Claims Associate @ Optum

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Claims Associate

Optum
0 - 2 years
Hyderabad
3 months ago
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Job Description

Job Description

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-8917654***

Ma************a@jo**********s.co

Job Classification

Industry: BPM / BPO
Functional Area / Department: Customer Success, Service & Operations
Role Category: Non Voice
Role: Non Voice - Other
Employement Type: Full time

Contact Details:

Company: Optum
Location(s): Hyderabad

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Keyskills: Claims Processing Health Claims Insurance Claims Backend Process Claim Settlement Claims Handling

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₹ 2-2.5 Lacs P.A

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Current / Recent Company (*)

Experience (*)

Expected Salary (*)

Desired Industry (*):

Functional area / Department (*):

Enter Skills (key skills, subjects, technologies & roles to use in search)

Write briefly about yourself, your experience and education (*)

Attach ResumeMax 2.38 MB (RTF, PDF, DOC, DOCX formats only parsed)

Please, check the file size and type.

Add social media [ + ]

Create password

I agree with website service terms and conditions

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Optum

About: OptumInsight India Pvt Ltd, a UnitedHealth group company is a leading health services and innovation company dedicated to help make the health system work better for everyone. With more than 115,000 people worldwide, Optum combines technology, data and expertise to improve the delivery, ...

Claims Associate @ Optum

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