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Company
UnitedHealth Group
Website
www.unitedhealthgroup.com
Eligibility
Any Graduate
Experience
Freshers
Location
Hyderabad
Job Role
Claims
Associate
JOB SUMMARY:
Company Profile:
UnitedHealth Group is a leading health care
company, serving more than 75 million people worldwide. Our
family of companies touches nearly every aspect of health care,
helping people live healthier lives.United Health Care Corporation
is created in 1997 to reorganize the company and becomes the
parent company of Charter Med Incorporated. Since its inception,
UnitedHealth Group and its affiliated companies have led the
marketplace by introducing key innovations that make health
care services more accessible and affordable for customers,
improve the quality and coordination of health care services,
and help individuals and their physicians make more informed
health care decisions.
Job 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
Identify more complicated claims and refer them to Senior Claim
Processor or Supervisor
7. Calculate other insurance and re-pricing benefits
8. Work claims files to ensure the appropriate eligibility and
provider records are matched to the claim pdates and maintains
claims tracking database
9. Production – 12 claims processing per
hour with high level of accuracy.
10. Personality/ Behavioral Aspects:
11. Ability to work in a team setting.
12. Ability to work in a constantly changing environment.
Candidate
Profile:
1. FRESHERS ONLY
2. Graduate or equivalent experience
3. NO BTECH/BE/MCA/MBA
4.
Result-oriented and goal-driven
5. Analytical ability: Research skills combined with effective
decision-making and superior interpersonal skills
6. Strong verbal and written communication skills
7. Ability to accept constructive criticism with being coached
and growing as a professional
8. Critical thinking abilities
9. Ability to multitask
10. Time Management
11. Team player
12. Must be knowledgably in Microsoft office applications
13. Excelent typing speed- 30wpm
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