Company : Optum
Designation : Appeals Representative Associate
Location : Noida
Details
Optum is hiring for the role of Appeals Representative Associate!
Responsibilities of the Candidate:
- Process and complete medical claims.
- Process claims that route out of automatic adjudication, within current turnaround standards.
- Demonstrate proficiency in product lines applicable to the processing unit.
- Understand and apply plan concepts: Deductible, Coinsurance, Copay, Out-of-pocket, State variations.
- 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).
Requirements:
- Graduation (BTECH / BE / MBA / B pharm / M pharm are not eligible to apply)
- Working Knowledge of MS Office
- Proven good communication skills written and verbal
- Proven good typing speed (English) and accuracy
- Proven result-oriented and goal-driven
- Proven analytical ability: Research skills combined with effective decision-making and superior interpersonal skills
- Proven solid verbal and written communication skills
- Demonstrated ability to accept constructive criticism with being coached and growing as a professional
- Proven critical thinking abilities
- Demonstrated ability to multi-task, this includes the ability to understand multiple products and multiple levels of benefits within each product
- Demonstrated ability to remain focused and productive each day though tasks may be repetitive
- Willing to work night shifts
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