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8.0 - 13.0 years
30 - 35 Lacs
Kolkata, Durgapur
Work from Office
Experience: 8+ years with a focus on hospital/healthcare design. Responsibilities: Lead architectural design, regulatory compliance, functional planning. As the Lead Architect, you will be a key member of the architectural team, responsible for providing technical leadership and expertise in designing and developing complex and innovative solutions. Your role involves leading the architectural design process, collaborating with cross-functional teams, and ensuring the successful implementation of architectural solutions. You will play a critical role in shaping the overall technology landscape and driving the organization's technical vision. Key Responsibilities: Architectural Design: Lead the design and development of architectural solutions that align with the organization's business objectives and technology strategy. Technical Leadership: Provide technical leadership to the architectural team, guiding and mentoring other architects and technical professionals. Solution Planning: Collaborate with stakeholders to understand their requirements and translate them into architectural blueprints and designs. System Integration: Design and oversee the integration of various systems and applications to ensure seamless communication and data flow. Technology Evaluation: Evaluate and recommend appropriate technologies, tools, and frameworks to support the organization's technical goals. Scalability and Performance: Address scalability and performance considerations in architectural design to accommodate future growth and demand. Security and Compliance: Ensure that architectural solutions meet security and compliance requirements, implementing best practices for data protection. Collaboration: Work closely with software developers, engineers, and project managers to ensure the successful implementation of architectural designs. Documentation: Create and maintain architectural documentation, including diagrams, design specifications, and technical documentation.
Posted 2 months ago
2.0 - 7.0 years
4 - 9 Lacs
Mumbai
Work from Office
Responsible for handling cargo claims. Responsible for the management and administration of all claims filed Globally. Responsible for the coordination with local Front desk and guiding them with regards to claim handling. Provide proactive, efficient, and fair but firm claims and recovery management and obtain best possible claims and recovery settlement for the Group. Provide technical expertise and advice related to incidents, claims matter and loss prevention initiatives. Key Responsibilities Claims - Handling cargo Claims as per the set guidelines. Having a customer centric approach at the same time keeping in mind the legal requirement and closing claim within legal ambit Establish appropriate claims handling relationship in respective management area. Assess and document factual background of claims matters; establish and update claims file. Safeguard rights of recovery and drive recovery actions. Liaise with internal and external stakeholders, such as claimants (customer, recovery agents, lawyer, under writer and P&I) third party claims administrators etc. Enter and update data in the claims data base (case management) according to corporate guideline. Manage and settle claims matters in accordance with corporate guideline. Provide advice and support to Local claim desk related to any claims matters. Keeping data quality at top level. Formulate, drive and/or support loss prevention initiatives. Decision Making Authority As per Organization guidelines Function Market & Industry Knowledge / Domain Knowledge / Process working / Education: Graduate from recognized university LLB / LLM or MBA degree would be preferable. Experience: Minimum of 2 years of working experience within Shipping, Logistics, Marine surveyor, or insurance Industry. Exposure to shipping operations preferable. Experience in core claims handling (which includes independent claim settlement) will be an added advantage. Special Skills (Functional/Technical): Good Analytical skills. The knowledge of structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar. The knowledge of local maritime laws, legal codes, court procedures, precedents, government regulations, executive orders, agency rules, and the political process directly impacting claims handling of the region. Good Comprehension skills Excellent team player Well organized to carry out multi-tasks Flexible with changes Take ownership and responsibility of the job assigned Eye for the details.
Posted 2 months ago
3.0 - 8.0 years
5 - 7 Lacs
Chennai, Bengaluru
Work from Office
Job description Preferred candidate profile : Bachelors degree Proven experience in training with over 1+ years of experience as a Trainer on papers. Minimum of 3 years of experience from Healthcare Payer side ( Claims & Payment Integrity ) Experience with the development of training materials including presentations, user manuals, and assessments. Classroom management skills Strong analytical and technical skills Exceptional organizational abilities Excellent interpersonal and communication skills. Visionary mindset with the ability to identify and implement innovative training solutions. Ability to thrive in a fast-paced and dynamic work environment. Familiarity with learning management systems and digital training platforms (ex: Articulate 360 applications) is a plus Roles & Responsibilities: Conducting multiple trainings for new hires and managed nesting along with certification process Maintain the training effectiveness above the required threshold by holding strong governance process in training Ability to read through various standard operating procedures and communicate the extracts to the trainees clearly Identify gaps between internal process and customers expectations to help business produce the desired outcome Create content / training material for effective training Revamp the training materials to suit the need of current business and easy understanding / knowledge transfer to trainees Liaison with QA to calibrate process knowledge Conduct workshops for project team members on recent update and US healthcare industry trends Perform user acceptance testing for any new process rollouts / automation in the program Provides refresher training for bottom quartile Support the team by performing floor trouble shooting to ensure all relevant queries are tracked and answered appropriately Periodic knowledge calibration with client Interested candidates kindly share your updated CV to gsyed.suhail@firstsource.com Contact: Suhail HR - 9290528486 (WhatsApp) 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 @firstsource.com email addresses.
