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.
Location: Gurgaon
Primary Responsibilities
Interpret and/or verify contract language, information, and intent to load pricing information into systems properly
Load/Audit provider contract or implement updates and amendments
Interpret existing contracts to identify potential problems or issues needing correction
Provide input/suggestions on projects related to business rules and procedures
Identify and/or implement potential long-term, permanent solutions to resolve recurring issues and problems (e.g.,
training, process changes)
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 regard to flexibility of work benefits and/or work workplace, 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
Fresher
Graduation
BTECH/BE/MCA/MBA/ B pharm/ M pharm are not eligible to apply
Proven good communication skills written and verbal
Proven ability to multi-task, this includes ability to understand multiple products and multiple levels of benefit
📌 Claims Representative Associate (Gurugram)
🏢 Optum India
📍 Gurugram
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