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 perks, 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.

Results-driven Claims Recovery Analyst with experience in identifying overpayments, securing recoveries, and ensuring accurate claims processing. Skilled in analyzing medical claims, applying industry-standard coding (CPT, ICD), and maintaining high standards of productivity and quality. Solid communicator with proven ability to work independently and collaboratively in fast-paced environments.

Primary Responsibilities

Analyze medical claims to identify overpayments and recovery opportunities




Validate claims accuracy using CPT-4, J-codes, and ICD diagnosis/procedure coding
Initiate and follow up on recovery processes to secure savings
Maintain accurate and up-to-date documentation of all recovery activities
Communicate with internal teams and external stakeholders to resolve discrepancies
Ensure compliance with quality standards and productivity targets
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 an

📌 Claims Quality Representative (Hyderabad)
🏢 Optum India
📍 Hyderabad