Claims Exec.
at
UnitedHealth Group
, Gurgaon, INDIA
February 2008 – Currently Working
Industry: Insurance
Functional area: Banking / Insurance
•Processing of Outpatient claims (UB-04/HCFA-1500) by looking
what insurer have paid and what is patient
responsibility
•Resolving Customer (Member and Provider)
Escalated issues regarding Claims.
•Documenting and sending
HIPAA (Health Insurance Portability and Accountability Act)
Certificate to customers.
•Sending Claims to Adjustment
department.
•Resolving issues related to bulk recovery and
overpayments.
•Coordination of benefits with other insurance
includes Medicare, Medicaid etc.