2820 Claims Jobs - Page 18

Bureau is an all-in-one platform for identity decisioning, fraud prevention and compliance requirements. Trusted for enhancing security and compliance, Bureau simplifies identity management for businesses. This is a place where we celebrate homegrown leaders, and have an open-door policy where your voice matters, your ideas flourish, and your potential knows no bounds. We are driven to put our best foot forward everyday with confidence, growth, customer obsession and speed as our core values here at Bureau. Think of us as a launching pad for your growth. Come join us and help restore trust in online interactions! We re seeking a Payroll Associate who can bridge the worlds of people and finance. You ll be at the intersection of compliance, accuracy, and empathy, making sure our people across regions are paid right, on time, and with care. You ll interact with stakeholders across India and globally, ensuring Bureaus payroll processes are smooth, compliant, and transparent. This role is perfect for someone who s detail-obsessed, systems-driven, and energized by cross-functional collaboration. Payroll Processing Manage accurate and timely payroll through Razorpay and Rippling Maintain clean and up-to-date employee records (new joiners, exits, FTE conversions, attendance, LOPs, bonuses) Process and track monthly contractor invoices and ensure timely disbursements Payroll Compliance & Documentation Ensure compliance with PF, PT, TDS, and maintain up-to-date payroll documentation Support internal and external audits with clear, organized records Coordinate Form 16 generation and distribution annually Flexi Benefits & Tax Planning Maintain and update Sodexo, fuel, and driver reimbursements for tax-saving benefits Manage documentation of flexi-benefits and communicate changes clearly to employees Conduct employee knowledge sessions on tax savings and declarations Validate investment proofs (80C, 80D, etc.) and calculate income tax liabilities Employee Support & Onboarding Answer employee queries around salary slips, tax, reimbursements, and payroll breakdowns Explain payroll components and investment declarations during onboarding Assist with Full & Final settlements (FnF) Reimbursements & Claims Review and verify expense claims for compliance with company policy Maintain meticulous records and support audits People Analytics Maintain and share data dashboards for: People Cost Headcount Tracking Attrition & Turnover Trends What You ll Bring 1-3 years of payroll experience (bonus if you ve worked with global teams) Hands-on experience with Razorpay, Rippling , or similar platforms Deep understanding of Indian payroll regulations and tax exemptions Organized, detail-oriented, and discreet you handle sensitive data with integrity Excellent Excel/Google Sheets skills Clear communicator you simplify jargon for everyone Bonus: Experience in SaaS/fintech or fast-paced startup environments. Why should you choose us? Your growth is our responsibility. We emphasise on learning and development over material perks and are happier to nourish your mind. If theres a book, course, or program that enhances your work at Bureau, feel free to pursue it well take care of the financial aspect. We believe in flat structures While we do have designations and reporting managers, our structure fosters a lot more freedom. You can collaborate with anyone, explore job rotations, transition between different projects, and express your opinions openly to whomever you choose. Homegrown Leaders Our nurturing environment and specialized programs, like ElevateEngg, have led to success stories where even interns grow into impactful leadership roles over time. FAQs: What is our hiring process like? We start with a friendly chat to get to know each other and align goals. Then, we ll have 2-3 discussions where we ll dive into real-world examples to explore your skills. Finally, we ll make sure you re a great fit with our culture and values. How can I improve my chances of getting hired? Get to know Bureau s mission and what we re all about. Understand the role, and think about how your past work connects with it. Keep your resume simple, clear, and to the point (2 pages or less) to highlight your skills and experience. What is Bureau s approach to diversity and inclusion? We believe in a diverse and inclusive culture where everyone s voice matters. We focus on diverse referrals, inclusive hiring, and offer special leaves to support our team. Our goal is for everyone to feel valued and empowered to grow with us. What learning and growth opportunities can I expect at Bureau? At Bureau, we re all about growth. You ll have access to learning resources, mentorship, and exciting projects that help you level up in your career. We re committed to helping you grow and encourage continuous learning along the way.

About CoverSelf: We are an InsurTech start-up based out of Bangalore, with a focus on Healthcare. CoverSelf empowers healthcare insurance companies with a truly NEXT-GEN cloud-native, holistic & customizable platform preventing and adapting to the ever-evolving claims & payment inaccuracies. Reduce complexity and administrative costs with a uni ed healthcare dedicated platform. About the Role: We are looking for a skilled and proactive IT Support Engineer to join our growing IT team. As an IT Support Engineer, you will be responsible for providing technical support, troubleshooting issues, and assisting in the day-to-day operations of our IT infrastructure. The ideal candidate should have 2-4 years of experience in IT support, with a solid understanding of networking, hardware, software, and systems administration. Responsibilities: Provide first- and second-level technical support to end users, troubleshooting hardware, software, and network issues both onsite and remotely. Assist in maintenance of servers, desktops, laptops, and mobile devices, ensuring optimal performance. Support the configuration and maintenance of network devices (routers, switches, firewalls) and ensure secure and reliable connectivity. Aid in the rollout, installation, and configuration of new hardware and software applications, including updates and patches. Develop and maintain technical documentation and user guides. Conduct basic training sessions to help staff better utilize IT resources. Collaborate in IT projects such as system upgrades, infrastructure improvements, and technology rollouts. Provide timely updates and troubleshooting support. Track, prioritize, and resolve tickets using the organization s helpdesk system. Escalate issues as needed and follow up to ensure resolution. Support initiatives related to IT security, ensuring systems adhere to compliance and policy standards, and participate in routine system audits. Conduct periodic hardware and software audits and inventory management. Requirements: 2-4 years of experience in IT support, network administration, or a similar role. Solid understanding of operating systems (Windows, Linux, macOS) and network protocols. Experience with hardware troubleshooting and software installation. Knowledge of Active Directory, Office 365, and other enterprise IT solutions. Basic experience in server administration and virtualization technologies (VMware, Hyper-V). Familiarity with cloud services (AWS, Azure, Google Cloud) is a plus. Strong problem-solving skills and the ability to work independently. Excellent communication skills and a customer-focused approach. Ability to prioritize and manage multiple tasks effectively. Preferred Skills (Optional): Experience with IT service management (ITSM) tools (e.g.,JIRA Service Desk, ServiceNow,Freshworks etc). Exposure to virtualization technologies (e.g., VMware, Hyper-V) or cloud platforms (e.g., AWS, Azure). Knowledge of scripting or automation (e.g., PowerShell, Python) for routine tasks. Work Locatio n: Bangalore Work Mode: WFO Benefits: Best in the Industry Compensation, Friendly & Flexible Leave Policy, Health Benefits, Certifications & Courses Reimbursements, Chance to be part of rapidly growing start-up & the next success story, and many more. Additional Information: At CoverSelf, we are creating a global workplace that enables everyone to find their true potential, purpose, and passion irrespective of their background, gender, race, sexual orientation, religion and ethnicity. We are committed to providing equal opportunity for all and believe that diversity in the workplace creates a more vibrant, richer work environment that advances the goals of our employees, communities and the business.

