Appeals Representative Associate - Noida, Uttar Pradesh, India - Optum

Optum

Verified Company

Noida, Uttar Pradesh, India

1 week ago

Posted by:

Deepika Kaur

beBee Recuiter

Description

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities.

Come make an impact on the communities we serve as you help us advance health equity on a global scale.

Join us to start
Caring. Connecting. Growing together.

The Appeals Representative Associate is responsible for providing expertise or general support to teams in reviewing, researching, investigating, negotiating and resolving all types of appeals and grievances.

Primary Responsibilities:

Research and resolve written complaints and complex or multiissue provider complaints submitted by consumers and physicians/providers
Communicate with appropriate parties regarding appeals and grievance issues, implications and decisions
Analyze and identify trends for appeals and grievances
Respond to standard requests and solve routine problems by following established procedures
Work with others as part of a team and have work reviewed by others
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 reassignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, 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:

Graduation (BTECH / BE / BCA / MCA / MBA / B pharm / M pharm are not eligible to apply)
Fresher or 6 months experience in a call center environment analyzing and solving customer problems.
Beginner level of experience with MS Word and Excel
Good typing speed (English) and accuracy
Proven resultoriented and goaldriven
Proven good communication skills written and verbal
Proven solid verbal and written communication skills
Proven critical thinking abilities
Willing to work from Office and in night shifts
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location and incomedeserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes an enterprise priority reflected in our mission._