Company United Health Group
Website www.unitedhealthgroup.com
Eligibility Any Graduate/PG
Experience 1-3 Years
Location Hyderabad
United Health Group
Job Role: Sr. Claims Associate
Job Summary :
Website www.unitedhealthgroup.com
Eligibility Any Graduate/PG
Experience 1-3 Years
Location Hyderabad
United Health Group
Job Role: Sr. Claims Associate
Job Summary :
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
- Maximums, inside limits and exclusions
- State variations
Recognize issues related to variable deductible, coordination of benefits, carve-out and alternate benefits.
Adhere to quality improvement initiatives.
Demonstrate increasing productivity to meet minimum requirements while maintaining quality standards.
Special projects as required.
Desired Profile Essential Criteria:
* 18 months or above experience in US Healthcare Claims Adjudication
* Has to be a graduate- "Results awaited" candidates will not be accepted
* Good keyboard skills with average typing speed of around 13-15 WPM
* Good Analytical & comprehension skills
* Open to working in night shifts
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
- Maximums, inside limits and exclusions
- State variations
Recognize issues related to variable deductible, coordination of benefits, carve-out and alternate benefits.
Adhere to quality improvement initiatives.
Demonstrate increasing productivity to meet minimum requirements while maintaining quality standards.
Special projects as required.
Desired Profile Essential Criteria:
* 18 months or above experience in US Healthcare Claims Adjudication
* Has to be a graduate- "Results awaited" candidates will not be accepted
* Good keyboard skills with average typing speed of around 13-15 WPM
* Good Analytical & comprehension skills
* Open to working in night shifts
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