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1.0 - 5.0 years

3 - 6 Lacs

Navi Mumbai

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Job Title : P&C Claims Management Qualification : Any Graduate and Above Relevant Experience : 1 to 5 years Must Have Skills : 1.Experience in P&C Claims Management, preferably with BPO/Insurance process exposure. 2.Strong experience handling FNOL (First Notice of Loss) or FROI (First Report of Injury) cases. 3.Knowledge of claims systems like Guidewire, Duck Creek, Majesco, or similar platforms. 4.Familiarity with ISO, NCCI, and WCIRB reporting requirements. 5.Proficient in MS Office (Excel, Word) and data entry with attention to detail. 6.Strong communication and interpersonal skills with a customer-centric approach. 7.Ability to multi-task in a fast-paced and compliance-driven environment. Good Have Skills : knowledge and expertise in FNOL (First Notice of Loss) or FROI (First Report of Injury) Roles and Responsibilities : 1.Manage end-to-end claims processing for Property & Casualty lines including auto, home, general liability, and workers compensation. 2.Perform FNOL/FROI intake, assess coverage, and initiate claim setup using internal systems. 3.Verify policy information, document incidents accurately, and identify subrogation opportunities. 4.Maintain consistent communication with policyholders, claimants, vendors, and internal teams. 5.Support claims adjudication by gathering and reviewing supporting documentation, police reports, medical records, etc. 6.Ensure compliance with applicable state regulations and client-specific SLAs. 7.Coordinate with adjusters, underwriters, and legal teams where necessary. 8.Generate and maintain accurate records for audit and reporting purposes. 9.Continuously identify and escalate potential fraud or misrepresentation concerns. 10.Participate in process improvement initiatives and training sessions. Location : Mumbai CTC Range : 3.5 to 6 LPA (Lakhs Per Annum) Notice Period : Immediate Mode of Interview : Virtual Shift Timing : Night Shift Mode of Work : Work From Office Thanks & Regards, Amulya G Senior HR Analyst Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432435/Whatsapp @6366979339 amulya.g@blackwhite.in | www.blackwhite.in ****************************** DO REFER YOUR FRIENDS**********************************

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3.0 - 8.0 years

5 - 6 Lacs

Chennai

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Medical claims processor will have to look into claims where payment was denied. Commonly due to issues of insurance coverage eligibility , the claims handler may be tasked with reviewing documentation from the patient, their physicians, or the insurance. With the medical expertise ,need to master the various products and to apply the same during claim processing. Claims processors process any claim payments when applicable and must ensure they comply with federal, state, and company regulations and policies. List of Responsibilities: To validate the authenticity and the credibility of the claims. To coordinate with various persons (Claimant, Treating Physician, Hospital insurance desk, Field Visit Drs, Investigation officers)for hassle-free claim processing . To expertise ,the process of negotiation when necessitated. The claim handler owes a duty of care to the patient, ensuring that their needs are being met and that they re receiving the treatment or medicine they need. Job Qualifications and Requirements: Required Medical Graduates. Adapt and inbuilt the process of communication and coordination across the zones and the supporting verticals accordingly.

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0.0 - 4.0 years

2 - 6 Lacs

Chennai

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Medical claims processor will have to look into claims where payment was denied. Commonly due to issues of insurance coverage eligibility , the claims handler may be tasked with reviewing documentation from the patient, their physicians, or the insurance. With the medical expertise ,need to master the various products and to apply the same during claim processing. Claims processors process any claim payments when applicable and must ensure they comply with federal, state, and company regulations and policies. List of Responsibilities: To validate the authenticity and the credibility of the claims. To coordinate with various persons (Claimant, Treating Physician, Hospital insurance desk, Field Visit Drs, Investigation officers)for hassle-free claim processing . To expertise ,the process of negotiation when necessitated. The claim handler owes a duty of care to the patient, ensuring that their needs are being met and that they re receiving the treatment or medicine they need. Job Qualifications and Requirements: Required BDS, BHMS, BAMS, MD, Pharm D Graduates. Adapt and inbuilt the process of communication and coordination across the zones and the supporting verticals accordingly.

