Clinical Administration Coordinator
Location: Bangalore, Karnataka, India
Company: Optum (UnitedHealth Group)
Job Category: Medical & Clinical Operations
Job Type: Full-Time | Night Shift
Requisition ID: 2312201
Travel: No
About Optum
Optum, part of UnitedHealth Group, is a global healthcare organization committed to delivering high-quality care supported by advanced technology. Our mission is to help people live healthier lives and to make the healthcare system work better for everyone. Through data-driven solutions, pharmacy benefits, care coordination, and clinical support, we empower millions worldwide.
Join a workplace built on inclusion, professional growth, and a strong commitment to improving health outcomes across diverse populations.
Role Overview
The Clinical Administration Coordinator plays a key role in supporting healthcare providers by resolving inquiries related to medical claim reviews, denial explanations, and claims status updates. This role involves managing inbound calls, interpreting denial reasons, and providing compliant, accurate guidance to ensure efficient claim resolution.
The position operates within a multi-site global collaboration model, working closely with teams across the USA, Puerto Rico, and the Philippines to maintain service consistency and high-quality support.
Key Responsibilities
Handle inbound calls from healthcare providers regarding medical claim review inquiries, denial reasons, and claim status updates.
Review claim denial explanations and communicate next steps clearly and professionally to providers.
Ensure compliance with internal claims review policies, organizational guidelines, and regulatory requirements.
Demonstrate strong service quality and maintain accuracy in all claim-related communication.
Collaborate with global counterparts to ensure consistent process execution and issue resolution.
Follow all company policies, employment contract terms, and operational directives related to shift changes, reassignment, workflow modifications, and organizational updates.
Adapt to evolving business needs, workplace structures, and process improvements as required.
Required Qualifications
Bachelor’s degree in any discipline.
Minimum 6 months of experience in an international voice process (BPO/Healthcare/Claims preferred).
Strong communication skills and ability to explain claim outcomes clearly.
Ability to maintain professionalism while managing high-volume inbound calls.
Willingness to work in night shifts in a fast-paced, compliance-driven environment.
Preferred Attributes
Prior experience in healthcare claims, provider support, or clinical operations.
Knowledge of US healthcare processes is an advantage.
Strong problem-solving skills and ability to handle complex queries.
Why Join Optum
Work in a mission-driven global healthcare organization.
Strong focus on diversity, equity, and inclusion.
Career advancement opportunities with continuous learning and development.
Opportunity to impact patient access, provider experience, and claims accuracy at scale.
Optum and UnitedHealth Group are committed to equitable care delivery, reducing health disparities, and creating a workplace grounded in fairness and respect.
Job Details
Requisition Number: 2312201
Business Segment: Optum
Employment Status: Regular
Overtime Status: Exempt
Telecommute: No (On-site role)
Shift: Night
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Canada |Quebec :
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Brazil | Sao paulo |Attica :
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Greece |North Island :
Auckland |New Zealand :
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