Appeals Representative Associate

1 day ago

Noida, 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.**

The Appeals Representative Associate is responsible for providing expertise or general support to teams in reviewing, researching, investigating, negotiating and resolving all types of appeals and grievances.

**Primary Responsibilities**:

- Research and resolve written complaints and complex or multi-issue provider complaints submitted by consumers and physicians/providers
- Communicate with appropriate parties regarding appeals and grievance issues, implications and decisions
- Analyze and identify trends for appeals and grievances
- Respond to standard requests and solve routine problems by following established procedures
- Work with others as part of a team and have work reviewed by others
- 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**:

- Graduation (BTECH / BE / BCA / MCA / MBA / B pharm / M pharm are not eligible to apply)
- Fresher or 6 months experience in a call center environment analyzing and solving customer problems.
- Beginner level of experience with MS Word and Excel
- Good typing speed (English) and accuracy
- Proven result-oriented and goal-driven
- Proven good communication skills written and verbal
- Proven solid verbal and written communication skills
- Proven critical thinking abilities
- Willing to work from Office and in night shifts
- 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

    1 day ago

    Noida, Uttar Pradesh, 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,...

  • Supervisor Appeals

    1 week ago

    Noida, Uttar Pradesh, India Optum Full time ₹ 6,00,000 - ₹ 18,00,000 per year

    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,...

  • Associate Advocate

    7 days ago

    Noida, Uttar Pradesh, India SUPREME LAW HOUSE Full time ₹ 8,88,000 - ₹ 12,00,000 per year

    *Chambers of Advocate Mithilesh Kumar Pandey is looking to hire Counsel / Associates for the Noida office.*Positions: 2PQE: 3-5 YearsLocation: NoidaThe office is looking for dedicated and driven advocates, preferably with prior experience in Commercial and Civil litigation, banking laws such as Insolvency and Bankruptcy Code, 2016, SARFAESI Act, Arbitration...

  • Litigation Associate

    6 days ago

    noida, India Prasanna Law Chambers (PLC) Full time

    Prasanna Law Chambers (PLC) is a full-service law chambers based in Delhi/NCR that specializes in a wide variety of cases including Real Estate, Criminal, Civil, Matrimonial disputes, Succession & Adoption Law, property matters etc. The firm and its associates handle matters across Delhi/NCR and focuses on Trial Court, High Court and Tribunal Practice.Role...

  • Services Renewal Representative Iii

    2 weeks ago

    Noida, India Oracle Full time

    Drive 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...

  • International Voice Process Associate

    5 days ago

    Noida, India Meithee Tech Private Limited Full time

    **International Voice Process Associate**: Skill - Experience in International Voice Process ( Mandatory ) Experience - 1 year Working Time - Timing (7.30 PM to 4.30 AM ) (Nightshift ) Location - Noida Employment Type - Full time **Requirements**: - Handle customer issues, escalation calls and coordinate with different functions, case management -...

  • Patent Associate

    1 day ago

    Noida, Uttar Pradesh, India Inttl Advocare Full time ₹ 8,00,000 - ₹ 12,00,000 per year

    Company DescriptionInttl Advocare is a prominent IP law firm in India, with extensive expertise in IP litigation, prosecution, and enforcement across diverse jurisdictions. Founded by Hemant Singh, the firm has represented numerous Fortune 100 and 500 companies in various industries, including pharmaceuticals, FMCG, fashion, and technology. Inttl Advocare...

  • Services Renewal Representative Iii

    7 days ago

    Noida, India Oracle Full time

    Drive 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...

  • International Customer Service Representative

    5 days ago

    Noida, Uttar Pradesh, India MoSahay Associate Full time

    **Job Types**: Full-time, Permanent Pay: ₹300,307.02 - ₹355,498.79 per year **Benefits**: - Provident Fund Schedule: - Rotational shift **Education**: - Bachelor's (required) **Experience**: - International voice process: 2 years (required) - Customer support: 2 years (required) - Technical support: 2 years (required) **Language**: - English...

  • Field Sales Representative

    2 weeks ago

    Noida, India Inrext Private Limited Full time

    **Real Estate Sales Responsibilities**: - Present purchase offers to sellers for consideration. - Negotiate prices or other sales terms. - Compare a property with similar properties that have recently sold to determine its competitive market price. - Appraise property values. - Advise clients on market conditions, prices, mortgages, legal requirements, and...