Claims Representative

UnitedHealth Group; Gurugram District; On-site; INR 400,000 - 660,000; Full time

Job summary

UnitedHealth Group in India is seeking a claims processing professional to accurately process and complete medical claims, including routing those that require manual adjudication. You will demonstrate product-line proficiency and apply plan concepts such as deductible, coinsurance, and copay, while adhering to company policies and flexible work arrangements.

The role requires strong English communication, analytical skills, multi-tasking, and the ability to work night shifts.

Qualifications

• Graduation (BTECH / BE / MBA / B pharm / M pharm are not eligible to apply)
• Working knowledge of MS Office
• Demonstrated solid verbal and written communication skills
• Proven to be result-oriented and goal-driven
• 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

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

Skills

MS Office

Verbal and written communication

Analytical ability

Multi-tasking

Night shifts

Typing speed (English)

Education

Graduation not eligible (BTech/BE/MBA/BPharm/MPHARM not eligible)

Job description

Improve the lives of others while Caring. Connecting. Growing together.

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
• Demonstrated solid verbal and written communication skills
• Proven to be result-oriented and goal-driven
• 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.

UnitedHealth Group is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need special assistance or accommodation for any part of the application process, please call 1-866-566-8715 to be connected to Recruitment Services. Recruitment Services hours of operation are 7 a.m. to 7 p.m. CT, Monday through Friday.

UnitedHealth Group is a registered service mark of UnitedHealth Group, Inc. The UnitedHealth Group name with the dimensional logo, as well as the dimensional logo alone, are both service marks for the UnitedHealth Group, Inc.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.