Gurugram Haryana Claims representative Jobs – 21 Open Jobs Today

Recovery Resolution Representative
Optum —Gurugram, Haryana
- Full-time
- Microsoft Powerpoint
- Microsoft Word
- Microsoft Excel
- Health insurance
8d
Finance Executive
Sage —Gurugram, Haryana
- ₹5,50,000 a year
- Remote
- Microsoft Excel
- ERP systems
- Finance
HPEFS Credit Analyst
Hewlett Packard Enterprise —Gurugram, Haryana
- Full-time
- Finance
- Accounting
- Communication skills
Customer Care Representative - Associate
FedEx AMEA —Gurugram, Haryana
- Full-time
- Microsoft Office
- Communication skills
Customer Care Representative
FedEx AMEA —Gurugram, Haryana
- Full-time
- Microsoft Office
- Communication skills
Assistant Manager, Sea Freight-Exports
DSV —Gurugram, Haryana
- Full-time
- Microsoft Powerpoint
- Microsoft Word
- Microsoft Excel
T4 - Lead Operations
Alight —Gurugram, Haryana
- Night shift
- Customer service
- Analysis skills
- Bachelor's degree
- Paid sick time
T3 - Analyst - Operations
Alight —Gurugram, Haryana
- Night shift
- Customer service
- Analysis skills
- Bachelor's degree
- Paid sick time
Senior Associate, Sea Freight-Export
DSV —Gurugram, Haryana
- Full-time
- Microsoft Powerpoint
- Microsoft Word
- Microsoft Excel
7d
Assistant Vice President - Projects
Tata Realty and Infrastructure —Gurugram, Haryana
- Full-time
Senior Quality Assurance Manager
Brisk Olive Business Solutions Pvt Ltd —Munirka, Delhi, Delhi
- ₹12,00,000 - ₹18,00,000 a year
- Full-time
- Engineering
- Master's degree
- Analysis skills
Quick apply
Middleware- Domain Lead L3
Hewlett Packard Enterprise —Gurugram, Haryana
- Full-time
- Oracle
- Software troubleshooting
- Data analysis skills
GCMA Associate - Germ Protection
Reckitt —Gurugram, Haryana
- English
- Research
- Master's degree
- Health insurance
GCMA Senior Associate - Germ Protection
Reckitt —Gurugram, Haryana
- English
- Research
- Master's degree
- Health insurance
Field Sales Representative
Citadel Insurance Brokers Pvt. Ltd. —Gurgaon H.O, Gurugram, Haryana
- ₹30,000 - ₹45,000 a month
- Full-time
- Business development
- Presentation skills
- Bachelor's degree
Quick apply
6d
Quality Management in Process & Production - Customer (Customer Quality Plant)
Aumovio —Gurugram, Haryana
- Full-time
- Bachelor's degree
- Quality control
Quick apply
Scientist - Medical Affairs
Haleon —Gurugram, Haryana
- Full-time
- Medicine
- Doctoral degree
- Master's degree
9d
Project Manager – Electrical
Larsen & Toubro —Doha, Gurugram, Haryana
- Project management
- Bachelor's degree
- Electrical Engineering
Process Associate
Genpact India Pvt. Ltd. —Gurugram, Haryana
- Full-time
- English
- Bachelor's degree
- Business Administration
Quick apply
5d
Process Associate- Customer Care
Genpact India Pvt. Ltd. —Gurugram, Haryana
- Full-time
- English
- Bachelor's degree
- Business Administration
Quick apply
5d

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Recovery Resolution Representative

Optum -
Gurugram, Haryana

Apply Now

Job details

Full-time
8 days ago

Benefits

Health insurance

Qualifications

Microsoft Powerpoint
Microsoft Word
Microsoft Excel
Microsoft Outlook
Customer service
Windows
Analysis skills
Bachelor's degree
Computer skills
Communication skills

Full job description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

Performs routine and specialty COB investigations, determines primacy of other coverage for members who have two or more health policies in order to avoid overpayment payment of claims, populates data into eligibility systems, appropriately communicates results and develops subject matter expertise in one or more workflows or eligibility systems

Primary Responsibilities:

Develops and expands knowledge of COB Rules, basic Computer skills and business etiquette
Performs basic and specialty workflow and administrative tasks with minimal supervision
Collaborates with others to identify and solve moderate problems and create procedures that promote efficiency and quality
Initiates telephone calls to members, providers and other insurance companies to gather COB data
Receives and respond to incoming telephone inquiries
Determines primacy using published COB
Updates eligibility system/ database with outcome of primacy investigation
Documents and communicates outcome of investigation following departmental procedures
Meets productivity, quality and timeliness goals
Responds to routine or standard requests to meet customer needs
Focuses on Customer; exceeds expectations and improves customer experience
Makes fact- based decisions; uses sound judgment and applies business knowledge
Acts ethically; demonstrates integrity, complies with all laws, regulations and policies
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). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

Required Qualifications:

2+ years work experience
Good computer skills and intermediate proficiency working in a windows environment
Proven excellent written and verbal communications skills
Proven solid Customer Service skills
Proven solid analytical and communication skills
Proven to be a team player; works effectively with others
Proven to be self-directed and highly motivated
Proven high level of personal and professional ethics
Proven ability to work in a production environment
Proven ability to meet/exceed productivity, quality and timeliness goals
Proven ability to work independently and exercise sound judgment

Preferred Qualifications:

Bachelor's Degree or equivalent experience
1+ years of US Healthcare and/or COB experience
Intermediate proficiency in Microsoft applications (Power Point, Excel, Outlook, Word)

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Apply Now

Refine Your Search

claims representative jobs in gurugram haryana

Recovery Resolution Representative

Finance Executive

HPEFS Credit Analyst

Customer Care Representative - Associate

Customer Care Representative

Assistant Manager, Sea Freight-Exports

T4 - Lead Operations

T3 - Analyst - Operations

Senior Associate, Sea Freight-Export

Assistant Vice President - Projects

Senior Quality Assurance Manager

Middleware- Domain Lead L3

GCMA Associate - Germ Protection

GCMA Senior Associate - Germ Protection

Field Sales Representative

Quality Management in Process & Production - Customer (Customer Quality Plant)

Scientist - Medical Affairs

Project Manager – Electrical

Process Associate

Process Associate- Customer Care

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