United Health Group | Claims Associate-HBS | Graduate | 6 -12 Months Exp

Saturday, September 26, 2009


Claims Associate-HBS

Taleo ID:216417

Job Responsibilities:

  • 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
    • Copay
    • Out-of-pocket
    • State variations
  • Recognize issues related to variable deductible, coordination of benefits, carve-out alternate benefits.
  • Adhere to quality improvement initiatives.
  • Demonstrate increasing productivity to meet minimum requirements while maintaining quality standards.
  • Special projects as required.


Qualifications:

Personal Attributes:

  • Attention to detail.
  • Quality focused.
  • Strong written and verbal communication skills.
  • Organizational skills.
  • Team player
  • Ability to work without close supervision.


Professional Qualifications:

  • 6 - 12 Months of Experience.
  • Graduate.
  • PC skills.
  • Healthcare experience preferred
  • Open to work in night shifts.
  • Good communication skills.

* B-Tech, BE, BCA, MCA, Regular MBA are not eligible to apply.

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