Claims Representative Associate

1 month ago

Hyderabad, India UnitedHealth Group 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 all out brilliant Claims Representatives. This is where you come in. We'll look to you to maintain our reputation for service, accuracy and a positive claims experience. We'll back you with great training, support and opportunities.
Primary Responsibilities
* Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims
* Analyze and identify trends and provide reports as necessary
* Consistently meet established productivity, schedule adherence and quality standards
This is a challenging role that takes an ability to thoroughly review, analyze and research complex health care claims in order to identify discrepancies, verify pricing, confirm prior authorizations and process them for payment. 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 member's claim.

Required Qualifications
* An education level of at least a high school diploma or GED OR equivalent years of work experience
* Proficiency with Windows PC applications, which includes the ability to navigate multiple programs and learn new and complex computer system applications
Preferred Qualification
* 1+ year of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools
* 1+ year experience processing medical, dental, prescription or mental health claims
Making claims a positive experience for our members can drive your sense of impact and purpose. Join us as we improve the lives of millions. Learn more about how you can start doing your life's best work.SM

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system 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


Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

  • Associate Fraud

    4 weeks ago

    Hyderabad, Telangana, India Wells Fargo Full time

    **About this role**: Wells Fargo is seeking an Associate Fraud & Claims Operations Representative **In this role, you will**: - Support and capture all pertinent information from customers about their claims - Conduct research and provide updates on status of new and existing claims - Identify opportunities to improve customer experience after thorough...

  • Claims Representative Associate

    1 month 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...

  • Associate Fraud

    1 week ago

    Hyderabad, India WELLS FARGO BANK Full time

    About this role:Wells Fargo is seeking a Associate Fraud & Claims Operations RepresentativeIn this role, you will:Support and capture all pertinent information from customers about their claimsConduct research and provide updates on status of new and existing claimsIdentify opportunities to improve customer experience after thorough research of complex...

  • Claims Associate

    3 months ago

    Hyderabad, India Watchyourhealth.com India Private Limited Full time

    **Job profile: CRM helpdesk.** Resolve customer queries on policy coverage and health claim processes Facilitate to drive claims app for submission and tracking of claims by employees Collect and dispatch claim documents as per corporate requirement Coordinate with internal claims units at IL to ensure seamless cashless and priority processing. Stay...

  • Fraud & Claims Operations Representative

    4 months ago

    Hyderabad, Telangana, India Wells Fargo Full time

    **About this role**: Wells Fargo is seeking a Fraud & Claims Operations Representative. **In this role, you will**: - Support fraud and claims functional area by proactively identifying opportunities to improve customer experience, and offer ideas to mitigate risks through effective authentication of customers in order to prevent fraudulent activity -...

  • Lead Fraud

    2 weeks ago

    Hyderabad, India WELLS FARGO BANK Full time

    About this role:Wells Fargo is seeking a Lead Fraud & Claims Operational Representative.In this role, you will:Support performance and overall effectiveness of team as well as cross-group operational tasksProactively provide feedback and present ideas for improving or implementing processes and tools with efficient flow of fraud and claims operationsPerform...

  • Lead Fraud

    2 months ago

    Hyderabad, India WELLS FARGO BANK Full time

    About this role:Wells Fargo is seeking a Lead Fraud & Claims Operations Representative.In this role, you will:Support performance and overall effectiveness of team as well as cross-group operational tasksProactively provide feedback and present ideas for improving or implementing processes and tools with efficient flow of fraud and claims operationsPerform...

  • Fraud & Claims Operations Representative

    4 months ago

    Hyderabad, India Wells Fargo Full time

    **About this role**: Wells Fargo is seeking a Fraud & Claims Operations Representative... **In this role, you will**: - Support fraud and claims functional area by proactively identifying opportunities to improve customer experience, and offer ideas to mitigate risks through effective authentication of customers in order to prevent fraudulent activity -...

  • Claims Examiner Associate

    4 months 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...

  • Manager - Insurance Claim

    4 weeks ago

    Hyderabad, India MNR Solutions Full time

    Insurance Claim Manager Claim Management:- Oversee the end-to-end process of non-medical insurance claims, including motor, medical devices, and electrical devices.- Ensure timely and accurate processing of claims in compliance with company policies and regulatory requirements.- Analyze claims to determine validity and coverage under the insurance...