India Operations team works on Debt Management / Collections, Account Receivables, Governance & IS Enablement, Warehouse & Logistics and Revenue Assurance. Debt Management / Collections Responsible for collection plan vs achievement, reducing balance sheet exposure, reducing gross debts & reducing DSO Claims Submissions Customer follow ups Dispute resolutions Reconciliations EFT allocations Updating RMS LD declarations Raising CNR Governance & IS Enablement Tools - RMS, LD, SOX Audits MIS, EFTs, DN, Prelegal Not Committed Debts Support HC Validation and Control Seat Optimization and Control Vendor Payment DLP incident closures Demand Notices Payment reminder requests Account Receivables LD PDD FTDS WCT C-Form GST Legal Revenue Assurance Timely invoicing/Billing to avoid the revenue leakage, on time billing which will enablerevenue recognition in same Quarter To Estimate quarterly revenue WBS wise with carry forward, Renewals, New Book and Bill To prepare Revenue dependency list related to pending Renewal PO, Project signoff, Resources deployment and Pending Billing and follow-up with Sales and PM's for its closure during the quarter. Ensure all the orders are uploaded in RR Portal & ensure all efforts are updated during month and quarter closure. Tracking >90 days reversals for T&M and AMC cases To track Project based billing and milestone Flash weekly report on Revenue, Billing and Unbilled Warehouse & Logistics Responsible for products operations to fulfil customer orders pan India Responsible for end user spares & enterprises spares support for annuity biz CIS Mandatory Skills: PMO. Experience: >10 YEARS.

Eurofins Assurance India Pvt Ltd is a leading certification body providing Audit & Certification , Inspections , and other services covering the broad spectrum of sustainable supply chain. Eurofins will help the customers to mitigate risks in their supply chain and to ensure the benchmarking performance with operations, processes, systems, people or capabilities. Whether you are in Food, Cosmetics, Consumer products or Health care sector, our global auditor and technical expert network will help to mitigate/eliminate your risks against supply chain and distribution flows: Regulatory and Industrial standards . We have accreditations for a number of different industry standards/memberships to ensure we service the entire supply chain. Pre-audit activities (preliminary assessment and information gathering, review of system plan/documents received, risk assessment (geographical risk and other risk) "¢ Sending audit plan "¢ Conducting Audit (announced, unannounced, semi-announced, follow up, additional) "¢ Create Audit Reports, photo report & record keeping of related documentation. "¢ NC follow up and review corrective actions and propose to decision maker for final decision. Executing audits (as per ISO 19011 requirements) and sampling Verification and review of documents Reporting audit results Conducting audit follow-up Maintaining good relation with the clients Responding to function-related requests from clients Internal coordination and coordinating with the clients Assistance with handling of claims & appeals Qualifications Graduate in Textile Technology/ Textile Manufacturing Minimum 5 years of experience in Textile or related industry Experience and knowledge of certification schemes would be an added advantage Experience and knowledge of auditing principles, practice and techniques would be an added advantage.

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. 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.

