7640 Claims Jobs - Page 2

Role Profile: Configuration Specialist Location: Remote Department : OHI Practice Position Summary: The Configuration Specialist will be responsible for the detailed configuration of the Oracle Health Insurance (OHI) platform, ensuring that the solution meets business and architectural requirements. Working as part of a team led by the Lead Configuration Specialist, the Configuration Specialist will focus on configuring modules such as authorizations, claims, policy, and master data. The role also involves collaborating with the Business Analyst, Solution Architect, and QA team, supporting UAT efforts by providing OHI product knowledge and assisting with validation activities. Key Responsibi...

Execution Analyze the customer segmentation, sales trends in terms of demographics, geography, characteristics etc. to assess the potential for business Conduct trainings at the branch for all banking partners around regulatory guidelines and products. Plan for activation of branches through R&R activities to increase the penetration in active branches to realize full potential of the bank partner in the given geography Relationship Management Drive the campaign/contest for the Partner Bank to drive sales in profitable segments. Assist banking partners in pitching product to crucial customers & driving sales closure for the same. Identify cross sell opportunities for existing customers New A...

Customer Support Executive Job Name: Customer Support Executive Job Role: Customer Support IndustryBPO/ KPO/ SoftwareProcessNon-Voice - Voice Job LocationUdaipur (Rajasthan) ExperienceFresher - 8 year Skills: Customer Support, Client Handling SalaryBest In the industry EducationAny Graduate Job Summary: Understand the basic professional standards and established procedures, policies before taking action and making decisions. Processing claims/developing projects/handling calls, as per the process guidelines. Handling inbound communication via various means in a professional manner. Resolving customer inquiries and requests and ensuring strong customer satisfaction. About The Role : identifyi...

Technical Solutions Cons II This role has been designed as Onsite with an expectation that you will primarily work from an HPE office. Aruba is an HPE Company, and a leading provider of next-generation network access solutions for the mobile enterprise. Helping some of the largest companies in the world modernize their networks to meet the demands of a digital future, Aruba is redefining the Intelligent Edge - and creating new customer experiences across intelligent spaces and digital workspaces. Join us redefine what s next for you. Job Family Definition: Customer Solution Centers are made up of teams that provide remote (offsite) service; customer access, pre-sales, post-sales, and service...

About Company About RPG Enterprises: Mumbai head-quartered RPG Enterprises is one of Indias largest industrial conglomerates. With over 15 companies in its fold, the group has a strong presence across core business sectors such as Infrastructure, Tyres, IT, Healthcare, Energy and Plantation to name a few. Established in 1979, RPG Enterprises is one of India s fastest growing business groups with a turnover of $4 billion. About KEC International: KEC International Limited, headquartered in Mumbai, India, is the flagship company of the RPG Group. A USD 2.1 billion Engineering, Procurement, and Construction (EPC) major, we deliver projects in key infrastructure sectors such as Power Transmissio...

Customer Support Executive Job Name: Customer Support Executive Job Role: Customer Support Industry:BPO/ KPO/ SoftwareProcess:Non-Voice - Voice Job Location:Udaipur (Rajasthan) Experience:Fresher - 8 yearSkills:Customer Support, Client Handling Salary:Best In the industry Education:Any Graduate Job Summary: Understand the basic professional standards and established procedures, policies before taking action and making decisions. Processing claims/developing projects/handling calls, as per the process guidelines. Handling inbound communication via various means in a professional manner. Resolving customer inquiries and requests and ensuring strong customer satisfaction. About The Role :: iden...

Job description Position: Claims Officer Transcom is Hiring! Health Insurance claims Executive (Day Shift Premium Process)Are you passionate about helping people protect their health and future? *Role & responsibilities Role: As a Claims Officer, you will be responsible for the processing and servicing of escalated health insurance claims. Your primary purpose is to coordinate with various stakeholders and meet customers' needs by ensuring timely, appropriate claim settlements. You must be dedicated to improving customer experience through effective problem-solving, acting as a bridge between the customer, and the insurer Key Responsibilities: Act as a Claims Guide: End-to-end management of ...