Posted 2 months ago
4.0 - 9.0 years
3 - 7 Lacs
Chennai, Bengaluru
Work from Office
Job description Team Executive - Payment Integrity Location : Chennai & Bangalore Roles & Responsibilities: In-depth Knowledge and Experience in the US Health Care Payer System. 4 - 9 years of experience in Claims Adjudication(Payment Integrity,PrePay audit,Postpay audit) . With over 1 year of experience as a Team leader Proven track record in managing processes, streamlining workflows and excellent people management skills. Need to be a people centric manager who could articulate the employee challenges to the management as well as motivate the team towards desired project goals. Circulate quality dashboards at agreed periodic intervals to all relevant stake holders Adhering to various regulatory and compliance practices. Maintaining and Ownership of reports both internal as well as for the clients. Presenting the data and provide deep insights about the process to the clients as well as Internal Management. Managing and co - ordinating training programs. Excellent in Coaching and providing feedback to the team. Take necessary HR actions as part of the Performance Improvement Process Key Performance Indicators Ensuring that the key Service Level Agreements are met consistently without any exceptions. Leverage all Operational metrices to ensure that the Revenue and Profitability targets are met and exceeded . Work in tandem with all Business functions to ensure smooth business process. Retention of key team members Interested Candidates share your CV - deepalakshmi.rrr@firstsource.com / 8637451071 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 deepalakshmi.rrr@firstsource.com
Posted 2 months ago
0.0 - 2.0 years
1 - 3 Lacs
Kolkata
Work from Office
Role: Back End Operations Experience: 0-4 years' work experience in back office/BPO/Customer Service or similar transaction BPO processing Shift Timing- 1.30pm to 11.30pm IST (Only fixed shift /Mon-Fri) Cab -One Way Cab drop Work from Office: From Day 2 Onwards (Work from office -5days) Permanent work profile with Wipro Education - B.com, BA, BBA, Any B.sc (graduates only)/ NO BE/B TECH will be eligible for this hiring Note - No Remote from Work /Hybrid for this position, Monday -Friday (Work from office) Work Location: Wipro Kolkata salt lake Application Link to apply - https://forms.office.com/r/XJfNfVxYPM Get application filled from 26th May - 28th May Job Summary Strong understanding of client plan provisions/product & processing guidelines and SLA metrics Able to manually perform Benefit processes and complex tasks/calculations that require plan knowledge, analysis, and interpretation Research complex Benefits issues and formulates resolutions/ recommendations by analyzing fact patterns and applying plan provisions and best practices Resolve tasks in accordance with due dates and ensure process is well documented Create adhoc reports as required to support client service delivery functions Provide day-to-day client and third party administrator contact for participant processing inquiries Participate & contribute in daily huddles and status meetings Document task/ workflow analysis and comments in a concise, effective manner such that it can be easily understood by participant Develop and deliver client-specific operational training; monitor ongoing adherence to SOPs to ensure high quality Work with the client team across shores to deliver against client requirements Proactively identify training needs and provide necessary coaching as required to BOAs Proactively seek performance feedback to build & enhance knowledge Build and leverage partnerships across shores to deliver against client requirements Create robust documentation & SOPs for transition of activities between Ops and Shared Services, combined with ongoing coaching Document task/ workflow analysis and comments in a concise, effective manner such that it can be easily understood by the broader team Actively listens to all stakeholder/ team members to understand their perspective and ensure continuous understanding regardless of communication channels Interview Rounds GATE -online assessment HR/GD Ops Manager connect
Posted 2 months ago
1.0 - 5.0 years
6 - 9 Lacs
Kochi
Work from Office
Specialists Hospital is looking for Nursing Supervisor to join our dynamic team and embark on a rewarding career journey Supervising and coordinating the work of nursing staff, including registered nurses, licensed practical nurses, and nursing assistants Assigning patient care duties and ensuring that staff have the necessary resources and support to provide safe and effective care Monitoring and evaluating the performance of nursing staff, providing feedback and coaching as needed Ensuring compliance with all applicable regulations, standards, and policies related to nursing practice and patient care Collaborating with other healthcare professionals, such as physicians, social workers, and therapists, to ensure coordinated and effective patient care Participating in the development and implementation of nursing policies and procedures, as well as quality improvement initiatives Facilitating communication and teamwork among nursing staff and other members of the healthcare team Serving as a resource and mentor for nursing staff, providing guidance and support as needed Responding to patient and family concerns and complaints and ensuring that appropriate action is taken Maintaining accurate records and documentation of nursing staff activities and patient care Strong knowledge of nursing practice, regulations, and standards Excellent communication, leadership, and interpersonal skills
