Job Details

UNITED Health gropu recruits Sr.Claims Associate

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Job Posted Date: 2012-07-26

Job Title: Associate

Employement Type: Full Time

Job Category: Fresher

Experience: Freshers & EXP

Location: Hyderabad

Qualification: BE,Btech,Mca,bsc

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Description:

 

·         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

·         Co-pay

·         Out-of-pocket

·         State variations

1.       Recognize issues related to variable deductible, coordination of benefits, carve-out an alternate benefits.

2.       Adhere to quality improvement initiatives

3.       Demonstrate increasing productivity to meet minimum requirements while maintaining quality standards.

4.       Special projects as required.

Qualifications

Desired Criteria:  

 

·         Attention to detail.

·         Quality focused.

·         Written and verbal communication skills.

·         Knowledge of claim paying and support systems.

·         Team player.

·         Problem solving.

·         Ability to work without close supervision.

Essential criteria:

 

·         18 months or above experience in Healthcare

·         UNET Trained with at least six months of production experience in UNET Platform

·         Has to be a graduate- "Results awaited" candidates will not be accepted

·         Good keyboard skills with average typing speed of around 20-25 WPM

·         Good Analytical & comprehension skills

·         Open to working in night shifts

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