Non-Clinical Job at Optum
Are you ready to make a significant impact in healthcare without being on the clinical frontlines? UnitedHealth Group is offering a rare opportunity for Clinical Investigators in Gurgaon, India. This Non-Clinical Job allows you to contribute to health optimization and improve outcomes for millions. Dive into a career where your expertise in claims investigation can drive meaningful change. Discover how you can be part of a global leader in healthcare solutions.
About UnitedHealth Group:
UnitedHealth Group is a global organisation dedicated to delivering care aided by technology to help millions of individuals lead healthier lives. The company focuses on connecting people with the necessary care, pharmacy benefits, data, and resources to enhance their well-being. With a culture guided by inclusion, talented peers, and comprehensive benefits, UnitedHealth Group aims to make a significant impact on the communities it serves.
Job Details:
- Position: Clinical Investigator
- Location: Gurgaon, India
- Requisition Number: 2388067
- Job Category: Claims
- Overtime Status: Exempt
- Travel: No
Job Description:
Positions in this function are responsible for investigating, recovering, and resolving various types of claims for health plans, commercial customers, and government entities. Responsibilities may include initiating calls to members, providers, and other insurance companies to gather coordination-of-benefits data, pursuing recoveries and payables on subrogation claims, and ensuring compliance with state and federal policies.
Key Responsibilities of the Non-Clinical Job:
- Prevent the payment of potentially fraudulent and/or abusive claims utilizing medical expertise and knowledge of relevant guidelines.
- Ensure adherence to state and federal compliance policies and contract compliance.
- Assist the prospective team with special projects and reporting.
- May act as a resource for others in the Non-Clinical Job.
- May coordinate others’ activities at Optum Careers.
- Comply with the terms and conditions of the employment contract and company policies.
Eligibility Criteria for the Non-Clinical Job:
Required Qualifications:
- Medical degree – BHMS/BAMS/BUMS/BPT/MPT.
- BDS with 1+ years of corporate experience mandatory.
- 6+ months of experience (Freshers in BPT/MPT/BHMS/BAMS/BUMS can also apply).
- Extensive work experience within own function.
- Proven attention to detail & quality focused.
- Proven excellent analytical & comprehension skills.
- Proven ability to work independently.
Preferred Qualifications:
- Claims processing experience.
- Health Insurance knowledge, managed care experience.
- Knowledge of US Healthcare and coding.
- Medical record familiarity.
