigate multiple applications and systems
• Demonstrated solid attention to detail and accuracy
• Demonstrated ability to work effectively in a team environment
• Flexible and willing to work from the office
• Flexible and willing to work night shifts

Preferred Qualifications

• MS Office knowledge
• Basic understanding of AI tools
• Demonstrated analytical and problem-solving skills
• Demonstrated time management and organizational skills
• Proven excellent written and verbal communication
• Proven ability to work effectively within a team

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. #NJP