Your Role Working on varied range of projects ranging from process improvement, agile transformation, business consulting, digital transformation, product development, software implementation Act as a liaison between the business and the development team to ensure that the requirements are met and help the larger IT team (cross functional /cross skilled) to deliver solution that works for client Elicit requirements from varied stakeholder groups and precisely capture business problems, value drivers, and functional/non-functional requirements. Manage end to end business requirement sessions including running the workshops. Own end to end documentation of requirements including version control and required signoff from stakeholder groups Able to link technical solutions with business strategy when working with business partners. Assess and model processes, data flows, and technology to understand the current value and issues, and identify opportunities for improvement. Ensure traceability of requirements from business needs and requirements, through client demos, UAT and scope changes, to final solution. Interact with vendors, designers, architects, and developers to understand limitations, deliver elements of system design, and ensure that business requirements and use cases are handled. Create acceptance criteria and validate those solutions meet business needs through defining and coordinating testing. Create and present compelling business cases to justify solution value and establish approval, funding, and prioritization. Understand and stay abreast of relevant architectures and technologies related to a business area. Research potential solutions and innovative ideas. Guide and manage interactions with technology vendors. Lead stakeholder management activities including facilitation of large design sessions. Takes initiative for leadership roles. Supports the regional networks through leading activities, presenting topics, and coaching others. Your Profile 6 to 10 years of Experience on Digital Transformation / Process Consulting / Business Consulting / Business Analysis Masters degree in business administration Experience and knowledge of Insurance domain Property & Casualty/Life & Annuity Experience working with insurance clients for delivering solutions catering to business processes e.g. New Business/Policy Administration & Servicing/Billing & Collection/Claims/Distribution Management Understanding of emerging technologies like Cloud, AI, Blockchain and ability to identify relevant use cases for the business Good experience in working in AGILE methodologies. Excellent communication skills (written and verbal). Participation in RFP mapping and submission, Experience of working on GTM strategy, business development activities. Worked on tools like JIRA, Visio, PowerPoint, Excel and Word Critical Thinking & Decision Making Data Interpretation & Analytical skills Leadership in Cross functional team situation What you will love about working here We recognize the significance of flexible work arrangements to provide support. Be it remote work, or flexible work hours, you will get an environment to maintain healthy work life balance. At the heart of our mission is your career growth. Our array of career growth programs and diverse professions are crafted to support you in exploring a world of opportunities. Equip yourself with valuable certifications in the latest technologies such as Generative AI. Location: Mumbai, Pune, Bengaluru & Gurgaon

Key Responsibilities : Lead Generation & Sales: Proactively identify and engage potential members through various channels, including walk-ins, inbound inquiries, and outbound outreach Membership Sales & Conversions: Present and sell membership options, upsell additional services such as personal training, and close sales to meet or exceed monthly targets Customer Engagement & Retention: Provide personalized tours, address member inquiries, and ensure a welcoming environment to enhance member satisfaction and retention CRM Management: Utilize CRM tools to track leads, manage follow-ups, and update member records to maintain accurate and up-to-date information Community Outreach: Build relationships with local businesses, organizations, and influencers to drive group memberships and increase brand visibility Event Management: Organize and participate in events to engage the community and generate interest in membership offerings

Manage insurance policies and claims for the organization. Develop and implement insurance strategies to mitigate risks. Collaborate with insurance providers to negotiate terms and coverage. Monitor and analyze insurance performance and make improvements as needed. Provide training and support to staff on insurance policies and procedures. Prepare and present reports on insurance activities and outcomes to senior management. Ensure compliance with regulatory requirements and industry standards.

Manage insurance policies and claims for the organization. Develop and implement insurance strategies to mitigate risks. Collaborate with insurance providers to negotiate terms and coverage. Monitor and analyze insurance performance and make improvements as needed. Provide training and support to staff on insurance policies and procedures. Prepare and present reports on insurance activities and outcomes to senior management. Ensure compliance with regulatory requirements and industry standards.

Manage insurance policies and claims for the organization. Develop and implement insurance strategies to mitigate risks. Collaborate with insurance providers to negotiate terms and coverage. Monitor and analyze insurance performance and make improvements as needed. Provide training and support to staff on insurance policies and procedures. Prepare and present reports on insurance activities and outcomes to senior management. Ensure compliance with regulatory requirements and industry standards.

Manage insurance policies and claims for the organization. Develop and implement insurance strategies to mitigate risks. Collaborate with insurance providers to negotiate terms and coverage. Monitor and analyze insurance performance and make improvements as needed. Provide training and support to staff on insurance policies and procedures. Prepare and present reports on insurance activities and outcomes to senior management. Ensure compliance with regulatory requirements and industry standards.

Manage insurance policies and claims for the organization. Develop and implement insurance strategies to mitigate risks. Collaborate with insurance providers to negotiate terms and coverage. Monitor and analyze insurance performance and make improvements as needed. Provide training and support to staff on insurance policies and procedures. Prepare and present reports on insurance activities and outcomes to senior management. Ensure compliance with regulatory requirements and industry standards.

Role & responsibilities AS400 Synon Preferred candidate profile Need Experience with AS400 + Synon.

Capgemini Invent Capgemini Invent is the digital innovation, consulting and transformation brand of the Capgemini Group, a global business line that combines market leading expertise in strategy, technology, data science and creative design, to help CxOs envision and build whats next for their businesses. Your Role Working on varied range of projects ranging from process improvement, agile transformation, business consulting, digital transformation, product development, software implementation Act as a liaison between the business and the development team to ensure that the requirements are met and help the larger IT team (cross functional /cross skilled) to deliver solution that works for client Elicit requirements from varied stakeholder groups and precisely capture business problems, value drivers, and functional/non-functional requirements. Manage end to end business requirement sessions including running the workshops. Own end to end documentation of requirements including version control and required signoff from stakeholder groups Able to link technical solutions with business strategy when working with business partners. Assess and model processes, data flows, and technology to understand the current value and issues, and identify opportunities for improvement. Ensure traceability of requirements from business needs and requirements, through client demos, UAT and scope changes, to final solution. Interact with vendors, designers, architects, and developers to understand limitations, deliver elements of system design, and ensure that business requirements and use cases are handled. Create acceptance criteria and validate those solutions meet business needs through defining and coordinating testing. Create and present compelling business cases to justify solution value and establish approval, funding, and prioritization. Understand and stay abreast of relevant architectures and technologies related to a business area. Research potential solutions and innovative ideas. Guide and manage interactions with technology vendors. Lead stakeholder management activities including facilitation of large design sessions. Takes initiative for leadership roles. Supports the regional networks through leading activities, presenting topics, and coaching others. Your Profile 6 to 10 years of Experience on Digital Transformation / Process Consulting / Business Consulting / Business Analysis Masters degree in business administration Experience and knowledge of Insurance domain Property & Casualty/Life & Annuity Experience working with insurance clients for delivering solutions catering to business processes e.g. New Business/Policy Administration & Servicing/Billing & Collection/Claims/Distribution Management Understanding of emerging technologies like Cloud, AI, Blockchain and ability to identify relevant use cases for the business Good experience in working in AGILE methodologies. Excellent communication skills (written and verbal). Participation in RFP mapping and submission, Experience of working on GTM strategy, business development activities. Worked on tools like JIRA, Visio, PowerPoint, Excel and Word Critical Thinking & Decision Making Data Interpretation & Analytical skills Leadership in Cross functional team situation What you will love about working here We recognize the significance of flexible work arrangements to provide support. Be it remote work, or flexible work hours, you will get an environment to maintain healthy work life balance. At the heart of our mission is your career growth. Our array of career growth programs and diverse professions are crafted to support you in exploring a world of opportunities. Equip yourself with valuable certifications in the latest technologies such as Generative AI. About Capgemini 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 fueled 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.