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0.0 - 5.0 years

2 - 7 Lacs

Chennai

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Medical claims processor will have to look into claims where payment was denied. Commonly due to issues of insurance coverage eligibility , the claims handler may be tasked with reviewing documentation from the patient, their physicians, or the insurance. With the medical expertise ,need to master the various products and to apply the same during claim processing. Claims processors process any claim payments when applicable and must ensure they comply with federal, state, and company regulations and policies. List of Responsibilities: To validate the authenticity and the credibility of the claims. To coordinate with various persons (Claimant, Treating Physician, Hospital insurance desk, Field Visit Drs, Investigation officers)for hassle-free claim processing . To expertise ,the process of negotiation when necessitated. The claim handler owes a duty of care to the patient, ensuring that their needs are being met and that they re receiving the treatment or medicine they need. Job Qualifications and Requirements: Required BDS, BHMS, BAMS, Pharm D, MD Graduates. Adapt and inbuilt the process of communication and coordination across the zones and the supporting verticals accordingly.

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0.0 - 1.0 years

1 - 3 Lacs

Chennai

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Urgent requirement for BHMS/BAMS/BDS -Chennai(Annasalai) Freshers/candidate with clinical or TPA experience. Interested candidates can call on 9371762436 or share their updated resumes to career@mdindia.com Job Description: Scrutiny of medical documents and adjudication. Assess the eligibility of medical claims and determine financial outcomes. Identification of trigger factors of insurance related frauds and inform the concerned department. Determine accuracy of medical documents. Required Candidate profile: BAMS / BHMS / BDS graduate. Male candidate prefer. Good Medical & basic computer knowledge Should have completed internship (Permanent Registration number is mandatory) Freshers can also apply. Work from office. Venue details: MDIndia Health Insurance TPA Pvt. Ltd., Raheja towers, Unit 005, Delta wing no-177, Beside LIC building, Annasalai, Chennai-600002.

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3.0 - 7.0 years

4 - 7 Lacs

Bengaluru

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s- Responsible for the Sales enrollments/Sales in the city. Do the market race and prepare the list of prospective customers , Handle the Team Members and motivate them for better sales , Ensure the team members are in market where enrollments & usage are done regularly. Should have good networking capabilities and be willing to travel extensively throughout their specified areas Key Role: Manage an assigned geographic sales area to maximize sales target and meet corporate. Objectives Build Database of key contact persons in the assigned geography. Build and maintain relationships with key client personnel Manage Category leads from qualification to closure

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3.0 - 7.0 years

7 - 11 Lacs

Hyderabad

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Choosing Capgemini means choosing a company where you will be empowered to shape your career in the way you’d like, where you’ll be supported and inspired bya collaborative community of colleagues around the world, and where you’ll be able to reimagine what’s possible. Join us and help the world’s leading organizationsunlock the value of technology and build a more sustainable, more inclusive world. Hands on experience in at least one of the Guidewire products (Claim/Policy/Billing) Should have knowledge on Admin data loading. Good knowledge in Web services, XML, GxModel, Messaging, Batch implementation, Integrating with 3rd Party Systems and Document composition tools like Xpressions, Thunderhead Experience on any database Oracle / SQL Server and well versed in SQL Designed & modified existing workflows (required for Billing Integration) Experience in SCRUM Agile, prefer Certified Scrum Master (CSM) Good written and oral communication. Works in the area of Software Engineering, which encompasses the development, maintenance and optimization of software solutions/applications.1. Applies scientific methods to analyse and solve software engineering problems.2. He/she is responsible for the development and application of software engineering practice and knowledge, in research, design, development and maintenance.3. His/her work requires the exercise of original thought and judgement and the ability to supervise the technical and administrative work of other software engineers.4. The software engineer builds skills and expertise of his/her software engineering discipline to reach standard software engineer skills expectations for the applicable role, as defined in Professional Communities.5. The software engineer collaborates and acts as team player with other software engineers and stakeholders. Primary Skills Hands on experience in at least one of the Guidewire products (Claim/Policy/Billing) Should have knowledge on Admin data loading. Good knowledge in Web services, XML, GxModel, Messaging, Batch implementation. Guideware Creative Thinking (SDLC) Methodology JavaScript Policy Development Capgemini is a global business and technology transformation partner, helping organizations to accelerate their dual transition to a digital and sustainable world, while creating tangible impact for enterprises and society. It is a responsible and diverse group of 340,000 team members in more than 50 countries. With its strong over 55-year heritage, Capgemini is trusted by its clients to unlock the value of technology to address the entire breadth of their business needs. It delivers end-to-end services and solutions leveraging strengths from strategy and design to engineering, all fuelled by its market leading capabilities in AI, cloud and data, combined with its deep industry expertise and partner ecosystem. The Group reported 2023 global revenues of "22.5 billion.

