Optum Recruitment Drive; Hiring Associate – Apply Now

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with their 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 they serve as you help them advance health equity on a global scale. Join them to start Caring. Connecting. Growing together. Appeals redressal – to make informed and well researched decision to overturn or uphold claims/authorization requests decision on member/provider appeal requests. This process operates 24/7 due to its stringent turnaround time on expedited appeals which is around 6 to 72 hours.

Name of the Organization: Optum

Requisition ID: 2265186

Positions: Appeals Representative Associate

Location: Noida

Salary: As per company Norms

Educational Qualifications:

• Graduation (BTECH / BE / MBA / B pharm / M pharm / BCA / MCA are not eligible to apply)
• Proven good communication skills written and verbal
• Proven good typing speed (English) and accuracy
• Proven result-oriented and goal-driven
• Ready to work in late night shifts (6 PM & 9 PM login) & to work on weekends
• Work from Office and rotational shifts

Preferred Qualification:

• US Healthcare experience

Responsibilities:

• Appeals resolution with high accuracy and timeliness to ensure individual and business metrics are met
• Conducts research in claims history and coordinates with business partner to make decision to uphold or overturn claims decision
• Read and comprehend incoming appeals and supporting documentation
• Read and comprehend written operating procedural steps
• 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

 

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