Claims Representative Associate

Optumisaglobalorganizationthatdeliverscare, aidedbytechnologytohelpmillionsofpeoplelivehealthierlives. Theworkyoudowithourteamwilldirectlyimprovehealthoutcomesbyconnectingpeoplewiththecare, pharmacybenefits, dataandresourcestheyneedtofeeltheirbest. Here, youwillfindacultureguidedbyinclusion, talentedpeers, comprehensivebenefitsandcareerdevelopmentopportunities. Comemakeanimpactonthecommunitiesweserveasyouhelpusadvancehealthoptimizationonaglobalscale. Joinustostart Caring. Connecting. Growingtogether.
Primary Responsibilities:
• Accurateprocessingandcompletionofmedicalclaims

• Processclaimsthatrouteoutofautomaticadjudication, withincurrentturnaroundstandards

• Demonstrateproficiencyinproductlinesapplicabletoprocessingunit

• Understandandapplyplanconcepts: Deductible, Coinsurance, Copay, Out-of-pocket, Statevariations

• Complywiththetermsandconditionsoftheemploymentcontract, companypoliciesandprocedures, andanyandalldirectives(suchas, butnotlimitedto, transferand/orre-assignmenttodifferentworklocations, changeinteamsand/orworkshifts, policiesinregardtoflexibilityofworkbenefitsand/orworkenvironment, alternativeworkarrangements, andotherdecisionsthatmayariseduetothechangingbusinessenvironment). The Companymayadopt, varyorrescindthesepoliciesanddirectivesinitsabsolutediscretionandwithoutanylimitation(impliedorotherwise)onitsabilitytodoso

Required Qualifications:
• Graduation(BTECH/BE/MBA/Bpharm/Mpharmarenoteligibletoapply)

• Goodcommunicationskillswrittenandverbal

• Goodtypingspeed(English)andaccuracy

• Provenresult-orientedandgoal-driven

• Analyticalability: Researchskillscombinedwitheffectivedecision-makingandsuperiorinterpersonalskills

• Solidverbalandwrittencommunicationskills

• Abilitytoacceptconstructivecriticismwithbeingcoachedandgrowingasaprofessional

• Criticalthinkingabilities

• Abilitytomulti-task, thisincludesabilitytounderstandmultipleproductsandmultiplelevelsofbenefitswithineachproduct

• Abilitytoremainfocusedandproductiveeachdaythoughtasksmayberepetitive

• Willingtoworknightshifts

• Working Knowledge of MSOffice

At United Health Group, ourmissionistohelppeoplelivehealthierlivesandmakethehealthsystemworkbetterforeveryone. Webelieveeveryone-ofeveryrace, gender, sexuality, age, locationandincome-deservestheopportunitytolivetheirhealthiestlife. Today, however, therearestillfartoomanybarrierstogoodhealthwhicharedisproportionatelyexperiencedbypeopleofcolor, historicallymarginalizedgroupsandthosewithlowerincomes. Wearecommittedtomitigatingourimpactontheenvironmentandenablinganddeliveringequitablecarethataddresseshealthdisparitiesandimproveshealthoutcomes-anenterprisepriorityreflectedinourmission.