United Health Group Openings for Claims Associates @ Hyderabad

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company : United Health Group

position : Associates

Location : Hyderabad

Job Details :
# Location: Hyderabad
# Shifts: Night Shifts
# Eligibility:
– FRESHERS ONLY
– Graduate or equivalent experience
– NO BTECH/BE/MCA/MBA
Job Responsibilities :
# Provide general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims.
# Authorize the appropriate payment or refers claims to investigators for further review.
# Conduct data entry and re-work; analyzes and identifies trends and provides reports as necessary.
# Analyze and identify trends and provide reports as necessary
# Consistently meet established productivity, schedule adherence, and quality standards
# Recognize claims by determining claim type – HCFA, Hospital, UB, and/or RX
# Identify more complicated claims and refer them to Senior Claim Processor or Supervisor
# Calculate other insurance and re-pricing benefits
# Work claims files to ensure the appropriate eligibility and provider records are matched to the claim
# Updates and maintains claims tracking database
# Production â 12 claims processing per hour with high level of accuracy.

Personality/ Behavioral Aspects :
# Ability to work in a team setting.
# Ability to work in a constantly changing environment.
Critical Skills Required :
# Result-oriented and goal-driven
# Analytical ability: Research skills combined with effective decision-making and superior interpersonal skills
# Strong verbal and written communication skills
# Ability to accept constructive criticism with being coached and growing as a professional
# Critical thinking abilities
# Ability to multitask
# Time Management
# Team player
# Must be knowledgeable in Microsoft office applications
# Excellent typing speed – 30wpm

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