Optum is Hiring Claims Representative Associate (Gurgaon) | Fresher Eligible

About Optum

Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. Working with our team will directly improve health outcomes by connecting individuals 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. Join us to make an impact on the communities we serve as we advance health optimization on a global scale.

Primary Responsibilities

• Interpret and/or verify contract language, information, and intent to properly load pricing information into systems.
• Load/Audit provider contracts or implement updates and amendments.
• Interpret existing contracts to identify potential problems or issues requiring correction.
• Provide input and suggestions on projects related to business rules and procedures.
• Identify and/or implement potential long-term, permanent solutions to resolve recurring issues and problems (e.g., training, process changes).
• Comply with the terms and conditions of the employment contract, company policies and procedures, and any directives (such as transfer and/or re-assignment to different work locations, changes in teams and/or work shifts, policies regarding 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 at its absolute discretion and without any limitation (implied or otherwise) on its ability to do so.

Critical Skills

• Proven result-oriented and goal-driven approach.
• Analytical ability: Research skills combined with effective decision-making and superior interpersonal skills.
• Solid verbal and written communication skills.
• Ability to accept constructive criticism, be coached, and grow as a professional.
• Proven critical thinking abilities.