Claims Associate

Job Role : Claims Processor

Years of Experience :1-3 Yrs

Preferred Location :HYD 3

Shift Timing (IST) :5:45 PM - 3:30AM

Short Description

Claims Processing for Optum Financial Services Shift should be 5.45 PM to 3.15 AM 100% Work From Office Hyd Location

Engagement Duration (in Months): 6

Engagement & Project Overview

For OFS-CDH(Consumer Driven Healthcare), the Claims Processor will review claims received through Service Now and enter them on Claims link for further processing through Wex Platform for members related to various employer plans customized through ERISA(Employee Retirement Income Security Act of 1974 (ERISA) and other Retiree Reimbursement Accounts, total Training time is 10 weeks covering the overall systems and product training including competency. Adequate staffing is required as result of rightsizing of capacity to cover for attrition, replacements, additional volumes. Without this hiring of 33 Contractors FTEs, it will not help us to meet the volume requirement based on the new forecast for Oct25 till March 2025 to meet the peak season needs. Will release the Temp FTEs post the peak season and or absorb basis business requirement through Performance Mgmt.

Primary Responsibilities

Process Claims – which are on various platforms basis the scanned images received from Members – Expenses & Premium which are re-occurring in nature

Must Have Skills

Attention to the detail to process - Invoice copies, Expense reports & Premiums, Inter-Personal Skills, Communication Skills. Good Typing Speed with quality – 95% - 30-50 WPM

Nice To Have Skills

Flexible at work – able to communicate in English & Relate to Healthcare topics

Top 5 Screening Questions/Details which you want Vendor to assess the Candidate on?

Are you willing to work in Night Shifts – Yes/No

No WAH available – 100% Work from Office – Yes/No

No planned leaves allowed during the Contract Period – except the 5day week with Rotational Week Offs – Sat & Sun or Sun & Mon

Interview Process

Round 1 - Initial Screening & Typing Test to be conducted at Vendor Location – 35 WPM @ 95% to 100% accuracy rate.

Round 2 & 3 – Qualified Candidates to report at Hyd Site 3 for Aptitude Test & Face to Face Interview

F2F Interview Required

HR-Akash

MOB-8917654901

Mail-akash.jena@joulestowatts.co