2815 Claims Jobs - Page 3

Job description will be as follows: Analysis of Hospitals on claim basis- prepare detailed report Analysis of involved agents/SM& other employees- prepare detailed report In-depth analysis of claims prior to conducting VC with the hospitals Conducting VC with Hospitals Preparing Minutes post VC Follow up of clarifications from the hospitals Information post VC to various stakeholders-Processing team, RCHs, Marketing team Use extensive clinical expertise to identify gaps in diagnosis, treatment, or surgical procedures and offer guidance to hospital doctor s. Promote ethical and evidence-based medical practices among treating physicians during interactions. Stay updated on current medical and surgical trends , including treatment protocols, and educate hospital teams accordingly. Demonstrate proficiency in extracting critical insights and data points from hospital interactions to facilitate mutually beneficial outcomes . Build and nurture long-term partnerships with hospital stakeholders for smooth operations and continuous quality improvement. Key Competencies: Strong Clinical Judgment & Integrity Hospital Relationship Management Ethical & Evidence-Based Medical Understanding Strategic Communication & Influencing Skills Team Leadership & Operational Coordination Attention to Detail in Documentation

About Us InMobi is the leading provider of content, monetization, and marketing technologies that fuel growth for industries around the world. Our end-to-end advertising software platform, connected content, and commerce experiences activate audiences, drive real connections, and diversify revenue for businesses everywhere. InMobi Advertising is an end-to-end advertising platform that helps advertisers drive real connections with consumers. We drive customer growth by helping businesses understand, engage, and acquire consumers effectively through data-driven media solutions. Learn more at advertising.inmobi.com . Glance is a consumer technology company that operates disruptive digital platforms, including Glance, Roposo, and Nostra. Glance s smart lockscreen and TV experience inspires consumers to make the most of every moment by surfing relevant content without the need for searching and downloading apps. Glance is currently available on over 450 million smartphones and televisions worldwide. Learn more at glance.com . Born in India, InMobi maintains a large presence in Bangalore and San Mateo, CA, and has operations in New York, Singapore, Delhi, Mumbai, Beijing, Shanghai, Jakarta, Manila, Kuala Lumpur, Sydney, Melbourne, Seoul, Tokyo, London, and Dubai. To learn more, visit inmobi.com . About this role Responsible for managing end-to-end HR operations and benefits processes, ensuring accuracy, compliance, and timely execution. Acts as a key point of contact for employees, vendors, and internal stakeholders to support lifecycle events, benefits administration, and process improvements. What you will be doing Administer global employee benefit programs including health insurance, life insurance, retirement plans, wellness programs, car lease, etc. Support global new hire benefits enrollment, changes due to life events, and annual open enrolment processes. Ensure accurate and timely data entry and updates in the HRIS and benefits platforms. Respond to employee queries related to benefits plans, eligibility, coverage, claims, and other related topics. Coordinate with external vendors (insurance providers, brokers, third-party administrators) to resolve issues and ensure service quality. Monitor benefits enrollment and eligibility reports; follow up on discrepancies or missing data. Assist with audits and reconciliations. Participate in HR projects such as policy reviews, system implementations, and continuous process improvements. Key expectations 5-6 years of experience in the HR operations / Benefits operations. Proficiency in Microsoft Excel Experience coordinating with external vendors (insurance providers, brokers, TPAs) for escalations, audits, and service quality management Hands-on experience with HRIS platforms SAP SuccessFactors, Excellent communication and stakeholder management skills for handling employee queries and collaborating with internal teams. Why This Role Matters This role plays a vital part in ensuring a seamless and compliant employee experience by managing core HR operations and benefits processes with accuracy and efficiency. It supports critical touchpoints across the employee lifecycle, ensures timely resolution of queries, and maintains data integrity across HR systems. By collaborating with internal teams and external vendors, this role directly contributes to employee satisfaction, operational excellence, and compliance, making it essential to the smooth functioning of the HR function. The InMobi Culture At InMobi, culture isn t a buzzword; its an ethos woven by every InMobian, reflecting our diverse backgrounds and experiences. We thrive on challenges and seize every opportunity for growth. Our core values thinking big, being passionate, showing accountability, and taking ownership with freedom guide us in every decision we make. We believe in nurturing and investing in your development through continuous learning and career progression with our InMobi Live Your Potential program. InMobi is proud to be an Equal Employment Opportunity employer and is committed to providing reasonable accommodations to qualified individuals with disabilities throughout the hiring process and in the workplace. Visit https: / / www.inmobi.com / company / careers to better understand our benefits, values, and more!

