Claims Associate

3 days ago

Hyderabad, Telangana, India Optum Full time ₹ 2,40,000 - ₹ 5,44,000 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, 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
  • Proficiency with Windows PC applications, which includes the ability to navigate multiple programs and learn new and complex computer system applications

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

  • 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 Associate

    2 weeks 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

    2 weeks 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

    2 weeks ago

    Hyderabad, Telangana, India Scoresoftlabsopc Full time ₹ 4,00,000 - ₹ 8,00,000 per year

    Greetings From Scorelabs Inc Validate medical necessity and check eligibility Ensure accurate claim coding for inpatient, outpatient, and day-care procedures. Should Have Exp In 1-4 years of in claims Required Candidate profileHandle claim resubmissions, rejections, and audits from insurance providers. Collaborate with physicians, billing teams, and...

  • Claims Data Analyst

    5 days ago

    Hyderabad, Telangana, India Birlasoft Limited Full time ₹ 6,00,000 - ₹ 18,00,000 per year

    Claims Data Analyst We're Hiring: Claims Data Analyst ROLE SUMMARY Seeking a highly skilled and detail-oriented Senior Claims Data Analyst. Candidates considered for this role must have extensive experience with Guidewire ClaimCenter and ETL tools to ensure seamless data mapping, migration, and reporting. The analyst will also provide insights...

  • Process Associate

    2 weeks ago

    Hyderabad, Telangana, India QUADRANTECH PVT. LTD. Full time ₹ 2,00,000 - ₹ 6,00,000 per year

    Job descriptionJob Title: Process AssociateIndustryOutsourcing and Offshoring ConsultingEmployment TypeFull TimeLocation: Hyderabad, TelanganaWork Hours: Full-TimeExperience: Previous experience in Health insurance claims processing, veterinary practice, or a related field (preferred)Job Summary:The Pet Insurance Claims Assistant will be responsible for...

  • RCM AR Associate

    2 weeks ago

    Hyderabad, Telangana, India Master Billing LLC Full time ₹ 6,00,000 - ₹ 12,00,000 per year

    Company DescriptionMaster Billing LLC is a strategic partner for healthcare providers, specializing in optimizing revenue and simplifying billing operations. Our focus is on empowering healthcare practices to concentrate on delivering top-tier patient care.Role DescriptionThis is a full-time on-site role for an RCM AR Associate located in Hyderabad. The role...

  • Senior Associate

    2 weeks ago

    Hyderabad, Telangana, India Newportmed Full time ₹ 6,00,000 - ₹ 12,00,000 per year

    Greetings from Newport Medical SolutionsWe are hiring candidate with AR Experience with immediate to 30 days notice period. Relevant experience candidates can share their resume oncontact HR Job Title: Senior Associate - Account ReceivablesYears of Experience: 2-3 yearsShift Timings: Night Shift (7:00 PM to 4:00 AM)Location: Hyderabad, TelanganaEducation...

  • Associate/Sr Associate

    2 weeks ago

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

    Company Description Sutherland is a global leader driving digital outcomes by combining advanced technologies with expertise in customer experience and business process transformation. By improving interactions and personalizing experiences, Sutherland helps clients build better customer relationships through its digital-first approach. Are you a fast...

  • Associate - Payment Posting - PP-A-2509-001

    2 weeks ago

    Hyderabad, Telangana, India Newport Medical Solutions Full time ₹ 6,00,000 - ₹ 8,00,000 per year

    Job Title: Associate Payment PostingYears of Experience: 1–2 yearsLocation: Hyderabad, TelanganaMode of interview: In-person.Mode of operation: Work from officeShift Timings: 9:00 a.m.–6:00 p.mJob DescriptionFunctional Expertise:Should be able to post ERAs and Manual posting, patient-cash, check payments.Should have strong understanding of medical...