02 Aug
|
Optum
|
Gurugram
Role & responsibilities :
Job Summary
We are seeking a detail-oriented and customer-focused Associate to support the Coordination of Advantages (COB) process. The role involves making outbound calls to insurance providers, and employer groups to verify and update insurance coverage information, resolve COB discrepancies, and ensure accurate claim adjudication.
- Make outbound calls to members, insurance carriers, healthcare providers, and employer groups to obtain and verify COB information.
- Investigate and resolve claim-related issues resulting from missing, incorrect, or conflicting insurance coverage details.
- Determine primary and secondary insurance liability based on COB guidelines.
- Document call outcomes and update member/claim records accurately in the system.
- Review claims and member accounts to ensure compliance with company and client policies.
Preferred candidate profile
- Graduate in any discipline.
- Fresher considered
- 1-4 years of experience in Healthcare Claims, Medical Billing, COB, or US Healthcare Voice Process.
- Excellent verbal communication skills.
- Strong analytical and investigative skills.
- Ability to work in a fast-paced environment and meet deadlines.
- Proficiency in MS Office and claims management systems.
Shift: US Shift / Night Shift / Rotational Shift
Location: Gurgaon
📌 Walk-in || Recovery Resolution (Gurugram)
🏢 Optum
📍 Gurugram