WE HAVE AN URGENT REQUIREMENT OF AR CALLERS & AR FOLLOW UP CANDIDATES #AR follow-up with insurance companies & patients. #To follow up on claims assigned. #To Complete EDI rejections #End to End RCM Knowledge #Good knowledge of modifiers & softwares Required Candidate profile #EXPERIENCE : 01 TO 06 YEARS IN AR CALLING & FOLLOW UP US HEALTHCARE RCM #NIGHT SHIFTS #SALARY : 2.50 LPA TO 6.00 LPA + INCENTIVES #CALL/WATSAPP : PRAYAG : 9911985567 #vrtalenthunters6210@gmail.com Perks and benefits #best Salary & Incentives Plans Virtual Interviews

Role Overview: As a QNXT Configuration and SI professional, your role involves analyzing and understanding requirements, designing, developing, unit testing, and documenting test results for Facets/FACETS interfaces development tasks. You must have exposure to QNXT data model, QNXT core batches, SQL, and .Net skills. Your hands-on experience in QNXT claims and Enrolment will be crucial for this role. Additionally, you will be responsible for QNXT system implementation, including analyzing requirements, designing, developing, unit testing, and documenting test results for QNXT interfaces and reports development tasks. Effective coordination and communication with onsite teams will be essentia...

As an experienced professional in US Healthcare, you will be responsible for handling claims and configuration tasks with precision. Your role will involve enrolling, designing, and implementing customer-specific solutions during coding. Additionally, you will play a vital part in reinstating medical codes and managing the addition and deletion of codes on a regular basis. Your expertise in identifying gaps between external expectations and system limitations will be crucial in suggesting configuration improvements. Moreover, writing SQL queries and conducting data validation to identify test cases will also be part of your responsibilities. Key Responsibilities: - Utilize expertise in US He...

We are looking for Team Leader in Non - Medical Allied department with atleast 12 months of Team Lead Experience Required Candidate profile The Candidate should have at least 1 year experience as a Team Leader Job role in Non- Medical Allied department. Work Location Hyderabad

Qualification & Experience 8 + years of experience in BA roles, with insurance domain expertise. Experience leading workshops and client location experience preferred Strong experience in requirements engineering and agile delivery. Skilled in process modeling, stakeholder mgmt, and discovery facilitation Exposure to one or more core insurance domain areas such as Policy Administration, Product & Onboarding, Technical Accounting & Payments, Output Management, Risk Rating, Finance/Pricing, Claims, First Notice of Loss (FNOL), and Recoveries. Knowledge of ABS, BMP, Guidewire, or equivalent platforms. Skilled in Jira, Confluence, Visio, BPMN. IIBA CBAP or equivalent certification desirable. 850...

You execute the regulatory affairs strategy for your respective category or categories and geographical area using your technical and regulatory knowledge. You ensure our policies, regulatory programs and requirements of our portfolio carried out. How you will contribute You will deliver on the regulatory affairs strategy and compliance agenda and work with cross-functional stakeholders to assess regulatory business risks and opportunities. You will provide regulatory affairs expertise for technical regulatory developments and help in responses to challenges and crisis management. In this role, you will ensure that ingredients, product composition, claims and labelling compliance are within ...

Position will be responsible for service delivery management and transformation of Customer Service & Sales Support function from BBS MOH; individual will be leading a team engaged in service delivery of Customer Service & Sales Support, Controls adherence and period end closing & reporting for different regions within BEMEA/BAS/BNA. Identify improvement / automation opportunities within existing process and drive improvement initiatives towards digitalization of Customer Service & Sales Support function. An ideal candidate is a proactive, deadline driven task manager with an eye for process improvement. You are motivated by making an impact on your workplace and thrive on recognizing a chal...

You execute the regulatory affairs strategy for your respective category or categories and geographical area using your technical and regulatory knowledge. You ensure our policies, regulatory programs and requirements of our portfolio carried out. How you will contribute You will deliver on the regulatory affairs strategy and compliance agenda and work with cross-functional stakeholders to assess regulatory business risks and opportunities. You will provide regulatory affairs expertise for technical regulatory developments and help in responses to challenges and crisis management. In this role, you will ensure that ingredients, product composition, claims and labelling compliance are within ...

We are looking for a talented Software Engineer to join our team. In this role, you will help design, build, and maintain the systems that power our platform, working closely with senior engineers and architects to deliver scalable, reliable, and secure services. You will contribute to the development of APIs, configuration systems, management components, and containerized workloads. This role is hands-on and focused on building high-quality features, improving system robustness, and ensuring that services operate efficiently in production environments. Engineering & Delivery Develop services and platform components using modern engineering practices. Build and maintain APIs using multiple s...

We are seeking an exceptional Software Architect to lead the architectural vision and technical direction of our group. This is a high-impact, senior technical role combining hands-on and leadership responsibilities. You will be shaping long-term system strategy, driving large-scale architectural initiatives, and guiding engineering teams in building a secure, scalable, and resilient platforms and services, As well as conduct POC s, help resolve critical issues, and serve as last point of technical escalation within your group and domain. This role requires deep technical expertise, strong systems thinking, and the ability to influence engineers, product leaders, and executives. You will def...