Overall IT Experience - Must Have 8+ Years exp in total Must Exp - 5+ years of Senior level Applications Developer with relevant experience Must Exp- 3+ TriZetto Facets Development Experience mainly with Claims Domain and EDI Must exp- 4+ years of experience working with SQL Database , Stored Procedures Must have - + years of development and testing experience in C# / .Net programming language 2+ years of REST API/micro services development Must have .NET Full Stack including Angular Cloud Experience, Docker, Kubernetes, Kafka Responsible for design, development, and support activities in core Facets Applications within Claims Domain. Exhibit strong ownership and ability to work in global team environment. Agile - Works with product management to ensure stories are well worded, have appropriate acceptance criteria and are sized appropriately. Create design documents and Implements component design in-line with predefined team architectural patterns. Participate in Detail Design sessions and able to identify/provide feedback on designs provided and implemented by others. Preferred candidate profile Interested candidates, please share cv on samiksha.abhijitkasar@wipro.com & bhavana.s61@wipro.com

AR Homes is looking for QS Engineer to join our dynamic team and embark on a rewarding career journey Cost Estimation: Prepare accurate cost estimates for construction projects, including materials, labor, and other expenses Tendering: Assist in the tendering process by analyzing and evaluating contractor bids and proposals Budgeting: Develop and manage project budgets, tracking expenses and ensuring cost control throughout the project lifecycle Quantity Take-Off: Perform quantity take-offs from architectural and engineering drawings to determine the materials required for the project Value Engineering: Identify cost-saving opportunities and value engineering options without compromising project quality Contract Management: Administer construction contracts, including variations, claims, and payments to contractors Cost Reporting: Provide regular cost reports and updates to project stakeholders, including clients and management

Independent execution of logistical and commercial processing as well as coordination of processes with the corresponding internal departments & external partners, if applicable. Goals of the position - Smooth handling of the operational, supplier-side processes - Smooth handling of operational, customer-side processes - Being the interface to customer and supplier, giving a high degree of service towards supplier and customer - Compliance with compliance-relevant regulations (foreign trade, tax, etc.) - Follow up and track account receivables from customers and account payables to suppliers by due date. Individual tasks: Logistical & commercial processing in ERP: - Processing of purchase trading and sales trading orders for spot and contract transactions (creation of items, adjustment & maintenance of date fields & texts). - Goods call-offs from suppliers and ERP-side mapping of the call-off (PTC) - Creation of call-off in ERP & dispatch of call-off confirmations to customers (STC) - Creation of IBD/OBD for instruction of logistics departments incl. specification of required loading restrictions and delivery details - Creation of Warehouse Instructions (solids) for storage in warehouse, incl. assignment of labeling and posting of Goods Receipt - Maintenance of final loading data (weight, date) in IBD/ OBD as well as Purchase Trading and Sales Trading (relevant for hedging transactions) - Posting of the Goods Issue, if necessary Proof of Delivery - Instructions to document department (certificates of origin, B/Ls, L/Cs, etc. if required) Disposition: - Disposition of purchase & sales quantities (Excel) - Associating Purchase Trading and Sales Trading orders - Inventory management; quantity reconciliation for drop shipments - Inventory monitoring incl. data maintenance (batches, etc.) in SAP/ERP System - Maintenance of inventory lists in Excel - Quantity availability check and agreement with suppliers - Proactive feedback in case of undercapacities / overcapacities Logistic handling shipping (manual, without ERP) (container & bulk shipping): - Review of nominations (for FOB pickups/ CFR deliveries) - Forwarding to Shipping Charter for vetting check & obtaining feedback - Examination of preliminary products & independent selection of necessary hedging measures (commissioning of survey services) - Forwarding of ship nominations to suppliers / warehouse / customer (independent of Incoterm) - Preparation of B/L instructions & assignment to appropriate department or suppliers Invoice preparation & verification: - Creation of customer invoices - Check for correctness & plausibility (customs status, customs tariff number, VAT constellation, preference details, origin details, prices) - Checking whether an accounting document has been created - Cancellation & correction of invoices if necessary Creation & dispatch of documents: - If applicable, creation & dispatch of delivery bill (ERP or manual) - If applicable, creation & dispatch of "Warehouse instructions" (solids) Purchasing of services & ERP-side mapping: - Instruction of service providers incl. order & specification of requirements (manual) - Creation of Service Purchase Orders (e.g. customs, survey, storage fees, handling etc.) - Entry of Service Entry Sheets after service provision, cost allocation and release, as well as forwarding of the data to the accounting department Quality Management: - Checking of preloads for product compatibility in case of sea transports - Monitoring of product qualities and origins - Review of analyses and filing in J6NY - Recording of inspection results, incl. Usage Decision (Mini QM / Full QM) - Complaint processing in Sales Force (8-D Report), after direct receipt of a complaint from a business partner - Creation of certificates of analysis Credit: - Monitoring of credit releases of pending shipments provided a stop notice can be resolved by the credit department on short notice Letters of Credit: - Examination of sales letters of credit with regard to the fulfillment of the logistic conditions - Checking for fulfillment of logistical specifications when issuing letters of credit in purchasing (in cooperation with PM) Month/year-end closing: - Execution of month-end settlement (intercompany business) - Reconciliation and adjustment posting of inventories, at year-end closing in compliance with inventory regulations Other: - Provide customer service functions on Order-to-Delivery - Archiving (Digital) - checking for completeness, correctness and subsequent archiving of documents and business related communication (customs and tax audit). - Insurance: preparation of shrinkage reports to the insurance company (>0.5% liquid), processing of claims - Creation of Non Conformities (NCs) - Creation of credit and debit notes (FI notes) to business partners - Support of sample dispatch - Support and participation in department-specific and specialist department-specific projects - Support in the induction of new employees as well as the training and further education of apprentices and trainees. - Compliance with compliance-relevant regulations (foreign trade, tax, etc.)

