Appeals Representative

Optum India

Gurgaon, Haryana, IndiaFresher6d agovia LinkedIn

This job at a glance

Who can apply
Freshers · B.Tech / B.E. or MBA / PGDM
Must know
Microsoft Office
Work
On-site in Gurgaon
Pay
Not stated by the employer.
Skill demand
Microsoft Office28%of 97 similar fresher jobs posted in India this week
Listed
29 Oct 2026 · still open

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About the Role

Optum is a global organization focused on delivering care aided by technology to improve health outcomes. The role involves connecting people with the care, pharmacy benefits, data, and resources they need.

Key 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 the 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, including those relating to work location, team assignments, work schedules, and flexible work arrangements.

Requirements & Tech Stack

  • Working knowledge of MS Office.
  • Good typing speed (English) and accuracy.
  • Willingness to work night shifts.

Qualifications

  • Graduation (BTECH / BE / MBA / B pharm / M pharm are not eligible to apply).
  • Demonstrated solid verbal and written communication skills.
  • Proven to be result-oriented and goal-driven.
  • Proven analytical ability: Research skills combined with effective decision-making and superior interpersonal skills.
  • Proven ability to accept constructive criticism, be coached, and grow as a professional.
  • Proven critical thinking abilities.
  • Proven ability to multi-task, including understanding multiple products and multiple levels of benefits within each product.
  • Proven ability to remain focused and productive each day, even through repetitive tasks.

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