Posted 2 months ago
5.0 - 8.0 years
5 - 12 Lacs
Bengaluru
Work from Office
Job Summary We are seeking a Process Specialist with 5 to 8 years of experience in Facets - Claims and Claims Adjudication. The ideal candidate will have expertise in Dental Claims and Commercial Claims. This role requires working from the office during day shifts. The candidate must be a native English speaker with strong reading writing and speaking skills. Responsibilities Oversee the claims adjudication process to ensure accuracy and compliance with company policies and regulations. Provide expertise in Facets Claims to streamline and optimize claims processing workflows. Analyze and resolve complex claims issues related to Dental Claims and Commercial Claims. Collaborate with cross-functional teams to improve claims processing efficiency and effectiveness. Develop and implement best practices for claims adjudication to enhance overall process quality. Monitor and report on key performance indicators to track the effectiveness of claims processing. Conduct regular audits of claims to identify and address any discrepancies or errors. Train and mentor junior team members on claims adjudication processes and best practices. Ensure all claims are processed within the established turnaround times and service level agreements. Participate in continuous improvement initiatives to enhance the claims processing function. Maintain up-to-date knowledge of industry trends and regulatory changes impacting claims adjudication. Provide exceptional customer service by addressing and resolving claims-related inquiries and issues. Contribute to the development of policies and procedures to support the claims adjudication process. Qualifications Possess strong technical skills in Facets Claims and Claims Adjudication. Have in-depth knowledge and experience in Dental Claims and Commercial Claims. Demonstrate excellent analytical and problem-solving abilities. Exhibit strong communication skills both written and verbal in English. Show proficiency in training and mentoring team members. Display a commitment to continuous improvement and process optimization. Maintain a high level of attention to detail and accuracy in all tasks. Have the ability to work effectively in a fast-paced dynamic environment. Demonstrate strong organizational and time management skills. Possess a customer-focused mindset with a dedication to providing exceptional service. Show proficiency in using relevant software and tools for claims processing. Exhibit a strong understanding of industry regulations and compliance requirements. Demonstrate the ability to work collaboratively with cross-functional teams. Certifications Required Certified Professional Coder (CPC) or equivalent certification in claims processing.
Posted 2 months ago
4.0 - 6.0 years
5 - 12 Lacs
Coimbatore
Work from Office
Job Summary We are seeking a Subject Matter Expert in Claims HC with 4 to 6 years of experience to join our team. The ideal candidate will have expertise in UiPath and Claims Adjudication along with domain experience in Provider and Payer. This hybrid role requires working night shifts and does not involve travel. The candidate will play a crucial role in optimizing claims processes and enhancing operational efficiency. Responsibilities Lead the automation of claims processes using UiPath to improve efficiency and accuracy. Oversee the end-to-end claims adjudication process to ensure timely and accurate resolution. Provide expert guidance on claims management to both provider and payer teams. Collaborate with cross-functional teams to streamline claims operations and reduce processing times. Analyze claims data to identify trends and implement strategies for process improvement. Ensure compliance with industry regulations and standards in all claims-related activities. Develop and maintain documentation for claims processes and automation workflows. Train and mentor junior staff on best practices in claims adjudication and automation. Monitor and report on key performance indicators related to claims processing. Work closely with IT teams to integrate UiPath solutions with existing systems. Facilitate communication between provider and payer teams to resolve claims issues. Participate in continuous improvement initiatives to enhance claims operations. Support the development of new claims adjudication policies and procedures. Qualifications Possess strong technical skills in UiPath with a proven track record in automation. Demonstrate expertise in claims adjudication with a deep understanding of industry practices. Have substantial experience in the provider and payer domains ensuring comprehensive knowledge. Exhibit excellent analytical skills to interpret claims data and drive improvements. Show proficiency in collaborating with cross-functional teams to achieve common goals. Display strong communication skills to effectively liaise with various stakeholders. Maintain a proactive approach to problem-solving and process optimization.
