Claims Representative Associate

Optum is hiring a Claims Representative Associate for freshers and experienced. All eligible and interested candidates can check the eligibility criteria, role details, selection process, and how to apply below. Optum is a leading American healthcare company and a subsidiary of UnitedHealth Group. It operates as a pharmacy benefit manager, provides healthcare technology services, and delivers direct care to over 120 million people globally. Optum operates heavily in India as a strategic Global Capability Center (GCC) for UnitedHealth Group, driving digital innovation, data analytics, and healthcare operations.

Ensure accurate and timely processing of medical claims in line with defined quality standards. Handle claims that require manual review beyond automated adjudication, meeting turnaround time requirements. Demonstrate proficiency in product lines applicable to the processing unit. Apply key insurance concepts such as deductibles, copays, coinsurance, out-of-pocket limits, and state-specific variations. Adhere to all company policies, procedures, and compliance guidelines, including flexibility in work roles, shifts, and locations as per business requirements.