Overview We are looking for a high-impact Product Manager who thrives at the intersection of technology and pharma/life sciences . This role demands a sharp strategic thinker with hands-on technical depth , product ownership mindset , and a solid grasp of pharma domain knowledge from primary market research (PMR) insights , competitive intelligence (CI) , to brand strategy . If you can translate brand/medical/commercial objectives into robust, scalable product solutions using AWS-native architectures , ML/GenAI models , and modern DevOps practices , you belong here. Key Responsibilities Product Leadership Own the end-to-end product lifecycle from discovery to launch across pharma/life sciences use cases. Translate unmet market and brand needs into differentiated, scalable, and user-centric product solutions. Prioritize features across platform modules by aligning commercial, medical, and data science needs. Partner with commercial, brand, and medical teams to translate PMR and CI into actionable product features. Technical & Platform Strategy Drive architectural discussions and product decisions around AWS cloud infrastructure , including Glue , Athena , Data Lake , S3 , Lambda , and Step Functions . Collaborate with engineering to ensure CI/CD pipelines , Docker , Kubernetes , and ML Ops practices are integrated for faster product iterations. Enable delivery of GenAI capabilities in the platform from document intelligence, medical NLP, summarization to insight generation. Data & AI Productization Lead data strategy for ingesting, cleaning, and transforming EMR, Claims, HCP/HCO, and RWD data using PySpark , SQL , and data pipelines . Build roadmap around ML/GenAI-driven use cases: e.g., treatment pathway prediction, KOL segmentation, site recommendation, competitive tracking. Collaborate with data scientists to deploy models in production using APIs and cloud-native services. Market & Domain Expertise Leverage deep knowledge of pharma workflows (Medical Affairs, Market Access, Clinical Dev, Commercial Ops). Map out patient journeys, treatment landscapes, and brand objectives into platform features. Convert PMR data and CI signals into competitive positioning and product differentiation. Required Qualifications 6 8 years of experience in product management or technical product ownership. Strong experience in pharma or life sciences industry ideally in commercial, medical, or clinical tech products. Proven hands-on experience with AWS cloud architecture , especially Glue, Athena, Data Lake, Step Functions. Proficient in Python , SQL , PySpark , and working knowledge of ML modeling & GenAI frameworks (LangChain, OpenAI, HuggingFace, etc.) . Strong grasp of DevOps pipelines (CI/CD, GitHub Actions/GitLab, Terraform, Docker, K8s) . Strong understanding of data engineering concepts ingestion, normalization, feature engineering, and ML pipeline orchestration. Familiarity with primary market research methodologies , CI tools , and brand strategy in pharma. Preferred Skills Prior experience building SaaS or platform products in regulated industries. Knowledge of data privacy, HIPAA, and compliance frameworks.