TATA AIG General Insurance Company Limited is looking for Deputy Manager - Claims Special Investigation Unit to join our dynamic team and embark on a rewarding career journey Assist the Manager in the day-to-day operations of the business, including setting goals, developing strategies, and overseeing the work of team members Take on leadership responsibilities as needed, including managing team members and making decisions in the absence of the Manager Identify and address problems or challenges within the business, and develop and implement solutions Collaborate with other departments and teams to ensure smooth and efficient operations Maintain accurate records and documentation Contribute to the development and implementation of business plans and goals

Job Purpose JOB DESCRIPTION As a Therapy Business Manager you will be responsible for developing and implementing all sales strategies in the assigned market. Further you will drive primary and secondary sales, ensure brand presence in the assigned market and manage the distributor network to achieve desired sales/business objectives. Roles and Responsibilities in detail Business generation & development: Achieve monthly, quarterly, half yearly and yearly sales target by promoting company s product ethically to customers as per the business plan Having science-based discussion with doctors and chemists for promotion of product in clinic and at chemist place Organizing Camps (CME) as per the division strategy and customer needs To plan and conduct merchandising and sampling activity as per Division strategy. Facilitate the process of successful new product / products launch in the territory by undertaking correct identification and targeting customers for the new product, meet them at pre-determined intervals, effective in clinic / trade promotion and share feedback with the company Execute the customer management plan to ensure that all the customers are covered as per the plan and meet minimum KPIs as follows: a. 100% coverage of Doctors. b. Customer Call average as per the customer management plan of the division / therapy. c. Market intelligence collection, retailer level inventory management calls as per the product profile and marketing strategy of the therapy / division. Prescription audit for Abbott brands and other competitors brands To create and update customer list having specified number of doctors / chemist (Trade) as per the therapy / product requirement and maintain the same in physical / electronic format. Identifying potential town and appointing distributor and customers (trade) in line with business philosophy Brand Management: Ensuring the visibility of Abbott brands on retailers outlet as a part of brand promotion strategy To carry out activities across trade and clinics for brand visibility To plan and attend Retail meets, Market Blitz etc. for sales growth Generate POBs for Abbott brands as per the business plan Recommend appointment of a party as a distributor after evaluating its commercial standing, credit worthiness and personal assets. Ensure that stock and sales statements have been sent by the distributors on due dates Ensure that the claims of the distributors are settled by company within specified time limits You are manager of the company in your territory and will be authorized to build company s reputation in your territory. You will be responsible for practicing and leading other junior team members of the company by setting personal example of excellence in: 1. Lead and execute strict adherence to Abbott Code of Business conduct 2. Set examples on implementation of the code of business conduct, FCPA , Pharmacovigilance to ensure compliance 3. Conformation to all financial and administration systems, compliance to statutory and regulatory norms of the company and laws of the land 4. Demonstrate and promote professional behavior in line with Abbott Values of Pioneering, Achieving, Caring and Enduring 5. Ensure high level of customer service and manage any difficult customer situations. 6. Ensure compliance with internal and external guidelines and ensure minimal comments in audits and other inspections 7. Ensure transactions and orders are processed with a high level of accuracy and commitment in order to satisfy customer needs 8. Manage attrition of customer and resource bases 9. Division and business strategy will be shared with you on time to time base which you will have to execute to the fullest 10. To attend and participate in Strategy meetings, briefing sessions, doctors meets, workshops, training programmes and any other programmes undertaken by the company to equip you or activities for performance of your job or promote the sales of product of the company or to improve company image. 11. Ensure adherence to EHS policies, procedures, rules and regulations. Attend all required EHS trainings as applicable. Wear safety gears (e.g. Helmet) while riding on two-wheeler. Report any EHS incidents and/or near misses (unsafe acts and conditions) promptly to supervision. Forward any opportunities to improve the EHS program to supervision. LOCATION: India > Kolkata : Mediasiti Building t

Job Family : EBO Accounts Receivable (India) Travel Required : None Clearance Required : None What You Will Do : Initiate calls requesting status of claims in queue. Contact insurance companies for further explanation of denials and underpayments Take appropriate action on claims to guarantee resolution. Ensure accurate and timely follow-up where required. Document actions taken in claims billing summary notes To prioritize the pending claims for calling from the aging basket to make a physical call by following the international norms and applicable rules for confidentiality and HIPAA compliance. Responsible for working on Denials, Rejections, LOAs to accounts, making required corrections to claims. Shall understand and abide by the organizations information security policy and protect the confidentiality, integrity, and availability of all information assets. Shall report incidents related to security of information to concerned authorities. What You Will Need : 1+ Years of experience in AR Calling Denial Management Expert in listening and resolving problems Expert to work in a team Good communication skills (written and verbal) Willing to work in flexible shift including night. Excellent communication Graduation & Above ( With No Standing Backlogs ) What Would Be Nice To Have : Proficient in delivering high quality result Ability to work accurately and parry detail attention Capable of grasping new concepts quickly What We Offer : Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace. About Guidehouse Guidehouse is an Equal Opportunity Employer Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation. Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco. If you have visited our website for information about employment opportunities, or to apply for . All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation. All communication regarding recruitment for . Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process. If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse s Ethics Hotline. . Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant s dealings with unauthorized third parties.

