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Claims Associate - Hyderabad

Optum Global Solutions (India) Private Limited

Job 1 - 5 years Fill 66 Hyderabad (Telangana)
Primary Responsibilities:Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claimsAnalyze and identify trends and provide reports as necessaryConsistently meet established productivity, schedule adherence and quality standardsComply 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 soThis is a challenging role that takes an ability to thoroughly review, analyze and research complex health care claims in order to identify discrepancies, verify pricing, confirm prior authorizations and process them for payment. You'll need to be comfortable navigating across various computer systems to locate critical information. Attention to detail is critical to ensure accuracy, which will impact the timely processing of the member's claimRequired Qualifications:An education level of at least a high school diploma or GED OR equivalent years of work experienceProficiency with Windows PC applications, which includes the ability to navigate multiple programs and learn new and complex computer system applicationsPreferred Qualifications:1+ year of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools1+ year experience processing medical, dental, prescription or mental health claims
Careers at OptumIf you're going to change careers, why not look for an employer that's out to change everything? If you have that kind of appetite for change, Optum is the right place for you. As part of the growing UnitedHealth Group family of businesses, we're driving innovation and change all over the world. That's creating opportunity right here in India for people with energy, passion and a focus on quality. We're driven to help people live healthier lives and to help make the health care system work better for everyone. We want to make a difference and that makes this the one job opportunity that can change everything for you. As part of UnitedHealth Group, a Fortune 6 company, Optum is a leading health services and technology company dedicated to helping make the health system work better for everyone. With more than 115,000 people collaborating worldwide, Optum combines people, technology, data and action to improve the delivery, quality and efficiency of health care.This work takes all of your commitment, skills, passion and energy. It's hard to become #1 and even harder to stay in the lead. That's why we rely on a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at Optum: workatoptum.comDiversity creates a healthier atmosphere: Optum is an Equal Employment Opportunity 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. Optum is a drug-free workplace. (c) 2017 Optum Global Solutions (India) Private Limited (formerly known as QSSI Technologies India Private Limited). All rights reserved.

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