About the Team The Motor OD (Own Damage) Claims team is a critical function within our Insurance Business team, dedicated to providing efficient and customer-centric claims services for all motor insurance policyholders. About the Role As the Head Motor OD Claims, you will be a key member of the Insurance team, responsible for shaping and executing the overall strategy for motor own damage claims. This role involves leading and managing the Motor OD claims operations, ensuring seamless processing, cost optimization, and superior customer experience. You will be instrumental in building a high-performing team, establishing robust processes, leveraging technology, and managing a vast network of surveyors and workshops, all while ensuring strict adherence to regulatory guidelines and robust fraud control mechanisms. Your leadership will directly impact customer satisfaction, operational efficiency, and the financial health of the company. Must Haves Minimum of 8+ years of experience in managing Motor OD Claims Proven track record of successfully leading large claims teams and managing pan-India operations/ large-regional operations Demonstrable experience in claims strategy formulation and execution What We Expect From You Lead Motor OD Claims with strategic alignment to business goals Drive efficiency through SOPs, automation, and KPI tracking (TAT, NPS, cost) Ensure accurate, fair, and timely claim settlements Control costs and leakage while ensuring regulatory (IRDAI) compliance Build and mentor a high-performing, customer-focused claims team Develop and manage a quality network of surveyors and garages with SLAs Champion a customer-first approach; handle escalations and improve experience Implement robust fraud detection and investigation mechanisms Stay current with industry trends, technologies, and regulatory changes Use data analytics for insights, reporting, and continuous improvement Inside Navi We are shaping the future of financial services for a billion Indians through products that are simple, accessible, and affordable. From Personal Home Loans to UPI, Insurance, Mutual Funds, and Gold we re building tech-first solutions that work at scale, with a strong customer-first approach. Founded by Sachin Bansal Ankit Agarwal in 2018, we are one of India s fastest-growing financial services organisations. But we re just getting started! Our Culture The Navi DNA Ambition. Perseverance. Self-awareness. Ownership. Integrity. We re looking for people who dream big when it comes to innovation. At Navi, you ll be empowered with the right mechanisms to work in a dynamic team that builds and improves innovative solutions. If you re driven to deliver real value to customers, no matter the challenge, this is the place for you. We chase excellence by uplifting each other and that starts with every one of us. Why Youll Thrive at Navi At Navi, it s about how you think, build, and grow. You ll thrive here if You re impact-driven You take ownership, build boldly, and care about making a real difference. You strive for excellence Good isn t good enough. You bring focus, precision, and a passion for quality. You embrace change You adapt quickly, move fast, and always put the customer first.

nitro-lazy"> Qualifications : Graduate in Lifesciences with Coding certifications : CPC, CCS. Highly experienced in surgical coding with an emphasis on orthopedic surgery. Years of Experience : Minimum 6 years of experience and overall 8 years of experience Job Summary The Coding Auditor and Educator is responsible for providing coding auditing of complex services rendered by physician and non-physician practitioners using current coding guidelines, with attention to Medicare, medical necessity, and NCD/LCD requirements. Professional coding auditing expertise in multiple specialties is required, including strength in E/M and surgical coding, especially orthopedic surgery, along with expertise in professional inpatient E/M services. The auditor/educator assists in providing educational training and understanding to physicians, mid-levels, clinical personnel, and revenue cycle teams. The auditor/educator will have effective communication skills via verbal and written and will be able to speak with providers and clinical team members confidently. Qualifications 2+ years of relevant experience in a professional coding auditor and/or coding educator capacity required. 3+ years orthopedic surgery and Evaluation and Management (E/M) coding experience. Other surgical specialties considered. Certified coding certificate from AAPC or AHIMA, required Strong understanding of and experience in auditing for compliance with 1995, 1997, and 2021/2023 E/M Guidelines required Additional credentials such as RHIT, CCS, CPMA, or specialty designations desirable Physician financial reimbursement and revenue cycle understanding is preferred Experience presenting to physicians and other healthcare providers required Ability to work in a fast-paced, high-volume coding audit (5-7 encounters per hour average expected) environment with a team, which expects high-quality deliverables and accuracy to clients Superior communication skills, both oral and written Excellent project management skills Traits that include detail-oriented, flexible, and responsive Experience with multiple practice management systems Expert level knowledge of Microsoft Office (Word and Excel) An innate desire for continuous operational improvement Responsibilities Conducts regular audits of coding and billing practices to ensure that they comply with regulations, identify areas for improvement, and provide training and support to staff members as necessary. Prepares clear and accurate audit findings and recommendations in written audit reports that will be used for advising and educating providers, coders, and management throughout the organization. Conducts monthly monitoring reviews of medical records to determine coding accuracy of all documented diagnoses and procedures. Reviews claims to validate submitted codes and abstracted data including but not limited to ICD-10 CM codes, CPT s, HCPCS, modifiers, and place of service. Conducts monthly monitoring reviews of medical records to determine coding accuracy of all documented diagnoses and procedures. Reviews claims to validate submitted codes and abstracted data including but not limited to ICD-10 CM codes, CPT s, HCPCS, modifiers, and place of service. Stays up-to-date with changes in coding regulations, policies, and procedures to ensure that the organization is always in compliance. Assists to designs, develops, and implements coding education programs for clients and staff members in the organization. Assists to provide education and training to coding staff, physicians, and other healthcare providers on CDI and coding best practices, including documentation requirements, coding guidelines, and compliance with regulatory requirements. Ability to handle Protected Health Information in a manner consistent with the Health Insurance Portability and Accountability Act (HIPAA)