Posted 2 months ago
1.0 - 2.0 years
0 - 3 Lacs
Hyderabad
Work from Office
Urgent requirement for BHMS,BDS,BAMS -Hyderabad Fresher/Expereince candidate should have atleast 1 year of 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: BHMS,BDS,BAMS 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. Only Male Doctor required for Field Investigation
Posted 2 months ago
1.0 - 5.0 years
2 - 4 Lacs
Chandigarh, Hyderabad, Bengaluru
Work from Office
Follow up with payers to obtain claim status updates Identify reasons for denials and work towards resolution Must have Voice Experience Work on billing scrubbers and make necessary edits Handle contractual WhatsApp cv 7696517849 Required Candidate profile AR Caller With Experience for Hyderabad, Bangalore Night Shifts Cab Yes Excellent English Speaking WhatsApp cv 7696517849 Register For Call Back https://callcenterjobs.anejabusinessgroup.com/ Perks and benefits https://callcenterjobs.anejabusinessgroup.com/
Posted 2 months ago
0.0 - 1.0 years
3 - 3 Lacs
Bangalore/Bengaluru
Work from Office
To contact the insured for Underwriting referred proposals to procure the complete medical history using Audio and/or Video tools. To Follow up with customer for past medical records and/or relevant health documents Maintain end to end TAT / SLAs. Required Candidate profile Location – Bangalore Candidate must know to speak Hindi & Malayalam. CTC – Upto 3.5 LPA.
Posted 2 months ago
20.0 - 25.0 years
20 - 25 Lacs
Hyderabad, Pune
Work from Office
As a leading financial services and healthcare technology company based on revenue, SSC is headquartered in Windsor, Connecticut, and has 27,000+ employees in 35 countries. Some 20,000 financial services and healthcare organizations, from the worlds largest companies to small and mid-market firms, rely on SSC for expertise, scale, and technology. DomaniRx is a newly formed organization focused on shaping the future of Pharmacy Benefit Management by delivering a cloud-native, API-driven claims adjudication platform. Our team is made up of engineers with varying levels of professional experience and backgrounds, from new graduates to 20-year veterans of the healthcare industry. We are looking for creative engineers and technologistsrelevant industry experience is important, but less so than your demonstrated abilities, passion and attitude. We re always improving and looking for individuals that enjoy being challenged and have a strong desire to make the engineering experience better for our users.
Posted 2 months ago
20.0 - 25.0 years
20 - 25 Lacs
Pune
Work from Office
As a leading financial services and healthcare technology company based on revenue, SSC is headquartered in Windsor, Connecticut, and has 27,000+ employees in 35 countries. Some 20,000 financial services and healthcare organizations, from the worlds largest companies to small and mid-market firms, rely on SSC for expertise, scale, and technology. DomaniRx is a newly formed organization focused on shaping the future of Pharmacy Benefit Management by delivering a cloud-native, API-driven claims adjudication platform. Our team is made up of engineers with varying levels of professional experience and backgrounds, from new graduates to 20-year veterans of the healthcare industry. We are looking for creative engineers and technologists: relevant industry experience is important, but less so than your demonstrated abilities, passion and attitude. We re always improving and looking for individuals that enjoy being challenged and have a strong desire to make the engineering experience better for our users. Unless explicitly requested or approached by SSC Technologies, Inc. or any of its affiliated companies, the company will not accept unsolicited resumes from headhunters, recruitment agencies, or fee-based recruitment services. SSC Technologies is an Equal Employment Opportunity employer and does not discriminate against any applicant for employment or employee on the basis of race, color, religious creed, gender, age, marital status, sexual orientation, national origin, disability, veteran status or any other classification protected by applicable discrimination laws.