Guidewire Claim Centre Developer 1) Develop and maintain GOSU language application code within Guidewire Claim Center application. 2) Plan, design, develop, modify, debug and evaluate moderately complex software for functional areas. 3) Analyze existing software or work to formulate logic for moderately complex new systems. Understand the interface requirements and configuration architecture. 4) Create Design Document for the integration. 5) Configure the application points as per specification using Guidewire or J2EE components Perform code review, and shake down test and deliver Work in Agile environments 6) Ability to work on Guidewire Plug-ins, Messaging, API 7) Strong capabilities in relational databases, message queues, and batch systems 1) 2+ years of development experience in Guidewire Claims Center and ability with Java programming. 2) 3+ years of experience with the design, development, modification and deployment of software, including object-oriented programming concepts. 3) Configure screen layouts including creation of new screens (PCFs). 4) Good working knowledge of Guidewire Configuration (Mandatory) and Integration work areas. 5) Expertise in configuring and developing several areas of Claim Center (Policy Transactions/Job Configuration Experience implementing multiple Personal LOBs Product Modeling, Quoting, Rating Management, Forms Management, Policy Revisioning, UW Authority, Account Management, Batch Framework and Policy Center Administration). 6) Experience in configuring operational and administration related parameters such as roles and permissions. 7) Experience working within a development team using Agile methodology to deliver User stories.- Prior experience performing minor and major Guidewire software upgrades. 8) Guidewire Policy Center Implementation Maintenance Support project experience. 9) Experience in Personal lines of Insurance business: General Liability or Professional Liability will be a plus.

TITLE OF ROLE : Supervisor (M1) DEPARTMENT : Customer Master REPORTS TO (ROLE & NAME) : Customer Master Manager LOCATION : Chennai, India Main purpose of the role/Position Summary : The Customer Master Supervisor is in charge of overseeing daily duties of the Customer Master team in India, leading staff to perform all the steps necessary to support business divisions by creating, managing and maintaining an accurate record of our global customer database. This is a key leadership role with management duties that must be carried out in a timely and effective manner, and includes collaborating with various departments, including sales, customer service, logistics, and finance, to ensure a seamless order-to-cash process. You will play a critical role in maintaining customer satisfaction, business division support, trade and revenue compliance and contributing to Trimble s overall success. The Supervisor serves as a point of contact for issue escalation internally and externally. Leadership is an essential function of this role providing motivation, positive reinforcement, guidance, discipline, training and energy for the team to grow and develop from. Your top priorities are an improved customer experience, ensuring all compliance requirements are upheld, and encouraging a successful and efficient team atmosphere to set Trimble up for the highest level of success possible. Job Responsibilities : Customer Data Management : Manage the creation, maintenance, and accuracy of customer master records in our database. This includes orchestrating training of team members on how to capture and revise relevant information such as contact details, billing and shipping addresses, and other pertinent data to ensure information is up-to-date. Data Validation: Identify and rectify discrepancies, inconsistencies or duplications in the system. Cross-Functional Collaboration: Work with cross-functional teams, including sales, marketing, finance, and customer service to gather and validate customer information. Communicate and interact both professionally and effectively to resolve data-related issues and provide support when required. Compliance : Expert understanding of company policies and procedures, as well as localization requirements when applicable, related to customer data and data privacy. Escalation Point of Contact : Help guide team members with unresolved or complex cases. Escalate to manager as needed. Continuous Improvement : Responsible for identifying and initiating process improvements & changes for recurring process inefficiencies, ongoing improvements in existing data validation processes, customer service and operational processes. Customer Satisfaction : Strive to meet or exceed customer satisfaction targets by addressing concerns promptly, demonstrating empathy, and contributing to a positive overall customer experience. Complex Merge Cases: Analyze & make decisions about whether or not to merge accounts in complex situations. Work to get appropriate approvals and process the merges when appropriate, or present to stakeholders alternative solutions so there is a positive outcome for the customer. System Enhancements: Actively participate in system enhancement projects and initiatives related to customer master data management, including development discussions/sessions, testing and providing feedback as necessary. Employee discipline and conflict management: For direct reports, and to assist other supervisors Performance review and guidance: For direct reports, and to assist other supervisors Expanding knowledge-base: Learn more about the entire processes at mid-levels and self-preparation to move to the next level Leadership & Mentorship : Foster a positive and collaborative teamwork environment by offering constructive feedback to enhance team member s skills and encouraging open communication. Training : Develop and conduct training programs for the Customer Master team to ensure they are up-to-date with compliance requirements, process changes, and industry best practices. Reporting: Help management with regular reporting. Flag reporting inefficiencies or inaccuracies and recommend improvements. Quality Assurance Audits : Perform team audit quality checks on cases to minimize errors and ensure adherence to company policies and procedures. Qualifications & Experience : Graduated/Degree desirable Should have 2 3 years of experience in process handling and people management. Outstanding leadership and organizational abilities Excellent interpersonal and communication skills Graduated/Degree required (or equivalent work experience) Experience (5+ years) in process handling, accounting, order administration, sales support Experience (2+ years) in people management Outstanding leadership & organizational abilities Excellent interpersonal and communication skills, both written and verbal, to interact effectively with customers and internal teams while conveying a positive, service-oriented attitude Adaptable and open to change, with a continuous improvement mindset. High-level knowledge of policy compliance to coach, reinforce and develop the team on these rules. Ability to work in a fast-paced stressful environment, prioritize tasks, and meet deadlines. Problem-solving and critical-thinking abilities to resolve order-related issues effectively. Experience with a top-tier Enterprise resource planning (ERP) system a plus. Familiarity with Salesforce CRM systems and other relevant software applications expected. Experience with Google Chrome, Gmail, Google Apps, Microsoft Office/Suite, Data Load a plus. Relationships required to build within this role : INTERNAL : Sales Managers Sales Operations Customer Support Teams Order Management Teams Credit & Collections Compliance Teams Business/Division/Sector Representatives Project Managers Tax Professionals Legal Professionals Customer Claims Marketing Internal Audit Professionals Business Intelligence (BI) Team Data Governance Committee EXTERNAL : Customers/Resellers Contracted Consultant Companies General abilities and skills expected to be learned and mastered in this role: Responsible for leading the team to uphold service level agreements with internal customers Expert comprehension and understanding of the complexity of how customer master data is entered, maintained and used throughout Trimble. Expert in Salesforce, Oracle and other supportive systems Learn professional negotiation, education and enforcement of compliance rules directly with customers, business divisions and sales people Practice healthy decision making in high-pressure situations Excellent command of and adherence to trade compliance and revenue recognition compliance Expert understanding of Trimble s iterative testing process Excellent customer service skills Excellent training skills, from planning to orchestration to audit and re-direction of team members Improved leadership skills Should be able to demonstrate your eligibility for promotion to a higher manager level role based on excellent performance and proven leadership

