Claims Quality Audit Representative

Primary Responsibilities:Achievement of individual productivity and quality standards Contribute to working on Volumes when required and asked by the Management or Stakeholder Examining and identifying overpayments in claims, securing savings through recovery, and communicating effectively (in both written and spoken forms) to confirm and retrieve...

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,...

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...

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,...

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. Come make an impact on the communities we serve as we help advance...

Job Title: SPE Reporting to: Team Manager/Team leader, Operations **Objectives** The SPE’s objective is to actively assist a team in accordance with laid down procedures to achieve and maintain requisite standards of quality and productivity. He / she will report to the Team leader/Team Manager, Operations, who will be the first point of contact for any...

**Hiring CLAIMS ASSOCIATE for Ethika Insurance Broking Pvt. Ltd.** **Location: Gachibowli** **Experience: 2 - 5 years Experience in Customer support / claims handling** **Responsibilities**: - **Perform detailed site inspections.** - **Auditing the claim documentation.** - **Front face point of contact to the client.** - **Review and process new claims...

Job DescriptionYour role will involve working on assigned claims and running reports to identify claims that require a follow-up. You will resolve the denial by taking appropriate action as per guidelines.You will ensure timely follow up to save claims from getting written off due to untimely following up. You will work on contractual adjustments and...

**Company Description** We help the world see new possibilities and inspire change for better tomorrows. Our analytic solutions bridge content, data, and analytics to help business, people, and society become stronger, more resilient, and sustainable. **Key Responsibilities**: - Design and develop robust APIs. - Design and implement scalable microservice...

Job Summary:We are seeking a Claims Service Manager to oversee the management of claims, ensuring timely and efficient resolution. The ideal candidate will have experience in MIS management, audit IT development, and commercial lines.Key Responsibilities:Manage the entire claims process, from initial assessment to final settlement.Oversee the maintenance of...