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6.0 - 10.0 years

8 - 12 Lacs

Chennai

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Works in the area of Software Engineering, which encompasses the development, maintenance and optimization of software solutions/applications.1. Applies scientific methods to analyse and solve software engineering problems.2. He/she is responsible for the development and application of software engineering practice and knowledge, in research, design, development and maintenance.3. His/her work requires the exercise of original thought and judgement and the ability to supervise the technical and administrative work of other software engineers.4. The software engineer builds skills and expertise of his/her software engineering discipline to reach standard software engineer skills expectations for the applicable role, as defined in Professional Communities.5. The software engineer collaborates and acts as team player with other software engineers and stakeholders. - Grade Specific Experience – 3 to 15 years Skills – Guidewire Developer experience with any of the detailed skill like (Policy / Billing / Claims / Integration / Configuration / Insurance Now / Portal / Rating) Insurance domain knowledge with Property & Casualty background Hands on experience in at least one of the Guidewire products (Claim/Policy/Billing) Should have knowledge on Admin data loading. Good knowledge in Web services, XML, GxModel, Messaging, Batch implementation, Integrating with 3rd Party Systems and Document composition tools like Xpressions, Thunderhead Experience on any database Oracle / SQL Server and well versed in SQL Designed & modified existing workflows (required for Billing Integration) Experience in SCRUM Agile, prefer Certified Scrum Master (CSM) Good written and oral communication Excellent analytical skills.

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0.0 - 3.0 years

0 - 3 Lacs

Vadodara

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Role & responsibilities - Due Diligence - Document Indexing & Management - Sanction Screening - Compliance checks - Premium Bordereaux Processing - Knowledge of insurance systems like Acturis, Applied Epic/Eclipse will be added advantage - Experience in the insurance sector, preferably with brokers or MGAs, will be an added advantage - Familiarity with Lloyds systems integration (XIS, XCS, ICOS/IPOS) is a plus - Updating the process documents - Providing supporting documents during various internal/external audits - Advance excel knowledge Preferred candidate profile Need Fresher or who have experience into claims and settlement Must be fluent with communication

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3.0 - 8.0 years

15 - 30 Lacs

Hyderabad, Pune, Bengaluru

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Role & responsibilities Location: Any where in India Insurance domain knowledge with Property & Casualty background Hands on experience in at least one of the Guidewire products (Claim/Policy/Billing) Should have knowledge on Admin data loading. Good knowledge in Web services, XML, GxModel, Messaging, Batch implementation, Integrating with 3rd Party Systems and Document composition tools like Xpressions, Thunderhead Experience on any database Oracle / SQL Server and well versed in SQL Designed & modified existing workflows (required for Billing Integration) Experience in SCRUM Agile, prefer Certified Scrum Master (CSM) Good written and oral communication Excellent analytical skills. Preferred candidate profile Perks and benefits

