Company Description OPTUM GLOBAL PVT LTD, part of UnitedHealth Group, is a healthcare services and technology organization focused on improving the efficiency and quality of care worldwide. The company combines data, advanced analytics, and innovative tools to support payers, providers, and patients. With operations in India and across the globe, Optum offers opportunities to work on large-scale healthcare processes and solutions. Team members benefit from a structured work environment, professional development programs, and exposure to global best practices in healthcare operations and claims management.
Role Description The Claims Specialist role is a full-time, in office position based in Delhi, India (UHG Noida location). The Claims Specialist will review, analyze, and process healthcare insurance claims in accordance with company policies, regulatory requirements, and client guidelines. Day-to-day responsibilities include validating claim information, identifying discrepancies, requesting additional documentation when needed, and ensuring accurate and timely adjudication. The role involves working with internal teams to resolve claim issues, maintaining detailed records in claims systems, and meeting productivity and quality targets.



The Claims Specialist will also contribute to continuous process improvement by highlighting trends, potential risks, and opportunities for better claims handling.
Qualifications

- Candidates should possess strong Claims Management and Claims Handling skills for accurate review, processing, and resolution of insurance claims.
- Candidates should possess solid Analytical Skills to interpret data, identify inconsistencies, and support decision-making on claim outcomes.
- Candidates should possess knowledge of Insurance principles and healthcare insurance processes to ensure compliant and efficient claims operations.
- Candidates should possess clear and professional Communication skills, both written and verbal, to collaborate with teams and respond to claim-related queries.
- Relevant experience in claims processing, healthcare BPO, or insurance operations is highly beneficial.
- Ability to work with claim processing software and basic MS Office tools is preferred.
- Attention to detail, time management, and the ability to work in a fast-paced, target-driven environment are important.
- A bachelor’s degree in any discipline is preferred; equivalent work experience in claims or insurance may also be considered.

📌 Claims Specialist (Delhi)
🏢 OPTUM GLOBAL(UHG NOIDA
📍 Delhi