Posted 2 months ago
0.0 - 1.0 years
2 - 4 Lacs
Pune
Work from Office
We are looking for Dynamic Candidate with good Communication Skill Roles and Responsibilities Greeting and welcoming passengers, and responding to questions. Checking in baggage. Making reservations. Selling airline tickets. Stocking aircraft with refreshments. Cleaning aircraft after flights. Assisting disabled passengers and those with small children. Providing information to passengers.
Posted 2 months ago
0.0 - 1.0 years
2 - 4 Lacs
Nagpur
Work from Office
We are looking for Dynamic Candidate with good Communication Skill Roles and Responsibilities Greeting and welcoming passengers, and responding to questions. Checking in baggage. Making reservations. Selling airline tickets. Stocking aircraft with refreshments. Cleaning aircraft after flights. Assisting disabled passengers and those with small children. Providing information to passengers.
Posted 2 months ago
0.0 - 1.0 years
2 - 4 Lacs
Aurangabad
Work from Office
We are looking for Dynamic Candidate with good Communication Skill Roles and Responsibilities Greeting and welcoming passengers, and responding to questions. Checking in baggage. Making reservations. Selling airline tickets. Stocking aircraft with refreshments. Cleaning aircraft after flights. Assisting disabled passengers and those with small children. Providing information to passengers.
Posted 2 months ago
0.0 - 1.0 years
2 - 4 Lacs
Kolkata
Work from Office
We are looking for Dynamic Candidate with good Communication Skill Roles and Responsibilities Greeting and welcoming passengers, and responding to questions. Checking in baggage. Making reservations. Selling airline tickets. Stocking aircraft with refreshments. Cleaning aircraft after flights. Assisting disabled passengers and those with small children. Providing information to passengers.
Posted 2 months ago
0.0 - 1.0 years
2 - 4 Lacs
Jorhat
Work from Office
Dear Candidate, We are looking for Dynamic Candidate with good Communication Skill Roles and Responsibilities Greeting and welcoming passengers, and responding to questions. Checking in baggage. Making reservations. Selling airline tickets. Stocking aircraft with refreshments. Cleaning aircraft after flights. Assisting disabled passengers and those with small children. Providing information to passengers.
Posted 2 months ago
0.0 - 1.0 years
2 - 4 Lacs
Kangra
Work from Office
Dear Candidate, We are looking for Dynamic Candidate with good Communication Skill Roles and Responsibilities Greeting and welcoming passengers, and responding to questions. Checking in baggage. Making reservations. Selling airline tickets. Stocking aircraft with refreshments. Cleaning aircraft after flights. Assisting disabled passengers and those with small children. Providing information to passengers.
Posted 2 months ago
4.0 - 8.0 years
3 - 7 Lacs
Guntur
Work from Office
Responsible for ensuring the nurse training and educational and educational programs of the hospital are in line with the hospitals mission, vision and values of the institution. Develops an environment of learning for nurses in the hospital; Facilitate adult learning in the hospital by planning, identifying the needs. Responsible for identifying the changes in the nursing practice using an evidence based approach and facilitating the initiation of, adoption of, and adaptation to change. Facilitates the new learning in implementation the same in nursing practice. Responsible for designing, creating and applying research by supporting the integration of research into practice and helping to develop staff members knowledge and skills in the research process, as well as fostering the use of systematic evaluative research with regard to clinical, educational data. Responsible for enhancing the clinical competence all across the hospital. Responsible for providing ongoing evaluation of the quality and effectiveness of the educational activities to ensure that they maintain and enhance professional development that promotes the delivery of cost-effective high quality healthcare. Collaborating with the others in the practices of nursing professional development at the institutional, local, regional, and state levels.
