Clinical Investigator Job for Freshers at Optum
UnitedHealth Group careers offer an exciting opportunity with this clinical investigator job in Gurgaon, Haryana. This role, part of Optum jobs under UnitedHealth Group, is ideal for medical and healthcare graduates interested in claims investigation, compliance, and fraud prevention while contributing to global healthcare improvement through technology-driven solutions.
Clinical Investigator Job Details:
- Position: UnitedHealth Group Clinical Investigator
- Requisition Number: 2299523
- Job Category: Claims
- Primary Location: Gurgaon, Haryana, IN
About the Company
UnitedHealth Group careers span across global healthcare innovation through its subsidiary Optum. Optum jobs focus on delivering care aided by technology to help millions of people live healthier lives. Employees working in UnitedHealth Group careers directly improve health outcomes by connecting people with care, pharmacy benefits, data, and essential resources. Optum jobs provide a culture driven by inclusion, career growth, comprehensive benefits, and meaningful impact. Join UnitedHealth Group careers to start Caring. Connecting. Growing together.
Required Qualifications:
- Medical degree – BHMS/BUMS
- BDS with 1+ years of corporate experience
- 6+ months of experience (Freshers in BHMS/ BUMS can also apply)
- Extensive work experience within own function
- Proven attention to detail & quality-focused
- Proven good analytical & comprehension skills
- Proven ability to work independently
Clinical Investigator Job Description:
This clinical investigator job under UnitedHealth Group careers is responsible for investigating, recovering, and resolving all types of claims for health plans, commercial customers, and government entities. Optum jobs may include initiating telephone calls with members, providers, and insurance companies to collect coordination of benefits data. The role involves investigating recoveries, managing subrogation claims, processing claim recoveries, and ensuring compliance with reimbursement policies, state and federal regulations, and contracts. Clinical investigator job responsibilities may also include reviewing medical histories, monitoring large claims, including transplant cases, and completing work without established procedures.
Key Responsibilities
- Prevent payment of potentially fraudulent or abusive claims using medical expertise, CPT/diagnosis codes, CMC guidelines, and client-specific policies
- Ensure adherence to state and federal compliance policies and contract compliance within UnitedHealth Group careers
- Support the team with special projects and reporting as part of Optum jobs
- Act as a resource for others and coordinate activities when required
- Comply with employment terms, company policies, and operational directives applicable
