Appeals Representative Associate Job in Noida at Optum

Optum is hiring for the role of Appeals Representative Associate!

Responsibilities of the Candidate:

• Process and complete medical claims.
• Process claims that route out of automatic adjudication, within current turnaround standards.
• Demonstrate proficiency in product lines applicable to the processing unit.
• Understand and apply plan concepts: Deductible, Coinsurance, Copay, Out-of-pocket, State variations.
• Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment).

Requirements:

• Graduation (BTECH / BE / MBA / B pharm / M pharm are not eligible to apply)
• Working Knowledge of MS Office
• Proven good communication skills written and verbal
• Proven good typing speed (English) and accuracy
• Proven result-oriented and goal-driven 
• Proven analytical ability: Research skills combined with effective decision-making and superior interpersonal skills 
• Proven solid verbal and written communication skills
• Demonstrated ability to accept constructive criticism with being coached and growing as a professional
• Proven critical thinking abilities
• Demonstrated ability to multi-task, this includes the ability to understand multiple products and multiple levels of benefits within each product 
• Demonstrated ability to remain focused and productive each day though tasks may be repetitive
• Willing to work night shifts