Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
Appeals redressal - to make informed and well researched decision to overturn or uphold claims/authorization requests decision on member/provider appeal requests
This process operates 24/7 due to its stringent turnaround time on expedited appeals which is around 6 to 72 hours.
Primary Responsibilities:
Required Qualifications:
Graduation (BTECH / BE / MBA / B pharm / M pharm / BCA / MCA are not eligible to apply) Proven good communication skills written and verbal Proven good typing speed (English) and accuracy Proven result-oriented and goal-driven Ready to work in late night shifts (6 PM & 9 PM login) & to work on weekends Work from Office and rotational shifts
Preferred Qualification:
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.