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8 Grievances Jobs

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15.0 - 24.0 years

18 - 25 Lacs

Kochi, Kottayam, Thrissur

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Focus on IR STRATEGY, FAIR DISCIPLINARY ACTION IMPLEMENTATION, GRIEVANCES REDRESSAL, PROMOTE PERFORMANCE DRIVEN PARTICIPATIVE CULTURE, LONG TERM WAGE SETTLEMENTS, HEALTHY UNION RELATIONSHIPS, ENSURE 100% STATUTORY COMPLIANCE, LIAISON b/w MGMT & UNION Required Candidate profile MSW/MLM/MBA Malayalam Speaking 15+yrs exp in HR/IR with labor intensive UNIONISED manufacturing units Strong UNION MGMT, LTS /WAGE SETTLEMENT, STATUTORY COMPLIANCE, GRIEVANCES REDRESSSAL, STRIKE MGMT Perks and benefits Excellent Perks. Send CV to cv.ch2@adonisstaff.in

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3.0 - 8.0 years

7 - 10 Lacs

Kochi, Kottayam, Thrissur

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Focus on SHIFT-WISE MANPOWER DEPLOYMENT, DAILY ATTENDANCE, OVERTIME COMPLIANCE, 1st POC for WORKMEN GRIEVANCES, ADDRESS SHOPFLOOR ISSUES, GRIEVANCES REDRESSAL, UNION LIAISONING, EMPLOYEE WELFARE, MAINTAIN STATUTORY RECORDS, HR MIS, HR AUDITS, IR etc Required Candidate profile MSW/MLM/MBA Malayalam Speaking 3-6yrs exp in HR/IR/PERSONNEL with labor intensive manufacturing units handling SHOPFLOOR HR, UNION MGMT, EMPLOYEE WELFARE, IoF, PF, IR, LABOR LAWS, HR COMPLIANCE etc Perks and benefits Excellent Perks. Send CV to cv.ch2@adonisstaff.in

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2.0 - 5.0 years

3 - 5 Lacs

Hyderabad

Hybrid

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Job Summary - A career in our Managed Services team will provide you an opportunity to collaborate with a wide array of teams to help our clients implement and operate new capabilities, achieve operational efficiencies, and harness the power of technology. Our Appeals and Grievances Managed Services (AGMS) team will provide you with the opportunity to act as an extension of our healthcare clients' business office. We specialize in appeal and grievances functions and addressing member complaints for health plans and their business partners. We leverage our clients customized workflows and associated automations in conjunction with clients data advanced data analysis and quality assurance processes to enable our clients to achieve better compliant results, which ultimately allows them to provide better services to their members. Required Field of Study (BQ): Any Graduation Minimum Year(s) of Experience : US 2+ years of experience in US Health care Payor side Required Knowledge/Skills (BQ): US Healthcare Experience Experience in Appeals & Grievances (A&G, Medicare/Medicaid) Preferred Knowledge/Skills *: Strong verbal and written communication skills, including letter writing experience. Excellent English skills with the ability to read, comprehend, write and communicate verbally with stakeholders & customers. Ability to work with firm deadlines, multi-task, set priorities and pay attention to details Ability to successfully interact with members, medical professionals, health plan and government representatives. Knowledge on Appeals & Grievances and Medicare/Medicaid Proficiency with Microsoft Word, Excel, and PowerPoint. Excellent organizational, interpersonal and time management skills. Must be detail-oriented and an enthusiastic team player. Knowledge of Pega computer system a plus. Responsibilities: As an Associate, youll work as part of a team of problem solvers with consulting and industry experience, helping our clients solve their complex member, provider and business issues. Specific responsibilities include, but are not limited to: Analyzes, evaluates and resolves member & provider appeals, disputes, grievances, and/or complaints from health plan members, providers and related outside agencies in accordance with the standards and requirements established by the Centers for Medicare and Medicaid and/or health plan. Prepares and organizes case research, notes, and documents. Contacts the member/provider through written and verbal communication. Requests, obtains and reviews medical records, notes, and/or detailed bills as appropriate. Applies contract language, benefits, and review of covered services. Conducts research, fact checking and analysis and recommends appropriate course of action and next steps for management review. Research claim / service authorization appeals and grievances using support systems to determine appeal and grievance outcomes inclusive of claims processing guidelines, provider contracts, fee schedules and system configurations to determine root cause of payment error. Determines appropriate language for letters and composes all correspondence and appeal/dispute and or grievances information concisely and accurately, in accordance with regulatory requirements. Communicates resolution to members (or authorized) representatives. Works with provider & member services to resolve balance bill issues and other member/provider complaints. Assures timeliness and appropriateness of responses per state, federal and health plan guidelines. Responsible for meeting production standards set by the department. Prepares appeal summaries, correspondence, and document findings. Include information on trends if requested. Desired Knowledge / Skills: 2+ years of experience in US Health care Payor side 1 + years of processing experience in Appeals & Grievance Denial Management Knowledge on US Health Care, Claims Adjudication, Rework & A&G Experience Level: 2+ years Shift timings: Flexible to work in night shifts (US Time zone)

