Claims Associate

6 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start** Caring. Connecting. Growing together.**

**Primary Responsibilities**:

- Claims adjudication/Adjustments/Rework by reviewing the policies, researching, investigating, negotiating, processing, and adjusting claims
- 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 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

This is a challenging role that takes an ability to thoroughly review, analyze and research claims to verify pricing, review prior authorizations and process them for payment as per the policies.

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 claims.

**Required Qualifications**:

- Graduate in any discipline except BTech/MCA

**Preferred Qualifications**:

- Freshers/ experience in health care, processing medical, dental, prescription or mental health claims
- Should be flexible to work if any shift
- Work form office
- 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._

njp

  • Process Associate

    6 days ago

    Hyderabad, Telangana, India Relativity Institute of Big Data Studies Full time

    **Role**: Process Associate, Insurance Claims **Location**: HYDERABAD **Salary**: ₹3,00,000 - ₹5,00,000 LPA **We are Inviting Applications for the Role of Process Associate in Insurance Claims.** **Key Responsibilities**: - Perform backend claims support activities including Document Indexing, Claim Payments, setting up First Notice of Loss (FNOLs),...

  • Claims Associate

    2 weeks ago

    Hyderabad, India Uber Full time

    Job Description 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...

  • Job Role- Process Associate/Claims Associate

    3 weeks 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 days 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...

  • Claims Representative Associate

    2 weeks ago

    Hyderabad, Telangana, India Optum Full time

    Imagine this. Everyday, in claims centers around the world, UnitedHealth Group is processing and resolving payment information for millions of transactions. Would you think we have some great technology? Would you think we know how to manage volume? You would be right. No one's better. And no company has put together better teams of passionate, energetic and...

  • Claims Associate

    2 weeks ago

    Hyderabad, Telangana, India Kaarya Consulting Services Full time ₹ 1,20,000 - ₹ 2,00,000 per year

    Company Description Kaarya Consulting - HRO Services Division aims to be a strategic HR partner for client organistation to accelerate the HR processes of the client. Kaarya Team has built an effective service delivery model for ensuring customer focused HR processes in client organization Job Description Dear Candidate,We looking for Looking for Claim...

  • Claims Customer Service Associate

    14 hours 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...

  • Claims Associate

    1 week ago

    Hyderabad, Telangana, India JoulestoWatts Full time ₹ 2,00,000 - ₹ 8,00,000 per year

    Job DescriptionJob Role : Claims ProcessorYears of Experience :1-3 YrsPreferred Location :HYD 3Shift Timing (IST) :5:45 PM - 3:30AMShort DescriptionClaims Processing for Optum Financial Services Shift should be 5.45 PM to 3.15 AM 100% Work From Office Hyd LocationEngagement Duration (in Months): 6Engagement & Project OverviewFor OFS-CDH(Consumer Driven...

  • Claims Associate

    1 week ago

    Hyderabad, Telangana, India Alliad Full time ₹ 8,00,000 - ₹ 12,00,000 per year

    Manage NCRs for food rations/logistics by coordinating with Ops, Procurement, and insurers. Drive claim settlements, recoveries, RCA & CAPA, supplier engagement, and ensure compliance, documentation, and timely reporting.

  • Claims Process Associate

    14 hours ago

    Hyderabad, Telangana, India Scoresoftlabsopc Full time ₹ 3,00,000 - ₹ 6,00,000 per year

    Greetings From Scorelabs Inc Validate medical necessity and check eligibility Ensure accurate claim coding for inpatient, outpatient, and day-care procedures. Qua - BAMS , BHMS & MBBS Freshers Are also Welcome ( If they Interested in Claims) Required Candidate profileHandle claim resubmissions, rejections, and audits from insurance providers. ...