Healthcare Appeals Resolution Specialist

4 weeks ago


Noida, Uttar Pradesh, India UnitedHealth Group Full time

At UnitedHealth Group, we're committed to helping people live healthier lives and making the health system work better for everyone. As an Appeals Representative Associate, you'll play a critical role in ensuring that our members receive the care they need, while also driving business results.

Key Responsibilities:

  • Responsible for reviewing and resolving appeals in a timely and accurate manner, ensuring that individual and business metrics are met.
  • Conducts research in claims history and coordinates with business partners to make informed decisions.
  • Reads and comprehends incoming appeals and supporting documentation, as well as written operating procedural steps.
  • Complies with company policies and procedures, as well as any directives related to flexibility of work benefits and/or work environment.

Requirements:

  • Graduation from a recognized institution (BTECH / BE / MBA / B pharm / M pharm / BCA / MCA are not eligible to apply).
  • Proven good communication skills, both 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) and to work on weekends.
  • Work from Office and rotational shifts.

Preferred Qualification:

  • US Healthcare experience is an advantage.

We're committed to making a positive impact on the communities we serve, and we're looking for talented individuals like you to join our team. If you're passionate about healthcare and want to make a difference, we encourage you to apply.



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