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6.0 - 10.0 years

10 - 20 Lacs

Chennai

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Responsibilities: Ensure Proactive ER/IR and Grievance Handling To strengthen governance around Statutory Compliance To drive Long term strategy for Manpower availability Drive Productivity improvement projects HR Budget-Preparation, tracking and adherence HR services related Vendor Management Employee Engagement Qualifications: MBA(HR)/MSW(HR)/MLM Proficient in communication in the local language (Tamil) Knowledge of Labour Laws, IR, ER, HRM, HRD, OD methodology & Techniques, OB, Excel Experience: Essential: 8-10 years of experience of working with Union Desirable: 2 to 3 years of experience in FMCG

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1.0 - 3.0 years

3 - 5 Lacs

Surat

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Relationship Manager-Commercial Vehicle (CV)-Retail-Marketing Branches Operations To handle customer service requirements like account opening, DMAT account opening, grievances, liability product selling, education on product features, cheque book issuance. Quality of advice given to customers as determined by customers and supervisor. Speed and efficiency of service given. Sales targets for bank and investment products. Going beyond the professed need of the customer by providing other products. Enhancement of customer value. Cross-sale of assets products. Back-up to relationship managers holding HNI relationships. Ensure low attrition ratios. Customer acquisition through referrals from existing customers. Graduates with total experience of 1-3 years with relevant exp of atleast 1 year in financial services or banks. Equal blend of service and sales orientation. In the absence of equality, sales orientation as a skew will be acceptable. Experienced customer service candidates from financial services ( those from MFund, securities houses etc) with sales orientation can be considered.

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6.0 - 11.0 years

6 - 7 Lacs

Vellore

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Role & responsibilities The Human Resource Manager oversees the HR department, aligning HR strategies with business goals. They manage recruitment, employee relations, performance, and compliance, while fostering a positive work environment. The role involves advising management on best HR practices, driving employee engagement, and ensuring the company attracts and retains top talent, contributing to organizational effectiveness and a strong workplace culture. Coordinate with Corporate HR head and update the activities on daily basis. Preferred candidate profile

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10.0 - 15.0 years

14 - 17 Lacs

Nagpur

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HR Head (Infra) will oversee HR, IR, and Admin functions across India. Based in Nagpur with frequent travel. Key focus: HR policy, compliance, talent, IR, and admin ops. Requires 12–15 yrs experience with 5+ in leadership, preferably in infra sector.

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1.0 - 6.0 years

0 - 3 Lacs

Hyderabad

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Role & responsibilities Talent Acquisition Starting Initial Dialogue for campus visit: Intake of students, quality, course curriculum and college credits. Coordinating with the entire campus recruitment events such as arranging the preplacement talks, negotiate the final dates including the logistics. Recruitment snapshot to the management on a periodic basis. On boarding & Induction Offer Generation, initiating Background Checks, pre hire orientation for New Hires. Creation of Employee ID and UBS GPN (Global Personal Identification Number) and regular updating of Employee Information on HRI (Human Resource interface) tool of UBS by facilitating with APAC HR. On boarding, HR Induction and facilitating training programs for Employees. HR Operations & Compliance Responsible for creating Joiners and Leavers report, Head Count and Diversity reports every month. Coordinating with various service providers for Recruitments, Insurance, Background Checks and arranging quarterly meets. Responsible for Conducting Exit Interviews and processing the Full and Final Settlement details to Payroll. Responsible for handling Queries on Payroll, PF, ESI and other benefits. Sending Termination letters and Legal notices by liaising with Legal and Compliance in the case of absconding Employees. Ensure compliance to the UBS's Contract Management and Governance parameters i.e. review of macro level process, procedures, and operating practices related to HR. Review of HR Policies and benefits by liaising with Legal and Senior management.

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