Welcome to Veradigm! Our Mission is to be the most trusted provider of innovative solutions that empower all stakeholders across the healthcare continuum to deliver world-class outcomes. Our Vision is a Connected Community of Health that spans continents and borders. With the largest community of clients in healthcare, Veradigm is able to deliver an integrated platform of clinical, financial, connectivity and information solutions to facilitate enhanced collaboration and exchange of critical patient information. Veradigm Welcome to Veradigm! Our Mission is to be the most trusted provider of innovative solutions that empower all stakeholders across the healthcare continuum to deliver world-class outcomes. Our Vision is a Connected Community of Health that spans continents and borders. With the largest community of clients in healthcare, Veradigm is able to deliver an integrated platform of clinical, financial, connectivity and information solutions to facilitate enhanced collaboration and exchange of critical patient information. For more information, please explore Veradigm.com . What will your job look like: This position reports to the Claims Manager and is responsible for the daily preparation of electronic claims processing, manual claim form processing, electronic transmission error corrections, patient statement processing, new client electronic claims enrollment authorization, client software training. Main Duties: Daily transmission of electronic claims, either direct to the payer or via the clearinghouse. Processing of HCFA 1500 claims forms. Responsible for the setup of payor EDI numbers into PCN. Enrollment of new clients to allow electronic data interchange/claims submission. The following is a list of current payers who require the client to submit an application and receive authorization prior to sending electronic claims. (Medicare, Medi-cal, Blue Cross, Blue Shield, Champus, Medicare RR and DMERC). Transmission of patient statement files twice monthly on alternating Tuesdays. Returned mail correction. Patient receives one call requesting an updated mailing address. If the patient does not respond than the balance is either adjusted off or transferred to a collection agency. Client specific small balance minimum policies reside within the policies and procedures folder on the shared drive. Achieve goals set forth by supervisor regarding error-free work, transactions, processes and compliance requirements. Other duties as assigned. **Essential functions may include: Performs initial review of database after wizard HL7 automation is complete Collaboration with RCMS team to trouble shoot system configuration issues Handles system dictionary table modifications and documentation Monitor BAM daily exceptions Address updates to registration based on USPS exceptions that do not update electronically Process paper claims supporting the onboard monitoring and tracking of progress Acts as a liaison between teams to ensure timely implementation on activation date Ensures SharePoint PF Onboarding tasks are updated daily Identified and reports risks to project Must be highly organized and self-motivated Strong critical thinking skills Apply logic to technical claim problems Proficient in excel and Microsoft products Prior experience on Allscripts PM is a plus Strong communication skills Clearinghouse experience preferred Academic Qualifications: High School Diploma or GED (Required) An Ideal Candidate will have: 1+ year relevant work experience (Preferred) Technical: Extensive knowledge on use of email, search engine, Internet; ability to effectively use payer websites and Laserfiche; knowledge and use of Microsoft Products: Outlook, Word, Excel. Preferred experience with various billing systems, such as NextGen, Pro and Allscripts. Personal: Strong written, oral, and interpersonal communication skills; Ability to present ideas in business-friendly and user-friendly language; Highly self-motivated, self-directed, and attentive to detail; team-oriented, collaborative; ability to effectively prioritize and execute tasks in a high-pressure environment. Communication: Ability to read, analyze and interpret complex documents. Ability to respond effectively to sensitive inquiries or complaints from employees and clients. Ability to speak clearly and to make effective and persuasive arguments and presentations. Math & Reasoning: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to use critical thinking skills to apply principles of logic and analytical thinking to practical problems. Work Arrangements: Work from Pune Office (US Shift) Benefits Veradigm believes in empowering our associates with the tools and flexibility to bring the best version of themselves to work. Through our generous benefits package with an emphasis on work/life balance, we give our employees the opportunity to allow their careers to flourish. Quarterly Company-Wide Recharge Days Flexible Work Environment (Remote/Hybrid Options) Peer-based incentive Cheer awards All in to Win bonus Program Tuition Reimbursement Program To know more about the benefits and culture at Veradigm, please visit the links mentioned below: - https: / / veradigm.com / about-veradigm / careers / benefits / https: / / veradigm.com / about-veradigm / careers / culture / Veradigm is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse and inclusive workforce. Thank you for reviewing this opportunity! 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Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Associate Manager Qualifications: Any Graduation Years of Experience: 10 to 14 years About Accenture Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. Visit us at www.accenture.com What would you do "As a Travel Claims Team Manager, you will be responsible for managing a team of Travel Claims adjusters, this might also involve investigating, evaluating, and processing travel insurance claims. Your role will involve assessing the validity of claims, ensuring timely and accurate resolution, and providing outstanding customer service throughout the process.Review and process travel insurance claims, including medical, trip cancellation, and baggage loss claims. Investigate claims by gathering and analyzing relevant information and documentation. Communicate with policyholders, healthcare providers, and other stakeholders to obtain necessary information. Evaluate claims to determine coverage, validity, and appropriate compensation. Resolve disputes and provide clear explanations of claim decisions to policyholders. Maintain accurate and detailed records of claim activities and decisions. Stay updated on industry trends, regulations, and best practices.Review and process travel insurance claims, including medical, trip cancellation, and baggage loss claims. Investigate claims by gathering and analyzing relevant information and documentation. Communicate with policyholders, healthcare providers, and other stakeholders to obtain necessary information. Evaluate claims to determine coverage, validity, and appropriate compensation. Resolve disputes and provide clear explanations of claim decisions to policyholders. Maintain accurate and detailed records of claim activities and decisions. Stay updated on industry trends, regulations, and best practices." What are we looking for " - Bachelors degree in Business, Insurance, or related field preferred. Proven minimum 7 years of experience in claims adjusting or a similar role, ideally within the travel insurance sector. Strong analytical skills and attention to detail. Excellent communication and interpersonal skills. Ability to handle multiple claims simultaneously in a fast-paced environment. Proficiency in claims management software and Microsoft Office Suite. Bachelors degree in Business, Insurance, or related field preferred. Proven minimum 7 years of experience in claims adjusting or a similar role, ideally within the travel insurance sector. Strong analytical skills and attention to detail. Excellent communication and interpersonal skills. Ability to handle multiple claims simultaneously in a fast-paced environment. Proficiency in claims management software and Microsoft Office Suite." Roles and Responsibilities: "In this role you are required to do analysis and solving of moderately complex problems Typically creates new solutions, leveraging and, where needed, adapting existing methods and procedures The person requires understanding of the strategic direction set by senior management as it relates to team goals Primary upward interaction is with direct supervisor or team leads Generally interacts with peers and/or management levels at a client and/or within Accenture The person should require minimal guidance when determining methods and procedures on new assignments Decisions often impact the team in which they reside and occasionally impact other teams Individual would manage medium-small sized teams and/or work efforts (if in an individual contributor role) at a client or within Accenture Please note that this role may require you to work in rotational shifts" Qualification Any Graduation