Posted 2 months ago
4.0 - 9.0 years
3 - 8 Lacs
Navi Mumbai, Mumbai (All Areas)
Work from Office
Service Experience Lead, Assurant-India(digital & non digital) This position is responsible for the delivery of exceptional customer service through claims review as per SLA. This position will be Work from the Office at our Mumbai, India location. What will be my duties and responsibilities in this job? • Adjudicate each claim with available details of defect & estimates. Collect, verify and analyze information obtained during the claims process used in settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures, • Ensure Service partners work as per agreed SLAs to meet service standards. • Create monthly claims reports • Claim cost reduction plans and actions. • Demonstrate flexibility, enthusiasm and strong learning agility in learning new products, systems and processes while maintaining high customer service and compliance standards. What are the requirements needed for this position? • Graduate in any stream • Min 5 years of experience of working in Service Operations.
Posted 2 months ago
1.0 - 3.0 years
1 - 3 Lacs
Thane
Work from Office
Key Responsibilities: - Installation and SetupAssist in the installation, setup, and configuration of medical devices at customer sites, ensuring proper integration and functionality. - Preventive MaintenancePerform routine maintenance tasks on medical devices according to manufacturer guidelines, including cleaning, calibration, and testing. - Troubleshooting and RepairsDiagnose technical issues with medical devices, identify root causes, and implement timely repairs to minimize downtime. - Quality AssuranceConduct inspections and quality checks on medical devices to verify compliance with regulatory standards and company specifications. - User TrainingProvide training and technical support to healthcare professionals on the proper use and maintenance of medical devices. - DocumentationMaintain accurate records of equipment maintenance, repairs, and service activities, ensuring compliance with regulatory requirements. - Customer SupportRespond to customer inquiries and service requests in a timely and professional manner, providing effective solutions and recommendations. - Should be open to travel when it is troubleshooting/handholding of devices Qualifications: - Associate degree or certification in biomedical equipment technology, electronics, or a related field. - Previous experience in medical device installation, maintenance, or repair is preferred. - Strong technical aptitude and problem-solving skills, with the ability to troubleshoot complex equipment issues. - Excellent communication and interpersonal skills, with the ability to interact effectively with customers and internal teams. - Detail-oriented approach with a commitment to quality assurance and customer satisfaction. - Ability to work independently and prioritize tasks in a dynamic and fast-paced environment This job opening was posted long time back. It may not be active. Nor was it removed by the recruiter. Please use your discretion.
Posted 2 months ago
3.0 - 6.0 years
5 - 8 Lacs
Bengaluru
Work from Office
Position Manager Qualification Any graduation Experience 10 years of BPO experience in US Healthcare domain Job Location Coimbatore, WFO Salary 10-12 Lakhs per annum
Posted 2 months ago
1.0 - 6.0 years
2 - 4 Lacs
Bangalore Rural, Bengaluru
Work from Office
Long Term Disability Claim Manager Role Overview: The LTD Claim Manager will manage an assigned caseload of Long-Term Disability cases. This includes management of claims with longer duration and evolving medical conditions. LTD Claim Managers will have meaningful and transparent conversations with their customers and clinical partners in order to gather the information that is most relevant to each claim. It also requires potentially complex benefit calculations on a monthly basis. The candidate will also evaluate customer eligibility and interact with internal and external customers including, but not limited to, customers, employers, physicians, internal business matrix partners and attorneys etc. to gather the information to make the decision on the claim. What You'll Do: Proactively manage your block of claims by regularly talking with and knowing your customers, their level of functioning, and having a command of case facts for each claim in your block Develop and document Strategic Case Plans that focus on the future direction of the claim using a holistic viewpoint Find customer eligibility by reviewing contractual language and medical documentation, interpret information and make decisions based on facts presented Leverage claim dashboard to manage claim inventory to find which claims to focus efforts on for maximum impact Have discussions with customers and employers regarding return to work opportunities and communicate with an action-oriented approach. Work directly with clients and Vocational Rehabilitation Counselors to facilitate return to work either on a full-time or modified duty basis Ask focused questions of internal resources (e.g. nurse, behavioral, doctor, vocational) and external resources (customer, employer, treating provider) in order to question discrepancies, close gaps and clarify inconsistencies Network with both customers and physicians to medically manage claims from initial medical requests to reviewing and evaluating ongoing medical information Execute on all client performance guarantees Respond to all communications within customer service protocols in a clear, concise and timely manner Make fair, accurate, timely, and quality claim decisions Adhere to standard