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6.0 - 11.0 years

14 - 24 Lacs

Hyderabad, Bengaluru, Delhi / NCR

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We're Hiring: Guidewire Developers - Claim Center, Policy Center, Billing center (6- 10 + Years Experience) | Contract Roles | Work From Office (WFO) Are you an experienced Guidewire Developers - Claim Center, Policy Center, Billing center looking for your next challenge? Join our dynamic team and contribute to exciting projects across various domains. We are hiring for multiple contractual positions with Work From Office (WFO) mode. Requirements: Minimum 6+ years of relevant experience in the relevant Guidewire Development. Strong domain knowledge and hands-on implementation experience. Excellent communication and problem-solving skills. Availability for Work From Office. Mode of hire: Contractual Location: Hyderabad, Bangalore,Delhi Start Date: Immediate - 15 Days Joiners Available Roles : 1. Guidewire Claim Center Developer Primary Skill: Guidewire ClaimCenter, GOSU, Integration & Configuration Secondary Skill: Java, SQL, Jenkins, Git, Agile Methodology Develop and configure ClaimCenter components using GOSU Implement business rules, workflows, and UI enhancements Integrate ClaimCenter with external systems using web services (SOAP/REST) Perform unit testing, debugging, and performance tuning Collaborate with QA and business teams for requirement validation Maintain documentation for configurations and customizations Follow Guidewire best practices and coding standards 2. Guidewire Billing Center Developer Primary Skill: Guidewire BillingCenter, GOSU, Integration & Configuration Secondary Skill: Java, Web Services, Jenkins, Git, Oracle/SQL Server Design and implement BillingCenter solutions including invoicing, payments, and collections Customize billing rules and workflows using GOSU Develop integrations with financial systems and third-party services Conduct unit testing and resolve defects in a timely manner Collaborate with cross-functional teams for end-to-end delivery Document technical designs and configurations 3. Guidewire Policy Center Developer Primary Skill: Guidewire PolicyCenter, GOSU, Product Model, Configuration Secondary Skill: Java, XML, Jenkins, Git, Agile/Scrum Customize PolicyCenter screens, workflows, and business rules Work on product model configuration and policy transactions Integrate PolicyCenter with external systems using APIs Perform code reviews and ensure adherence to best practices Support testing and deployment activities Maintain documentation for all development work 4. Guidewire Digital Portal Developer (React / Jutro) Primary Skill: Guidewire Digital Portal, React.js, Jutro Framework Secondary Skill: JavaScript, HTML/CSS, Node.js, Git, CI/CD tools Develop responsive UI components using React and Jutro for Guidewire Digital Portals Customize and extend Guidewire Digital applications for Policy, Billing, and Claims Integrate digital portals with backend Guidewire systems via REST APIs Optimize performance and ensure cross-browser compatibility Collaborate with UX designers and backend developers Maintain reusable components and follow UI/UX best practices

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1.0 - 5.0 years

3 - 6 Lacs

Navi Mumbai

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Job Title : P&C Claims Management Qualification : Any Graduate and Above Relevant Experience : 1 to 5 years Must Have Skills : 1.Experience in P&C Claims Management, preferably with BPO/Insurance process exposure. 2.Strong experience handling FNOL (First Notice of Loss) or FROI (First Report of Injury) cases. 3.Knowledge of claims systems like Guidewire, Duck Creek, Majesco, or similar platforms. 4.Familiarity with ISO, NCCI, and WCIRB reporting requirements. 5.Proficient in MS Office (Excel, Word) and data entry with attention to detail. 6.Strong communication and interpersonal skills with a customer-centric approach. 7.Ability to multi-task in a fast-paced and compliance-driven environment. Good Have Skills : knowledge and expertise in FNOL (First Notice of Loss) or FROI (First Report of Injury) Roles and Responsibilities : 1.Manage end-to-end claims processing for Property & Casualty lines including auto, home, general liability, and workers compensation. 2.Perform FNOL/FROI intake, assess coverage, and initiate claim setup using internal systems. 3.Verify policy information, document incidents accurately, and identify subrogation opportunities. 4.Maintain consistent communication with policyholders, claimants, vendors, and internal teams. 5.Support claims adjudication by gathering and reviewing supporting documentation, police reports, medical records, etc. 6.Ensure compliance with applicable state regulations and client-specific SLAs. 7.Coordinate with adjusters, underwriters, and legal teams where necessary. 8.Generate and maintain accurate records for audit and reporting purposes. 9.Continuously identify and escalate potential fraud or misrepresentation concerns. 10.Participate in process improvement initiatives and training sessions. Location : Mumbai CTC Range : 3.5 to 6 LPA (Lakhs Per Annum) Notice Period : Immediate Mode of Interview : Virtual Shift Timing : Night Shift Mode of Work : Work From Office Thanks & Regards, Aneesha HR Analyst Black and White Business Solutions Pvt Ltd Direct Number : 08067432440| Whats app : 9035128021|aneesha.g@blackwhite.in

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0.0 years

3 Lacs

Thane

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UK Health Care Process Nature of Work : Claim Processing/ Backend Candidates should have their own system and internet connection Configuration required Windows 10 Processor - i3/i5 RAM - 4 GB Speed - 10mbps rotational shifts, 5 days working Required Candidate profile Rounds of Interviews - HR - Medical Test - Email Test - Amcat - Ops

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1.0 - 2.0 years

0 - 1 Lacs

Hyderabad

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1) Receiving of claims courier sent by employees 2) Segregation of claims according to department, 3) Validation of employee claims as per the Travel policy, GST requirements and Eligibility by following internal processes and SOPs in CRM 4) Communication of status of claim process and related queries and updates by e-mail and CRM 5) Coordinate by calling the employees on disputed balance confirmations and clarifying the doubts and get the confirmations 6) Preparing of weekly exception and pending claims report and GST sheets 7) Follow up mails in case of no revert 8) Accounting of Claims into weekly batch, 9) Writing file numbers on the accounted claims and filing of the hard copies of the claim in order of file numbers 10) Capture of GST details and Invoice segregation and scanning of invoices to handover to tax team