Skill required: Supply Chain - Warranty Management Designation: Business Advisory Associate Qualifications: BTech/Diploma in Automobile Years of Experience: 1 to 3 years About Accenture Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. Visit us at www.accenture.com What would you do Operational Responsibilities Implement initiatives to enhance operational efficiency. Investigate warranty claims, coordinate recovery efforts, and allocate appropriate responsibilities. Prepare and review monthly reports. Execute and analyse data queries. Verify and assess warranty claims utilizing external resources such as dealer portals, parts catalogs, and sales information. Maintain thorough documentation and provide detailed commentary. Demonstrate strong teamwork and collaboration skills.You will be a part of Supply Chain Management team where in you will be accountable to manage the Supply Chain and provide insights which will help in increasing efficiency by doing away with waste and facilitating greater profits. It also involves management of the flow of goods and services and including all processes that transform raw materials into final products.Define warranty offerings; run outsourced after-sales warranty support and entitlement programs; evaluate customer feedback and planned versus actual costs of warranty coverage; use warranty data analytics to reduce cost and improve product quality; increase recoveries from suppliers and design and deploy warranty solutions. What are we looking for Required skills:Interpersonal skills to deal with suppliers, warranty engineers, etc Data processing accuracy, detail oriented, and ability to evaluate/research a warranty claim Expert level capability in use of desktop software (MS Office Suite, with focus on Excel) Organized, timely, pro-active and highly productive Strong written communication in English Attention to detail and ability to multi-task BE Mechanical/Automobile with 1 - 3 years of relevant experience Preferred:Experience in Warranty Experience with suppliers and strategic sourcing Required skills:Interpersonal skills to deal with suppliers, warranty engineers, etc Data processing accuracy, detail oriented, and ability to evaluate/research a warranty claim Expert level capability in use of desktop software (MS Office Suite, with focus on Excel) Organized, timely, pro-active and highly productive Strong written communication in English Attention to detail and ability to multi-task BE Mechanical/Automobile with 1 - 3 years of relevant experience Preferred:Experience in Warranty Experience with suppliers and strategic sourcing Roles and Responsibilities: In this role you are required to solve routine problems, largely through precedent and referral to general guidelines Your expected interactions are within your own team and direct supervisor You will be provided detailed to moderate level of instruction on daily work tasks and detailed instruction on new assignments The decisions that you make would impact your own work You will be an individual contributor as a part of a team, with a predetermined, focused scope of work Please note that this role may require you to work in rotational shifts Qualification BTech,Diploma in Automobile

