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 advantages and career development prospects. 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
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📌 Recovery Resolution Representative Gurugram
🏢 Optum
📍 Gurugram