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Company United Health Group
Website www.unitedhealthgroup.com
Eligibility Any Graduate
Experience Freshers
Location Hyderabad
Job Role Claims Associate
JOB SUMMARY:
Company Profile:
Job Description:
1. Provide general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims.
Requirements:
1. Graduate or equivalent experience
1. Result-oriented and goal-driven
2. Analytical ability: Research skills combined with effective decision-making and superior interpersonal skills
3. Strong verbal and written communication skills
4. Ability to accept constructive criticism with being coached and growing as a professional
5. Critical thinking abilities
6. Ability to multitask
7. Time Management
8. Team player
9. Must be knowledgably in Microsoft office applications
10. Excelent typing speed- 30wpm
Company United Health Group
Website www.unitedhealthgroup.com
Eligibility Any Graduate
Experience Freshers
Location Hyderabad
Job Role Claims Associate
JOB SUMMARY:
Company Profile:
UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone. We are committed to introducing innovative approaches, products and services that can improve personal health and promote healthier populations in local communities.
Responsibilities:
1. Provide general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims.
2. Authorize the appropriate payment or refers claims to investigators for further review.
3. Conduct data entry and re-work; analyzes and identifies trends and provides reports as necessary.
4. Analyze and identify trends and provide reports as necessary
5. Consistently meet established productivity, schedule adherence, and quality standards
6. Recognize claims by determining claim type - HCFA, Hospital, UB, and/or RX
7. Identify more complicated claims and refer them to Senior Claim Processor or Supervisor
8. Calculate other insurance and re-pricing benefits
9. Work claims files to ensure the appropriate eligibility and provider records are matched to the claim
10. pdates and maintains claims tracking database
Candidate Profile:
Requirements:
1. Graduate or equivalent experience
2. NO BTECH/BE/MCA/MBA
Skills Required :
1. Result-oriented and goal-driven
2. Analytical ability: Research skills combined with effective decision-making and superior interpersonal skills
3. Strong verbal and written communication skills
4. Ability to accept constructive criticism with being coached and growing as a professional
5. Critical thinking abilities
6. Ability to multitask
7. Time Management
8. Team player
9. Must be knowledgably in Microsoft office applications
10. Excelent typing speed- 30wpm
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