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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
Primary Responsibilities:
- Accurate processing and completion of medical claims
- Process claims that route out of automatic adjudication, within current turnaround standards
- Demonstrate proficiency in product lines applicable to processing unit
- Understand and apply plan concepts: Deductible, Coinsurance, Copay, Out-of-pocket, State variations
- Comply with all applicable Company policies, procedures, and business directives, changes including those relating to work location, team assignments, work schedules, and flexible work arrangements
Required Qualifications:
- Graduation (BTECH / BE / MBA / B pharm / M pharm are not eligible to apply)
- Working knowledge of MS Office
- Result-oriented and goal-driven
- Demonstrated solid verbal and written communication skills
- Proven excellent communication skills written and verbal
- Proven analytical ability: Research skills combined with effective decision-making and superior interpersonal skills
- Proven ability to accept constructive criticism with being coached and growing as a professional
- Proven critical thinking abilities
- Proven ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product
- Proven ability to remain focused and productive each day though tasks may be repetitive
- Good typing speed (English) and accuracy
- Willing to work night shifts
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.
Skills Required
- Graduation; BTECH, BE, MBA, B Pharm, and M Pharm degrees are not eligible
- Working knowledge of Microsoft Office
- Strong verbal and written communication skills
- Analytical ability, research skills, effective decision-making, and interpersonal skills
- Ability to accept constructive criticism, receive coaching, and grow professionally
- Critical-thinking abilities
- Ability to multitask across multiple products and benefit levels
- Ability to remain focused and productive on repetitive tasks
- Good English typing speed and accuracy
- Willingness to work night shifts
Optum Compensation & Benefits Highlights
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Leave & Time Off Breadth — PTO is generally described as decent or good, and many note it as a strong part of the package. Actual ability to take time off can depend on workload and team coverage.
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Retirement Support — Offerings include a 401(k) with employer match and access to an employee stock purchase plan, which are highlighted as meaningful components of total rewards. These programs are consistently referenced among core benefits.
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Parental & Family Support — Parental and caregiver leave, along with adoption assistance, are publicly highlighted and viewed as notable elements of the package. Availability can be role-specific, but these supports contribute to overall breadth where offered.
Optum Insights
What We Do
Optum, part of the UnitedHealth Group family of businesses, 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. At Optum, we support your well-being with an understanding team, extensive benefits and rewarding opportunities. By joining us, you’ll have the resources to drive system transformation while we help you take care of your future. We recognize the power of connection to drive change, improve efficiency and make a difference in health care. Join a team where your skills and ideas can make an impact and where collaboration is key to creating technology that produces healthier outcomes.
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Optum Offices
Hybrid Workspace
Employees engage in a combination of remote and on-site work.
Optum has three workplace models that balance the needs of the business and the responsibilities of each role. These models, core on‑site (5 days/week), hybrid (4 days/week) and telecommute or fully remote, vary by country, role and location.
