Claims Representative Associate - Multiple Locations

Claims Representative Associate - Multiple Locations

United Health Group | Gurugram, HR, IN

Posted a month ago

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Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best
Primary Responsibilities:
Handling provider contract loading for either E&I or M&R or C&S LOB on NDB, ppoONE, COSMOS and CSP Facets platforms
Collaborating with different UHC/Optum resolution partners to gather relevant information and loading/updating the contract on requested platforms
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:
12 months exposure on NDB, CSP Facets or COSMOS platforms, preferably on provider contract, member benefits or provider demographics loading.
Good verbal and written skills
Good analytical skills. He should have the ability to understand the ask and instruction by reading the contract or SOP
Adhere to quality improvement initiatives
Increasing productivity to meet minimum requirements while maintaining quality standards
Open for all shifts, preferably evening shifts from office
Excellent communication and written skills and should be highly detail oriented because of the complexities involved to interpret and load the provider contracts
Preferred Qualifications:
Working knowledge of MS Office and PC Skills
Good verbal and written skills
Effective Time Management
Detail Oriented, Good Analytical and research skills and Process adherence orientation
Open to work in any shifts allocated including proper night shifts

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best