Clinical Investigator

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Clinical Investigator

Gurgaon, India

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Caring. Connecting. Growing together. With these values to guide us, our people are committed to making a meaningful difference in the lives of those we are honored to serve.

Integrity Compassion Inclusion Relationships Innovation Performance

Clinical Investigator

Requisition number: 2347869

Job category: Claims

Primary location: Gurgaon, India

Date posted: 07/22/2026

Overtime status: Exempt

Travel: No

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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. Positions in this function are responsible for investigating, recovering and resolving all types of claims as well as recovery and resolution for health plans, commercial customers and government entities. May include initiating telephone calls to members, providers and other insurance companies to gather coordination of benefits data. Investigate and pursue recoveries and payables on subrogation claims and file management. Process recovery on claims. Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance. May conduct contestable investigations to review medical history. May monitor large claims including transplant cases. Work is frequently completed without established procedures Primary Responsibilities: Prevent the payment of potentially fraudulent and/or abusive claims