United Health group Hiring Claims Associate-Gurgaon
Company Name: UnitedHealthGroup
CompanyWebsite: www.unitedhealthgroup.com/
Designation:
Experience: 0-2 years
Qualification: Any graduate
Location: Gurgaon
JobDetails:
We are currently looking for dedicated professionals to fulfill the following job responsibilities:
• Responsible for the accurate processing and completion of medical claims.
• Process claims, that route out of automatic adjudication, within current turnaround standards.
• Proficiency in product lines applicable to processing unit.
• Ability to understand and apply plan concepts to include:
- Deductible
- Coinsurance
- Copay
- Out-of-pocket
- Maximums, inside limits and exclusions
- State variations
• Recognize issues related to variable deductible, coordination of benefits, carve-out and alternate benefits.
• Adhere to quality improvement initiatives
• Demonstrate increasing productivity to meet minimum requirements while maintaining quality standards Special projects as required
• Responsible for the accurate processing and completion of medical claims.
• Process claims, that route out of automatic adjudication, within current turnaround standards.
• Proficiency in product lines applicable to processing unit.
• Ability to understand and apply plan concepts to include:
- Deductible
- Coinsurance
- Copay
- Out-of-pocket
- Maximums, inside limits and exclusions
- State variations
• Recognize issues related to variable deductible, coordination of benefits, carve-out and alternate benefits.
• Adhere to quality improvement initiatives
• Demonstrate increasing productivity to meet minimum requirements while maintaining quality standards Special projects as required
on Saturday 23 February 2013
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