We are looking for a highly skilled Principal Software Engineer with strong architectural and systems design expertise to drive the evolution of our next-generation platform. You will shape the technical vision, design scalable and secure systems, and lead architectural decisions that influence multiple product lines. Engineering & Delivery Design and build system services using modern engineering practices, with a deep understanding of runtime behavior, concurrency, messaging, and performance patterns. Implement APIs across multiple styles and standards (REST, GraphQL, gRPC, etc), ensuring consistent patterns and a maintainable service ecosystem. Develop and maintain management/control-plan...

System Test Engineer builds from the ground up to meet the needs of mission-critical applications, and is always looking for innovative approaches to deliver end-to-end technical solutions to solve customer problems. Brings technical thinking to break down complex data and to engineer new ideas and methods for solving, prototyping, designing, and implementing cloud-based solutions. Collaborates with project managers and development partners to ensure effective and efficient delivery, deployment, operation, monitoring, and support of Cloud engagements. The cloud developer provides business value expertise to drive the development of innovative service offerings that enrich HPEs Cloud Services...

We are looking for a highly skilled Senior Software Engineer with strong systems design expertise to drive the evolution of our next-generation platform. You will own segnificant feature/product scope and deliverables and become domain expert within your team. What you'll Do Engineering & Delivery Design and build system services using modern engineering practices, with a deep understanding of runtime behavior, concurrency, messaging, and performance patterns. Implement APIs across multiple styles and standards (REST, GraphQL, gRPC, etc), ensuring consistent patterns and a maintainable service ecosystem. Collaborate with other teams and contribute to cross-functional solutions. Develop and m...

In the HPE Hybrid Cloud, we lead the innovation agenda and technology roadmap for all of HPE. This includes managing the design, development, and product portfolio of our next-generation cloud platform, Green Lake. Working with customers, we help them reimagine their information technology needs to deliver a simple, consumable solution that helps them drive their business results. Join us redefine what s next for you. What you'll do: Knowledge of complete SDLC and experience in software testing methodology, tools, developing test strategy, test plans and test execution. Proficiency in programming in Python . Strong test automation background to enhance a test automation framework. Strong tro...

As a Senior HVAC Engineer with Worley, you will work closely with our existing team to deliver projects for our clients while continuing to develop your skills and experience etc Key Accountabilities :- Engineering and designing of HVAC systems for petrochemical, chemical, power plants, Onshore-Substations & Control room, Industries, IT Server Rooms, Develop HVAC systems design from concept stage after understanding functional, operational and project specific requirements. Inter-discipline co-ordination with Architect, Civil, Electrical, Instrumentation, Piping & Process for understanding project basic requirements at each engineering stage and provide inputs to disciplines. Develop basis o...

Premier Customer Care; Premier Customer Support; All dedicated account desk/ sales solutions support processes for industry verticals and/ or high value customers, execution of solution logistics, tracking & monitoring solutions (including prevention), relationship management, issue resolution; Basic Process Onboarding; Bookings; Case Management; Claims Handling; Execution of Solution Logistics; Inquiry; Issue Resolution; Pro-active Notification; Pro-active Prevention; Relationship Management; Run and Provide Customized Reporting Applies specialist knowledge in performing and reviewing specific processes and procedures within and across departments, to support achievement of divisional and c...

Head - Accounts We are seeking an experienced Head - Accounts to join our team in Chennai. The ideal candidate will have a strong background in accounting and financial management, with a focus on accounts receivable, claims, accounts payable, financial reporting, transaction processing management, inventory management, compliance, and financial controlling. Responsibilities Manage and oversee the day-to-day activities of the accounts department, ensuring timely and accurate processing of financial transactions. Develop and implement effective financial controls and procedures to ensure compliance with regulatory requirements and industry standards. Prepare and review financial reports, incl...

Job Description Key missions of the position: Transformation of Ops quality performance by keeping customer Centric approach Lead by example while solving complex quality challenges (internal and external). Creating agile and resilient team to overcome product quality challenges (zero KM and Warranty) and demonstrate control on COPQ and reliability Responsibilities Primary Responsibilities: Demonstrated ownership on product quality (internal and at customer s premises). Instrumental in resolving all Zero KM and Warranty claims within stipulated time with excellent REX, LLC management and PFMEA approach Owning the complete Product Quality related processes, right from process inspection to Di...