Optum Hiring Claims Representative Associate - Noida

About the Role

Optum is a global healthcare organization that uses technology and data to help people live healthier lives. The team works to connect individuals with care, pharmacy benefits, and resources that support better health outcomes. Employees work in an inclusive culture with opportunities for professional development and collaboration.

This position supports the claims processing function and contributes to improving healthcare services by ensuring accurate claim handling and timely completion of tasks.

Primary Responsibilities

• Process and complete medical claims accurately.
• Handle claims that are routed outside of automatic adjudication while meeting current turnaround standards.
• Demonstrate knowledge of product lines related to the claims processing unit.
• Apply plan concepts such as deductible, coinsurance, copay, out-of-pocket limits, and state-specific variations.
• Follow company policies, employment terms, and operational directives including potential changes in work location, team assignments, shifts, and work arrangements as required by business needs.

Required Qualifications

• Graduate degree required. Candidates with BTECH, BE, MBA, B Pharm, or M Pharm are not eligible.
• Good written and verbal communication skills.
• Strong English typing speed and accuracy.
• Result-oriented mindset with analytical and research capabilities.
• Ability to make effective decisions and interact professionally with others.
• Comfortable accepting feedback and improving through coaching.
• Critical thinking ability and attention to detail.
• Capable of multitasking and handling multiple products and benefit structures.
• Able to stay focused and productive even when tasks are repetitive.
• Willingness to work night shifts.
• Working knowledge of MS Office.