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1.0 - 3.0 years

2 - 3 Lacs

Chennai

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Greetings from Alldigi Tech!!! Job Description: HealthCare (non-Voice) Shift: Day Shift (9am to 6pm) Experience: 1 to 3 years Notice Period: Immediate Joiners Connecting with our client's business partners in the US, typically insurance companies to follow up and coordinate on the following activities: Coordinates medical specialty referrals and procedures for patients in a timely, efficient, and equitable manner Utilizes EMR system(s) to track and research urgent requests and keep patient information current and accurate Communicates information, including updates of referral requests, appointment details, and communication preferences vis EMR, email, chat, and patient portal Review patient charts and records to understand what authorizations and documentations need to be pursued Ensures that all barriers to care (such as language, transportation restrictions, or financial needs) are addressed Provides clear, thorough, and accurate documentation of all referral processing steps, in the patient's electronic health records Processes necessary prior authorizations and insurance referrals as needed to complete the referral process Follows organizational guidelines regarding the use of the Electronic Medical Record (EMR) in compliance with HIPAA and patient confidentiality standards Maintains access to the Health Information Exchange (HIN) and other related systems Uses HIN and other related systems to gather information needed to coordinate care and keep patients' electronic health records up to date with the status of care that is being coordinated Maintains surveillance ticklers and/or work with Health Information Technology to proactively identify the need for patient care Navigates patient to care, as assigned. Interested candidates can come for the Direct Walk-In Interview to the office.

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1.0 - 2.0 years

2 - 3 Lacs

Gandhinagar, Ahmedabad

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Hiring for a Record Retrieval Specialist #Shift-Us Shift Timing #Location: Ahmedabad, Gujarat # Minimum 6 months of Experience Required in the International Voice process #Fluent English Required Meal Facility is also available

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2.0 - 4.0 years

3 - 4 Lacs

Surat

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Responsibilities: * Lead claims settlements and operations on-site * Ensure compliance with HIPAA & insurance ops standards * Manage health claims of our patients from start to finish * Collaborate with stakeholders on claim resolution

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14.0 - 20.0 years

22 - 32 Lacs

Kochi

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Candidate must have experience in service delivery, transitions, process excellence, transformational leadership, and solutioning Required Experience - Healthcare Operations + Transitions Candidate must be green/black certified, good with transformation concepts Shift - US Location - Kochi Essential Functions The role will manage a single or multi-client portfolio in healthcare domain with span of control of ~400 - 500 employees The role will be responsible for ensuring noiseless delivery across the accounts, working closely with the onshore teams to support sales opportunities, and moving each of the delivery accounts towards Intelligent (a combination of leveraging AI, robotics, and analytics effectively) The responsibility would be to manage multiple teams who would work from different offshore locations for US Helathcare payer business Preferably experience with Claims, Appeals, Utilization management, Back office enrollment, prior Auth Engage with various existing support teams (Process Excellence/ Digital / Analytics) that will help us achieve the results Manage relationships with customers at the senior management level and ensure customer satisfaction Establish and maintain robust tracking mechanism for key indicators of the operations to support decision-making Responsible for tracking and driving all process parameters critical to quality for process delivery Assist management with career development activities for team members, team leaders and managers, including performance management, feedback and training Ensure adequate guidance & training of team members to ensure process objectives & Customer requirements are met Profession Skills Requirement Operational Skills Prior work experience in managing US Healthcare payer client/s independently in a third-party organization. Need to have management skills to manage large teams and take both top line & bottom line responsibilities Candidate should have ability to respond rapidly and creatively address problems and opportunities, to devise solutions that address the business needs. Proven track record of managing and growing businesses Ability to work in a matrix organization and be sensitive to cross cultural/geographical sensitivities Ability to create a strategy, implement it and be operational at the same time. Soft skills An effective communicator with excellent relationship building, Negotiation & interpersonal skills Versatility, High level of professionalism and confidence Strong leadership skills and the ability to effectively and efficiently manage others Highly flexible, adaptable and creative Strong analytical, problem solving abilities & complexity management Respond to business problems or challenges with new perspectives and explore a variety of relevant possible solutions. Take prompt and effective action to rectify problems and bring structure and clarity when managing within unstructured, ambiguous environments. Self-motivated, able to work independently and under pressure, resourceful, self-driven with a strong sense of commitment and multitask management are pre-requisites

