Appeals Representative Associate
1 day ago
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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start **Caring. Connecting. Growing together.**
Appeals redressal - to make informed and well researched decision to overturn or uphold claims/authorization requests decision on member/provider appeal requests
This process operates 24/7 due to its stringent turnaround time on expedited appeals which is around 6 to 72 hours.
**Primary Responsibilities**:
- Appeals resolution with high accuracy and timeliness to ensure individual and business metrics are met
- Conducts research in claims history and coordinates with business partner to make decision to uphold or overturn claims decision
- Read and comprehend incoming appeals and supporting documentation
- Read and comprehend written operating procedural steps
- 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, change in teams and/or work shifts, policies in regard 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**:
- Graduation (BTECH / BE / MBA / B pharm / M pharm / BCA / MCA are not eligible to apply)
- Proven good communication skills written and verbal
- Proven good typing speed (English) and accuracy
- Proven result-oriented and goal-driven
- Ready to work in late night shifts (6 PM & 9 PM login) & to work on weekends
- Work from Office and rotational shifts
**Preferred Qualification**:
- US Healthcare experience advantage
- 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._
-
Appeals Representative Associate
2 days ago
Noida, Uttar Pradesh, India Optum Full timeOptum 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 diversity and inclusion,...
-
Appeals Representative Associate
2 days ago
Noida, India Optum Full timeOptum 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 diversity and inclusion,...
-
Sales Representative
3 hours ago
Noida, Uttar Pradesh, India MNR Solutions Pvt. Ltd. Full timeWe are looking for Sales Representative for Jewellery Industry Industry : Jewellery Industry Exp : 1 years Minimum Working Days : Monday - Saturday Timing : 9 am - 6pm Location : Noida sector 63 Note : Only female required immediate joiner **Responsibilities**: - Greet customers and offer comprehensive product information. - Assist customers in...
-
Customer Support Representative
3 hours ago
Noida, Uttar Pradesh, India Livekeeping Technologies Pvt Ltd Full timeResponsibilities: - Communicating with customers and sales representatives. - Analyzing customer behavior. - Gathering information about customer complaints. - Developing aggressive retention strategies based on customer feedback. - Negotiating with customers to renew contracts and retain business. - Meeting with the sales team to propose customer retention...
-
Services Renewal Representative V
1 day ago
Noida, Uttar Pradesh, India Oracle Full timeDrive the renewal of Oracle's contracts to existing customers. Career Level - IC5 Renewals Key Account Manager is responsible for renewing, up-selling, and closing contracts for the key accounts with presence in more than one country/region in an assigned territory. Works proactively with the customer and the global renewals teams to define common...
-
Associate - Sales
1 day ago
Noida, Uttar Pradesh, India Ashimara Living Private Limited Full time**Responsibilities**: Ensure high levels of customer satisfaction through excellent sales service Assess customers' needs and provide assistance and information on product features Welcome customers to the store and answer their queries Follow and achieve department’s sales goals on a monthly, quarterly and yearly basis “Go the extra mile” to drive...
-
Sales Representative
2 days ago
Noida, Uttar Pradesh, India XS Worldwide Full time**Responsibilities**: - Should have hands on experience with WordPress. - Integrating third-party APIs and services as needed. - Designing and developing responsive websites using front-end technologies such as HTML5, CSS3, and JavaScript. - Collaborating with design and marketing teams to create visually appealing and intuitive user interfaces. -...
-
Services Renewal Representative Iii
1 day ago
Noida, India Oracle Full timeDrive the renewal of Oracle's contracts to existing customers. Responsible for timely renewals for medium-sized customers in assigned territory. Educate customers on business practices and any associated contractual implications. Ensure customer awareness and understanding of applicable elements of Oracle's portfolio. Meet productivity expectations on...
-
Client Retention
1 day ago
Noida, India Oracle Full timeDrive the renewal of Oracle's contracts to existing customers. Responsible for timely renewals for medium-sized customers in assigned territory. Educate customers on business practices and any associated contractual implications. Ensure customer awareness and understanding of applicable elements of Oracle's portfolio. Meet productivity expectations on...