timeframes for processing mail, tasks and outliers Support and promote all integration initiatives (including Family Medical Leave, Life Assistance Programs, Integrated Personal Health Team, Your Health First, Healthcare Connect, etc.) Clearly articulate claim decisions both verbally and in written communications Understand Corporate Compliance, Policies and Procedures and best practices Stay abreast of ongoing trainings associated with role and business unit objectives What You'll Bring: High School Diploma or GED required. Bachelor's degree strongly preferred. Long Term Disability Claims experience preferred. Experience in hospital administration, medical office management, financial services and/ or business operations is a (+) Comfortable talking with customers and having thorough phone conversations. Excellent organizational and time management skills. Strong critical thinker. Must be technically savvy with the ability to toggle between multiple applications and/ or computer monitors simultaneously. Ability to focus and excel at quality production Proficiency with MS Office applications is required (Word, Outlook, Excel). Strong written and verbal skills demonstrated in previous work experience. Specific experience with collaborative negotiations. Proven skills in positive and effective interaction with customers. Experience in effectively meeting/exceeding personal professional expectations and team goals. Must have the ability to work with a sense of urgency and be a self-starter with a customer focus mindset. Comfortable giving and receiving feedback. Flexible to change. Demonstrated analytical and math skills. Critical Competencies: Decision Quality Communicate Effectively Action Oriented Manages Ambiguity Customer Focus
Posted 2 months ago
2.0 - 5.0 years
3 - 7 Lacs
Gurugram
Work from Office
JLL empowers you to shape a brighter way . Our people at JLL and JLL Technologies are shaping the future of real estate for a better world by combining world class services, advisory and technology for our clients. We are committed to hiring the best, most talented people and empowering them to thrive, grow meaningful careers and to find a place where they belong. Whether you’ve got deep experience in commercial real estate, skilled trades or technology, or you’re looking to apply your relevant experience to a new industry, join our team as we help shape a brighter way forward. Senior Finance Analyst - Accounts Receivable Client Finance - JLL Business Service (Gurugram) What this job involves: Raise PO or request PO from client system (if included in SOW) Run E1 Funding report Raise funding to client and ensure all required supporting documentation attached Ensure invoices/credit notes are raised in accordance with client PO Request invoices/credit notes to be raised in PeopleSoft or for outsourcing provider Ensure invoices/credit notes sent to client in order with invoicing instructions (email, portal upload or hard copy delivery) Log invoice in JDE E1 Resolve any client queries in consultation with Client Finance Analyst Once funding received log receipts on relevant financial systems Follow up unallocated cash payments with clients / chase for remittances Perform AR Write Offs and Maintenance Prepare any relevant reportsAR ageing, invoice volumes, etc as requested by client teams Calculate and post aging provision to the GL and prepare provision report Support financial reporting and reconciliation process. Sound like youTo apply, you need to be: 3-6 years of experience Motivated, positive and flexible in approach to work. Proactive in identifying issues and potential solutions. Self – supporting; diligent. Ability to work methodically and efficiently. Process-driven approach to work. Ability to deliver to tight deadlines. Ability to learn quickly, and desire to develop. Customer ServiceCommitment to solve requests and problems. Excellent interpersonal, presentation and communication skills. Intermediate / Advanced PC skills, proficient in Office tools, such as Microsoft Outlook Word & Excel. Familiarity with JDE E1 financial is advantageous Location On-site –Gurugram, HR Scheduled Weekly Hours: 40 If this job description resonates with you, we encourage you to apply even if you don’t meet all of the requirements. We’re interested in getting to know you and what you bring to the table! JLL Privacy Notice Jones Lang LaSalle (JLL), together with its subsidiaries and affiliates, is a leading global provider of real estate and investment management services. We take our responsibility to protect the personal information provided to us seriously. Generally the personal information we collect from you are for the purposes of processing in connection with JLL’s recruitment process. We endeavour to keep your personal information secure with appropriate level of security and keep for as long as we need it for legitimate business or legal reasons. We will then delete it safely and securely. Candidate Privacy Statement . For candidates in the United States, please see a full copy of our Equal Employment Opportunity and Affirmative Action policy here. Jones Lang LaSalle (“JLL”) is an Equal Opportunity Employer and is committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation because of a disability for any part of the employment process – including the online application and/or overall selection process – you may contact us at Accommodation Requests . This email is only to request an accommodation. Please direct any other general recruiting inquiries to our Contact Us page I want to work for JLL.
Posted 2 months ago
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