Haryana; Claims Associate; B.Pharm; United Health Group

Designation Claims Associate


Job Description
We are currently looking for dedicated professionals to fulfill the following 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 an alternate benefits.
* Adhere to quality improvement initiatives
* Demonstrate increasing productivity to meet minimum requirements while maintaining quality standards.


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