-
Retail Sales Associate
3 days ago
Noida, Uttar Pradesh, India MNR Solutions Pvt. Ltd. Full timeWe are looking for Retail Sales Executive for Jewellery Industry Industry : Jewellery Industry Exp : 2 years Minimum Working Days : Monday - Saturday Timing : 9 am - 6pm Location : Noida sector 63 Note : Only female required immediate joiner **Responsibilities**: - Greet customers and offer comprehensive product information. - Assist customers in...
-
Claims Representative Associate
3 days ago
Noida, Uttar Pradesh, India Optum Full timeOptum 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 diversity and inclusion,...
-
Front Desk Associate
2 days ago
Noida Sector 62, Noida, Uttar Pradesh, India Enterslice Pvt Ltd. Full time**Job Overview**: The Front Desk Associate is responsible for providing exceptional customer service and creating a welcoming environment for all visitors and clients. This role includes managing front desk operations such as greeting guests, handling phone calls, scheduling appointments, and assisting with administrative tasks. The Front Desk Associate will...
-
Customer Service Representative
6 days ago
Noida, Uttar Pradesh, India ixamBee Full timeJob Title: Axis Voice-Process Associate Summary: Qualifications: - Excellent written communication skills. - Ability to work in a fast-paced environment. - Strong problem-solving skills and attention to detail. - For Female Applicants: 12th pass with good communication skills can also apply. Roles and Responsibilities: - Respond to customer queries and...
-
Customer Service Associate
3 hours ago
Noida, Uttar Pradesh, India VachiLabs Innovations Pvt Ltd Full timeJob tittle: - Customer Support Representative LOCATION - DELHI/NOIDA Role & Responsibilities - To provide customer support through voice calls pertaining to Dreams 11 platform query & complaints Highest Education - Graduate (In Any stream) Prior Exp - 6 months & above Shifts - For Male - 24*7 for Females - 6 am to 8 pm (Any 9 hours window) - No...
-
Services Renewal Representative Iii
1 day ago
Noida, India Oracle Full timeDrive the renewal of Oracle's contracts to existing customers. Responsible for timely renewals for medium-sized customers in assigned territory. Educate customers on business practices and any associated contractual implications. Ensure customer awareness and understanding of applicable elements of Oracle's portfolio. Meet productivity expectations on...
-
Customer Service Representative
6 days ago
Noida, Uttar Pradesh, India ixamBee Full timeIxambee hiring on the behalf of cogent **Job description** Job Title: Axis chat-Process Associate Summary: Qualifications: - Excellent written communication skills. - Ability to work in a fast-paced environment. - Strong problem-solving skills and attention to detail. - For Female Applicants: 12th pass with good communication skills can also...
-
uttar pradesh, India Centre for Social and Behaviour Change Full timeJob Title : Programme Associate, Behavioural Insights Unit– Uttar Pradesh Reports to: Senior/Programme Manager, CSBC Employment Type: Full-time Experience (in years): 2-3 Years Location: Lucknow, Uttar Pradesh Application Deadline: 20th January (TO APPLY: Email your CV to careersatcsbc@ashoka.edu.in, ensuring the subject line reads as follows: "Programme...
-
Us Sales Representative
3 hours ago
Noida, Uttar Pradesh, India OnlineInfatuation Full timeJob Title: International Sales Executive (Inbound Sales) Profile: International Sales Associate Location: Noida Sector 62 **Salary**: Up to ₹35,000 + ₹3,000 Travel Allowance + Huge incentives (Salary based on the performance in interview) Shift: US Shift **Experience: Minimum 1 year in International Sales (US Sales preferred)** Type: Full-Time,...
-
Graphics Designer
1 day ago
Lucknow, Uttar Pradesh, India MSS Maadhyam Staffing Solutions Pvt Ltd Full time**Graphic Designer Duties And Responsibilities** Graphic Designers conceptualise and design visual ideas, understanding the client’s needs and developing a brand’s visual identity. The duties and responsibilities of a Graphic Designer include the following: - Creating visual designs for print and digital media - Collaborating with clients and...
-
Customer Care Success Representative
1 day ago
Noida, Uttar Pradesh, India Monotype Full timeAre you our “TYPE”? Brands constantly seek to achieve deeper appeal and connection with their target audience and customers. They express themselves in unique ways, in ways that are meaningful, attractive and compelling to their audience. Fonts play a key role in this and are central to every brand’s visual identity and expression. Headquartered in the...