Claims Representative Associate

2 weeks ago

Noida, India Optum Full time

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 work.(sm)**

**Primary Responsibilities**:

- Accurate processing and completion of medical claims
- Process claims that route out of automatic adjudication, within current turnaround standards
- Deductible
- Coinsurance
- Co-pay
- 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). 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**:

- Graduate (No B.tech/B.E)
- Fresher
- Proficiency in product lines applicable to processing unit
- Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product
- Ability to remain focused and productive each day though tasks may be repetitive
- Result-oriented and goal-driven
- Analytical ability: Research skills combined with effective decision-making and superior interpersonal skills
- Strong verbal and written communication skills
- Critical thinking abilities
- Ability to multitask
- Ability to accept constructive criticism with being coached and growing as a professional

**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 work.(sm)

  • Associate/Sr. Associate- Claims Management

    2 weeks ago

    Noida, Uttar Pradesh, India CompuGroup Medical Full time ₹ 1,04,000 - ₹ 1,30,878 per year

    Create the future of e-health together with us by becoming an Associate/Sr. Associate- Claims ManagementAt CompuGroup Medical, our mission is to build groundbreaking solutions for digital healthcare. We aim to revolutionize how healthcare professionals produce, access, and utilize information, enabling them to focus on the core value of their work: patient...

  • Process Associate- Claims

    2 weeks ago

    Noida, Uttar Pradesh, India Genpact Full time

    Job DescriptionReady to shape the future of workAt Genpact, we don&rsquot just adapt to change&mdashwe drive it. AI and digital innovation are redefining industries, and we&rsquore leading the charge. Genpact&rsquos AI Gigafactory, our industry-first accelerator, is an example of how we&rsquore scaling advanced technology solutions to help global enterprises...

  • Associate Cashless Claims/ Reimbursement Claims

    7 days ago

    Noida, Uttar Pradesh, India HRN Solutions Llp Full time ₹ 15,00,000 - ₹ 28,00,000 per year

    Reimbursement Claims: To review claim documents received from customer/insured Identify Risk assessment & maintain TAT. Manage Data. Cashless Claims: Preauthorization claim, Manage TAT, Quality adjudication . Required Candidate profileDegree – BHMS/BDS/BPT/BAMS.Exp. – 1+ yrs. in any TPA/Insurance company in Cashless Claims or Reimbursement Claims.

  • Claims Associate Ibas

    6 days ago

    Noida, India CHCS Services, Inc Full time

    SUMMARY ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. - Ensure claims are adjudicated / adjusted as per the guidelines - Responsible for timely request and follow-up of any/all required additional information for proper claim adjudication - Operate within company regulations regarding HIPAA, fraud, confidentiality, and private health...

  • Claims Resolutions Manager

    2 weeks ago

    Noida, Uttar Pradesh, India beBeeClaims Full time ₹ 1,04,000 - ₹ 1,30,878

    Claims Resolution SpecialistPrimary Responsibilities:Engage in outbound calls to insurance companies to follow up on outstanding claims.Understand and resolve claim denials or rejections to ensure timely payment.Verify patient insurance information and update accounts accordingly.Document call details, follow-up actions, and claim status for future...

  • Claims Executive

    1 week ago

    Noida, Uttar Pradesh, India Anglepaisa Consultancy Services Pvt. Ltd. Full time

    **About the company**: Garantie is a technological solution for value added after sales services for automobile industry. With our state of the art technology as backbone coupled with smart and advanced processes, Garantie is providing a full stack solution to support Automobile Industry like Extended Warranty, AMC Plans and Engine Assurance. We are a...

  • Process Associate- Claims

    1 week ago

    Noida, Uttar Pradesh, India Genpact Full time

    **Genpact (NYSE: G) is a global professional services and solutions firm delivering outcomes that shape the future. Our 125,000+ people across 30+ countries are driven by our innate curiosity, entrepreneurial agility, and desire to create lasting value for clients. Powered by our purpose - the relentless pursuit of a world that works better for people - we...

  • Process Associate- Claims

    1 week ago

    Noida, Uttar Pradesh, India Genpact Full time

    Genpact (NYSE: G) is a global professional services and solutions firm delivering outcomes that shape the future. Our 125,000+ people across 30+ countries are driven by our innate curiosity, entrepreneurial agility, and desire to create lasting value for clients. Powered by our purpose - the relentless pursuit of a world that works better for people - we...

  • Claims Associate Representative

    2 weeks ago

    Noida, India Optum Full time

    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...

  • Pa-claims

    3 weeks ago

    Noida, Uttar Pradesh, India GENPACT Full time

    Genpact NYSE G is a global professional services and solutions firm delivering outcomes that shape the future Our 125 000 people across 30 countries are driven by our innate curiosity entrepreneurial agility and desire to create lasting value for clients Powered by our purpose - the relentless pursuit of a world that works better for people - we...