VFRESHERS

Claims Associate Jobs at UnitedHealth Group Gurgaon

Job Title: Claims Representative

About UHG:
UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.

UnitedHealth Group is a diversified health and well-being company dedicated to making healthcare systems work better. The company directs its resources into designing products, providing services and applying technologies that improve access to health and well-being services, simplify the healthcare experience, promote quality, and make healthcare more affordable. We are #1 on Fortune Magazine’s 2006 list of the Most Admired HealthCare companies worldwide and we rank No. 21 on the 2007 Fortune 500 list. We have over 60,000 employees worldwide with estimated annual revenues of $70 billion.

UnitedHealth Group has had a presence in India since 2002 through United Healthcare India and its affiliate companies. UnitedHealth Group Information Services in Gurgaon, the latest addition to the family of businesses in India, is the largest international location outside of America. With contemporary offices over 150,000 feet, we aim to employ over 1,500 Healthcare Business Services and IT professionals by 2007.

Job Responsibilities:
We are currently looking for dedicated professionals to fulfill the following job responsibilities:
* Responsible for the accurate processing and completion of medical claims.
* Process claims, that route out of automatic adjudication, within current turnaround standards.
* Proficiency in product lines applicable to processing unit.
* Ability to understand and apply plan concepts to include:
- Deductible
- Coinsurance
- Copay
- Out-of-pocket
- State variations
* Recognize issues related to variable deductible, coordination of benefits, carve-out an alternate benefits.
* Adhere to quality improvement initiatives
* Demonstrate increasing productivity to meet minimum requirements while maintaining quality standards.
* Special projects as required.

Personal Attributes :
- Attention to detail.
- Quality focused.
- Strong written and verbal communication skills.
- Organizational skills.
- Team player
- Ability to work without close supervision.

Professional Qualification:
* Good Analytical and Comprehension skills
* Keyboard skills mandatory
* Has to be flexible working in shifts
* 0-1 year of work experience

Note:

• We are not hiring from IBM Daksh and Fiserv
• We are not hiring BCA,MCA,BScIT and regular MBAs

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