Appeals Representative Associate unitedhealth group information services

0.0 - 4.0 years

0 Lacs

gautam buddha nagar, uttar pradesh

On-site

As a member of the Appeals Redressal team at Optum, you will play a crucial role in making well-informed decisions to uphold or overturn claims/authorization requests on member/provider appeal requests. This vital process operates round-the-clock, with a stringent turnaround time for expedited appeals ranging from 6 to 72 hours. Your primary responsibilities will include resolving appeals with high accuracy and timeliness to ensure the satisfaction of individual and business metrics. You will conduct thorough research in claims history and collaborate with business partners to make informed decisions regarding claims outcomes. It will be essential for you to read and comprehend incoming appeals and supporting documentation, as well as written operating procedural steps. To excel in this role, you must comply with the terms and conditions of the employment contract, adhere to company policies and procedures, and follow all directives related to potential changes in work locations, teams, shifts, flexibility of work benefits, and other evolving aspects of the business environment. Required qualifications for this position include a graduation degree (BTECH / BE / MBA / B Pharm / M Pharm / BCA / MCA are not eligible to apply), proven proficiency in communication skills (both written and verbal), a demonstrated ability in typing speed (English) and accuracy, a track record of being result-oriented and goal-driven, willingness to work in late-night shifts (6 PM & 9 PM login) and weekends, and readiness to work from the office with rotational shifts. Preferred qualifications include prior experience in US Healthcare. If you are passionate about making a positive impact on the communities we serve and advancing health equity on a global scale, we invite you to join us at Optum to start Caring, Connecting, and Growing together. Location: Primary Location: Noida, Uttar Pradesh, IN Apply now to be a part of our team and contribute to improving health outcomes for millions of people worldwide.,

Posted 2 days ago

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