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1.0 - 5.0 years

1 - 4 Lacs

Ahmedabad

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Medusind Solutions Openings for AR Callers/ WFO Location : Ahmedabad ( 7th & 8th Floor, Corporate Rd, Makarba, Ahmedabad, Gujarat 380015 ) HR : Rohan 878007771 Role & responsibilities Outbound calls to insurances for claim status and eligibility verification Denial documentation and further action Calling the insurance carriers based on the appointment received by the clients. Working on the outstanding claims reports/account receivable reports received from the client or generated from the specific client software. Calling insurance companies to get the status of the unpaid claims. Willing to work in any process pertaining to voice based on the requirement (Insurance Follow UP, Patient calling, Provider outreach program etc. Maintain the individual daily logs. Performs assigned tasks/ completes targets with speed and accuracy as per client SLAs Work cohesively in a team setting. Assist team members to achieve shared goals. Compliance with Medusind' s Information Security Policy, client/project guidelines, business rules and training provided, company's quality system and policies Communication / Issue escalation to seniors if there is any in a timely manner Punctuality is expected all the time Perks and benefits Any Undergraduate 0.6-2 Years Relevant experience into medical billing Basic knowledge of MS Office Preparing spreadsheets and documents Good Communication skills must be able to fluently converse in English. Must have a neutral accent No stammering Working Day - 5 days working (Sat & sun fixed off ) Shift timing - 5.30 PM to 2.30 AM Drop Available with 25kM office radius Interested candidate can call on 878007771 or Can share their profiles rohan.shaikh@medusind.com

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10.0 - 20.0 years

20 - 35 Lacs

Noida

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Amity Software Limited is in the business of offering Insurance Industry solutions to various insurance companies in the world - both P&C Insurance as well as Life Insurance. For these projects, we need a Insurance Industry Expert as SUBJECT MATTER EXPERT (Insurance) to help implement our Insurance Software solutions. Roles and Responsibilities Process Study and Requirement Gathering. Client Process Improvement suggestions Functional Requirements Document (FRD) preparation. User Flow / Process Flow Charts, Diagrams documentation. Role & Responsibilities: Responsible for finalizing Business Requirements from the insurance company and document the same effectively in Functional Requirements Document (FRD) with the help of a team of Business Analysts. Perform detailed analysis of existing processes to ensure that all aspects of the business requirements are understood & mapped. To act as an expert on insurance industry and advise our clients about improvements in their processes and business practices. Prioritize requirements and negotiate with users so as to keep the user expectations manageable and within the scope of work. Capture details and document these in Functional Requirements Document (FRD) for creating the computerized system. Act as an EXPERT on Insurance Domain and to advise our clients on various aspects of insurance business and processes. Review various UI and screens so as to ensure that these are best possible interfaces considering user needs and expectations. Go through the developed software to satisfy himself/herself that the developed system is as per user needs and data flow is perfect. Design and conduct User Training Sessions. Design Study material for Training. Reviewing Change Requests from users before passing them on to Technical Team. Help create us pre-sales material. Review process part in business proposals, which are to be submitted to prospective Insurance Companies. Requirements for the Position Qualification: Graduate/MCA/B.Tech./MBA. Any training and/or specialized courses in Insurance would be an advantage. Extensive knowledge and experience in Insurance industry processes and experience at a senior level. Domain Experience : Minimum 15 years of experience as an Insurance industry professional in a Insurance Company. Both Life Insurance as well as General (P&C) Insurance domain candidates are welcome. Software Industry Experience: Previous experience as a Subject Matter Expert in any Software Company dealing in insurance domain, will be an added advantage. Knowledge of Insurance Domain : End-to-end knowledge and experience in Insurance Domain, especially in the area of P&C Insurance, Life Insurance, Health/Medical Insurance, Policy Administration, Claims Management, Reinsurance, and General Ledger. A very good understanding of processes prevailing in Insurance Companies for end-to-end Insurance Processes - Sales & marketing, Policy Administration, Underwriting, Reinsurance, Claims Management, Risk & Audit, Compliances. Communication Skills: Excellent communication skills in written and spoken English. Good inter-personal skills. Other Skills : Good personality, Excellent inter-personal skills, Must be a friendly person and certainly not an introvert. International Travel : Must have a valid passport . Willingness to travel overseas for long duration, since this position requires travel to client locations for systems study and discussions during requirements finalization phase, and later at the time of User Acceptance Testing (UAT) and Go Live. Applicants will be requires to go through a written test and interview , as part of our standard recruitment process.

