Claims Representative Associate

5 days ago

Hyderabad Telangana, India Optum Full time

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.**

**Primary Responsibilities**:

- Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims
- Analyze and identify trends and provide reports as necessary
- Consistently meet established productivity, schedule adherence and quality standards
- 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

This is a challenging role that takes an ability to thoroughly review, analyze and research complex health care claims in order to identify discrepancies, verify pricing, confirm prior authorizations and process them for payment. You'll need to be comfortable navigating across various computer systems to locate critical information. Attention to detail is critical to ensure accuracy, which will impact the timely processing of the member's claim.

**Required Qualifications**:

- Graduation Mandator

**Preferred Qualifications**:

- 1+ year of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools
- 1+ year experience processing medical, dental, prescription or mental health claims
- 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._

  • Claims Associate

    7 days ago

    Hyderabad, Telangana, India Uber Full time

    **About the Role** Insurance is integral to Uber's operations and growth, and insurance claims are an essential part of Uber's insurance program. The Associate reviews low-severity and high-frequency losses in the International markets to provide accurate information to Uber's insurance partners based in Mexico. Additionally, the Associate must ensure that...

  • Claims Associate

    4 days ago

    Hyderabad, Telangana, India Uber Full time

    **About the role** As an International Claims Associate, you will investigate reports of accidents/incidents that occur throughout the region in connection with the app. You will report to our APAC Claims Manager. As a member of a growing international claims team, you will also have a unique opportunity to gain exposure to claims handling protocols in...

  • Job Role- Process Associate/Claims Associate

    3 days ago

    Hyderabad, India Artech Infosystems Private Limited Full time

    Job Description Description The Process Associate/Claims Associate (Dental Insurance Claim) plays a crucial role in managing and processing dental insurance claims. This position is ideal for freshers/entry-level candidates looking to start their career in the insurance sector. Responsibilities - Review and process dental insurance claims accurately and...

  • Claims Examiner Associate

    2 weeks ago

    Hyderabad, Telangana, India Prodigy Hunters Full time

    Roles & Responsibilities (Indicative not exhaustive) A claims examiner needs to analyse multiple documents / contracts and decide to pay / deny the claim submitted by member or providers with respect to client specifications. The claims examiner should also route the claim to different department or provider / member for any missing information that required...

  • Insurance Claims Associate

    1 week ago

    Hyderabad, Telangana, India Intech Insurance Surveyors Full time ₹ 2,00,000 - ₹ 6,00,000 per year

    General Insurance Claims processors / AssociatesProcessing Non Motor Insurance ClaimsLocations - HyderabadPeople experienced in Non Motor Insurance Surveyor Industry and holding IRDAI license in Non Motor Departments are preferable.Health insuranceProvident fund

  • Claims Associate

    2 weeks ago

    Hyderabad, Telangana, India Clininfotech Full time ₹ 2,00,000 - ₹ 6,00,000 per year

    Hiring Fresh Pharmacy and Life Science Nursing Graduates Medical and Para Medical For Claims AssociateFreshers OnlyApplicants should have good knowledge in Medical Coding Anatomy and Medical Terminology. Required Candidate profileCandidates Should have good knowledge in Medical Coding ICD 10, Anatomy Medical terminologyCandidates with Excellent...

  • Claims Representative

    5 days ago

    Hyderabad, Telangana, India nimble International Full time ₹ 9,00,000 - ₹ 12,00,000 per year

    Why work at nimble?This is a great opportunity to join a well-established and market-leading brand serving a high-growth end market while gaining valuable experience working closely with Executive leadership. As an organization, we are in high-growth mode through acquisition with a laser focus on positive culture building Who we arenimble solutions is a...

  • Ar Caller Associate

    3 weeks ago

    Hyderabad, Telangana, India Weekday AI Full time

    This role is for one of the Weekday s clients Salary range Rs 200000 - Rs 500000 ie INR 2-5 LPA Min Experience 1 years Location Hyderabad Bengaluru Chennai JobType full-time We are seeking a detail-oriented and results-driven AR Caller Associate to join our Revenue Cycle Management RCM team The ideal candidate will have 1 to 4 years of experience in handling...

  • Claims Associate

    4 days ago

    Hyderabad, India Unislink Full time

    **Job Title**: Charges Entry Executive - Medical Billing The main role of a Medical Billing executive is to ensure health providers are paid for medical services rendered. They are responsible for the accurate flow of medical information and patient data between physicians, patients and third-party payers. **Experience Range**: 1 - 2 years **Educational...

  • Claims Customer Service Associate

    2 weeks ago

    Manikonda, Hyderabad, Telangana, India Solana Insurance Agency Full time

    Solana Insurance Agency is seeking a Claims & Customer Support Executive to serve as the first point of contact for clients, assisting them with policy inquiries, claims processing, and issue resolution. This role requires strong communication skills, a customer-centric approach, and the ability to coordinate efficiently with insurance companies to ensure...