  • Fraud & Claims Operations Representative

    3 months ago

    Hyderabad, Telangana, India Wells Fargo Full time

    **About this role**: Wells Fargo is seeking a Fraud & Claims Operations Representative. **In this role, you will**: - Support fraud and claims functional area by proactively identifying opportunities to improve customer experience, and offer ideas to mitigate risks through effective authentication of customers in order to prevent fraudulent activity -...

  • Fraud & Claims Operations Representative

    3 months ago

    Hyderabad, India WELLS FARGO BANK Full time

    **About Wells Fargo** Updated Template automated and already made available in Kenexa. **About Wells Fargo India** Wells Fargo India enables global talent capabilities for Wells Fargo Bank NA., by supporting business lines and staff functions across Technology, Operations, Risk, Audit, Process Excellence, Automation and Product, Analytics and Modeling. We...

  • Fraud & Claims Operations Representative

    4 months ago

    Hyderabad, India Wells Fargo Full time

    **About this role**: Wells Fargo India enables global talent capabilities for Wells Fargo Bank NA., by supporting business lines and staff functions across Technology, Operations, Risk, Audit, Process Excellence, Automation and Product, Analytics and Modeling. We are operating in Hyderabad, Bengaluru and Chennai locations. Claims and Recovery aligns to...

  • Fraud & Claims Operations Associate Manager

    2 weeks ago

    hyderabad, India WELLS FARGO BANK Full time

    About this role: Wells Fargo is seeking a Fraud & Claims Operations Associate ManagerThe role requires individual to supervise day to day operations for an operational unit and/ or staff. Under management guidance, supervises nonexempt staff to ensure effective delivery of services. Provides training, performance evaluation and coaching. Implements processes...

  • Fraud & Claims Operations Associate Manager

    2 weeks ago

    Hyderabad, India WELLS FARGO BANK Full time

    About this role:Wells Fargo is seeking a Fraud & Claims Operations Associate ManagerThe role requires individual to supervise day to day operations for an operational unit and/ or staff. Under management guidance, supervises nonexempt staff to ensure effective delivery of services. Provides training, performance evaluation and coaching. Implements processes...

  • Claims Associate

    4 months ago

    Hyderabad, India JoulestoWatts Business Solutions Pvt Ltd Full time

    My name is Girish from Joulestowatts Pvt ltd. We are hiring for ""Claims Assosiate"" Exp : min 6 months Location : Hyderabad Work mode : Work from office Shift : US shifts(night shift) Interview mode : face to face salary : 19000 ctc (14000 take home) Both way cab will be provided by company **Job Type**: Contractual / Temporary Contract length: 6...

  • Sales Representative

    3 weeks ago

    Hyderabad, Telangana, India MoSahay Associate Full time

    Open Requirements Industry - Paints Designation - Territory Sales Executive - wood finishes Location - Hyderabad & Solan Salary - Upto 4LPA Background Required Graduation Experience - Atleast one year of experience in wood finishes division ( Paint industry) Age - 32 years If anyone interested share updated resume on the same Whatsapp -...

  • Fraud and Claims Operations Manager

    1 week ago

    Hyderabad, India WELLS FARGO BANK Full time

    Department OverviewClaims and Recovery aligns to Fraud and Claims Management (FCM) as a part of the broader Operations group. FCM focuses on delivering an exceptional customer experience with end-to-end fraud and claims management care.About the RoleWells Fargo is seeking a Fraud and Claims Operations ManagerWe believe in the power of working together...

  • Fraud and Claims Operations Manager

    3 days ago

    hyderabad, India WELLS FARGO BANK Full time

    Department OverviewClaims and Recovery aligns to Fraud and Claims Management (FCM) as a part of the broader Operations group. FCM focuses on delivering an exceptional customer experience with end-to-end fraud and claims management care.About the RoleWells Fargo is seeking a Fraud and Claims Operations ManagerWe believe in the power of working together...

  • Fraud and Claims Operations Manager

    1 week ago

    hyderabad, India WELLS FARGO BANK Full time

    Department Overview Claims and Recovery aligns to Fraud and Claims Management (FCM) as a part of the broader Operations group. FCM focuses on delivering an exceptional customer experience with end-to-end fraud and claims management care.About the Role Wells Fargo is seeking a Fraud and Claims Operations ManagerWe believe in the power of working together...