Skill required: Supply Chain - Warranty Management Designation: Business Advisory Associate Qualifications: BTech/Any Graduation Years of Experience: 1 to 3 years About Accenture Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. Visit us at www.accenture.com What would you do Manage planning, procurement, distribution and aftermarket service supply chain operations, helping clients realize $5 for every $1 spent on our servicesYou will be a part of Supply Chain Management team where in you will be accountable to manage the Supply Chain and provide insights which will help in increasing efficiency by doing away with waste and facilitating greater profits. It also involves management of the flow of goods and services and including all processes that transform raw materials into final products.Define warranty offerings; run outsourced after-sales warranty support and entitlement programs; evaluate customer feedback and planned versus actual costs of warranty coverage; use warranty data analytics to reduce cost and improve product quality; increase recoveries from suppliers and design and deploy warranty solutions. What are we looking for mplement practices to improve operational efficiencies Investigate warranty claims, facilitate recovery, and assign appropriate responsibilities Conduct and review monthly reporting Running queries Verification and analysis of warranty claims based on available external resources (e.g.Dealer portal, parts catalogs, sales information) Documenting and adding comments Interpersonal skills to deal with suppliers, warranty engineers, etc Data processing accuracy, detail oriented, and ability to evaluate/research a warranty claim Expert level capability in use of desktop software (MS Office Suite, with focus on Excel) Organized, timely, pro-active and highly productive Strong written communication in English Attention to detail and ability to multi-task BE Mechanical/Automobile Roles and Responsibilities: In this role you are required to solve routine problems, largely through precedent and referral to general guidelines Your expected interactions are within your own team and direct supervisor You will be provided detailed to moderate level of instruction on daily work tasks and detailed instruction on new assignments The decisions that you make would impact your own work You will be an individual contributor as a part of a team, with a predetermined, focused scope of work Please note that this role may require you to work in rotational shifts Qualification BTech,Any Graduation

Skill required: Supply Chain - Automotive Supply Chain Designation: Business Advisory Associate Qualifications: BE/Diploma in Automobile Years of Experience: 1 to 3 years About Accenture Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. Visit us at www.accenture.com What would you do To maintain quality and service standards of the Warranty Claims processing team in support of the contracted Service Level AgreementInvestigate and Verify warranty claims based on available external support resources (Parts catalog, Dealer Assist & Standard labor time) & take appropriate decisionImplement practices to improve operational efficienciesTo maintain quality and service standards of the Warranty Claims processing team in support of the contracted Service Level AgreementInvestigate and Verify warranty claims based on available external support resources (Parts catalog, Dealer Assist & Standard labor time) & take appropriate decisionImplement practices to improve operational efficiencies What are we looking for BE Automobile Graduate/Diploma with or without Automotive experienceBE Mechanical Graduate/Diploma with Automotive experienceExperience in WarrantyExperience with Auto componentsInterpersonal skills to deal with dealers, warranty engineers, etcData processing accuracy, detail oriented, and ability to evaluate/research a warranty claimExpert level capability in use of desktop software (MS Office Suite, with focus on Excel)Organized, timely, pro-active and highly productiveStrong written communication in EnglishAttention to detail and ability to multi-taskExperience in Warranty /Auto Dealership Roles and Responsibilities: Investigate and Verify warranty claims based on available external support resources (Parts catalog, Dealer Assist & Standard labor time) & take appropriate decision Qualification BE,Diploma in Automobile

Skill required: Reinsurance - Collections Processing Designation: Claims Management Senior Analyst Qualifications: Any Graduation Years of Experience: 7 to 11 years Language - Ability: English(International) - Intermediate About Accenture Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. Visit us at www.accenture.com What would you do You will be aligned with our Risk and Compliance vertical and help us perform compliance reviews, publish reports with actions and provide closure guidance as needed. We design & recommend effective controls to mitigate risks and help service delivery team prepare for upcoming client / external audits.You will be working as a part of the Risk & compliance team which is responsible for helping clients and organizations identify risks and create mitigation plans.The Operational Audit & Compliance team focuses on auditing and managing effective implementation and delivery of functional processes within operations to mitigate risks. The role may require for you to have a good understanding of anti-corruption, BCM and infosec policies, records management and contractor controls. The team is responsible for establishing processes to validate the effectiveness and drive improvements wherever required. What are we looking for We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating model that can meet the unique needs of each market segment.Canceling and rewriting insurance policies and endorsementsManage OTC collection/disputes such as debt collection, reporting on aged debt, dunning process, bad debt provisioning etc. Perform Cash Reconciliations and follow up for missing remittances, prepare refund package with accuracy and supply to clients, record all collections activities in a consistent manner as per client process (tool), delivery of process requirements to achieve key performance targets, ensure compliance to internal controls, standards, and regulations (Restricted countries) Roles and Responsibilities: In this role you are required to do analysis and solving of moderately complex problems May create new solutions, leveraging and, where needed, adapting existing methods and procedures The person would require understanding of the strategic direction set by senior management as it relates to team goals Primary upward interaction is with direct supervisor May interact with peers and/or management levels at a client and/or within Accenture Guidance would be provided when determining methods and procedures on new assignments Decisions made by you will often impact the team in which they reside Individual would manage small teams and/or work efforts (if in an individual contributor role) at a client or within Accenture Please note that this role may require you to work in rotational shifts Qualification Any Graduation