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1.0 - 3.0 years

2 - 3 Lacs

Chennai

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We are hiring for Senior Claims Adjudication!! HR Recruiter (Reference): Abhilash Position: Senior Customer Support Associate We are looking for Candidate who has around 1 to 2 years of experience into Claims Adjudication & Claims Processing . This is a great opportunity to build your career in a dynamic and supportive environment. Venue: Firstsource Solution Limited, 5th floor ETA Techno Park, Block 4, 33 OMR Navallur, Chennai, Tamil Nadu 603103. Landmark: Near Vivira Mall. Shift: Flexible to work in night shift Key Skills: - Good Communication Skills. - Listening & Comprehension. - Good typing Skills is must. Work Mode: Work From Office Cab Boundary Limit : We provide cab Up to 30 km (One way drop cab | Doorstep only) Walk-In Details: Walk-In Days: Monday To Friday Walk-In Time: 10:30 AM - 2:00 PM Documents to carry: 1. Updated resume 2. Aadhar card 3. Pan card 4. Educational Certificates (1st to 6th marksheet, Provisional marksheet) 5. Previous company's Offer Letter, pay slip (last 3 months), relieving letter NOTE: 1. Mention ABHILASH (HR Recruiter) in top of your resume while walking-in for the discussion. 2. In case if you receive any other call from Firstsource for the job opportunity, be kind enough to inform that you are in touch with ABHILASH HR. 3. Share your resume to the below mentioned WhatsApp Number and Email ID . Contact: Abhilash CB 9994685103 abhilash.cbb@firstsource.com Kindly refer your friends as well! Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or Abhilash.cbb@firstsource.com

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2.0 - 5.0 years

4 - 7 Lacs

Mumbai

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Pfizer is looking for Healthcare Executive to join our dynamic team and embark on a rewarding career journey. Coordinating with doctors and medical staff to ensure quality healthcare services are being provided. Managing healthcare operations, including budgeting, staffing, and patient care. Monitoring and improving patient satisfaction levels. Developing and implementing policies and procedures to improve healthcare services. Ensuring compliance with healthcare regulations and standards. Collaborating with insurance providers to ensure smooth patient billing and insurance claims. Providing excellent customer service to patients and their families. Managing patient records and ensuring their confidentiality.

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1.0 - 4.0 years

3 - 4 Lacs

Coimbatore

Remote

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Walk-in interview for Sr Executive - Facets Claims - US Healthcare Skill: Claims Facets (Mandatory) , excellent communication Experience : Minimum 1yr of experience in Claims- Facets is required (Mandatory) Education : Must have regular bachelor's degree Work timings : Night shift - US timings Notice period : Immediate to Max 15 days Note: Candidates with Facets experience from US Healthcare are only eligible for the position. Please carry a hard copy of your CV & original photo ID proof for security check

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1.0 - 4.0 years

7 - 17 Lacs

Hyderabad

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About this role: Wells Fargo is seeking a Associate Fraud & Claims Operations Representative. In this role, you will: Support and capture all pertinent information from customers about their claims Conduct research and provide updates on status of new and existing claims Identify opportunities to improve customer experience after thorough research of complex account activity, and take appropriate actions to handle the claim Perform routine customer support tasks by maintaining balance between exceptional customer service and solid investigative research while answering incoming calls in a call center environment Receive direction from team lead and escalate questions and issues to more experienced roles Interact with colleagues on basic day-to-day issues, and network with supporting functional areas to create a seamless experience for the customers Required Qualifications: 6 months of customer service experience, or equivalent demonstrated through one or a combination of the following: work experience, training, military experience, education

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1.0 - 4.0 years

3 - 4 Lacs

Hyderabad

Remote

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Walk-in interview for Sr Executive - Facets Claims - US Healthcare Job description: Skill: Claims Facets (Mandatory) , excellent communication Experience : Minimum 1yr of experience in Claims- Facets is required (Mandatory) Education : Must have regular bachelor's degree Work timings : Night shift - US timings Notice period : Immediate to Max 15 days Note: Candidates with Facets experience from US Healthcare are only eligible for the position. Please carry a hard copy of your CV & original photo ID proof for security check

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