Recovery Resolution Representative (Gurugram)

Recovery Resolution Representative (Gurugram)

06 Sep
|
Optum
|
Gurugram

06 Sep

Optum

Gurugram

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.
- Primary Responsibilities:
- Develops and expands knowledge of COB Rules, basic Computer skills and business etiquette
- Performs basic and specialty workflow and administrative tasks with mínimal 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
- 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 perks and/or work environment, alternative work arrang

📌 Recovery Resolution Representative (Gurugram)
🏢 Optum
📍 Gurugram

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