"> Qualification & Desired Candidate Skills Intermediate or Bachelor s degree Candidate must have 4-6 years of experience in end to end AR process. Candidate with experience in Charge posting & Payment posting will get extra advantage. Strong knowledge of healthcare billing regulations, coding guidelines, and payment systems. Excellent analytical and problem-solving skills. Strong attention to detail and accuracy. Ability to communicate effectively with insurance companies, patients, and other stakeholders. Ability to work independently and as part of a team. Proficient in Microsoft Office and other relevant software applications Shift Timings: 6:00 PM IST to 3:00 AM IST Responsibilites Manage and oversee the revenue cycle process, from charge capture to payment posting Review and analyze claims for accuracy and completeness before submitting to payers Ensure compliance with billing regulations and guidelines Identify and resolve issues with denied or rejected claims Follow up on unpaid claims and collections to ensure timely payment Communicate with insurance companies, patients, and stakeholders to resolve billing & coding issues. Work with healthcare providers to ensure accurate charge capture and documentation Analyze billing and payment data to identify trends and opportunities for improvement Collaborate with other healthcare professionals, such as physicians and nurses, to ensure efficient and effective revenue cycle management Stay up-to-date on changes to healthcare regulations, coding guidelines, and payment systems Ability to handle Protected Health Information in a manner consistent with the Health Insurance Portability and Accountability Act (HIPAA) Other duties as assigned

At Cuddles Foundation, our mission is to bring holistic nutritional support to every child fighting cancer in India. We work through partnerships with 40+ government and charitable hospitals across India that treat underprivileged children for cancer. Our Nutritionists, explicitly trained for Paediatric Cancer Nutrition, are placed in these government hospitals. They monitor the child s progress, create diet plans and nutritional charts, counsel their parents and educate them in home-based nutrition. We provide children undergoing treatment with food, hot meals, nutritional supplements, and ration baskets as per their requirements so that the kids have the strength to fight cancer. Job summary The Accounts Executive at Cuddles Foundation plays a pivotal role in managing vendor relations, facilitating procurement processes, ensuring accurate financial record-keeping, and maintaining compliance with donor and organizational requirements. Reporting directly to the Head of Finance, this position is integral to the smooth operation of financial and procurement functions within the organization. Key Responsibilities: Vendor Identification and Management Identify and onboard reliable vendors across India to meet the organization s procurement requirements. Ensure vendor compliance by conducting a thorough registration process and maintaining an updated vendor database. Establish and nurture professional relationships with vendors to ensure long-term reliability and efficiency. Procurement and Order Processing Address urgent procurement needs and ensure prompt and accurate processing of Track price variations and maintain vendor pricing details on the designated dashboard to ensure cost efficiency. Liaise with vendors to ensure the timely delivery of goods and provide stakeholders with regular updates on procurement statuses. Conduct quarterly follow-ups with vendors for balance confirmations and manage outstanding payments to ensure reconciliation. Invoice Management and Payment Facilitation Collect and process invoices, ensuring compliance with donor-audited utilization certificate requirements. Ensure invoices are accurately recorded in Tally software and submitted promptly to enable smooth payment processing. Monthly Reimbursements and Connectivity Management Process monthly reimbursement claims efficiently and maintain detailed and accurate records of internet connections across partner hospitals. Coordinate with nutritionists to track pending nutrition supplement deliveries and Maintain and regularly update the fixed asset register, ensuring detailed and accurate documentation of all organizational assets. Invoice Booking and Donor Allocation Accurately record all invoices related to hospital expenses in Tally software, ensuring Allocate expenses to respective donors in compliance with funding guidelines. Execution of Hospital MOUs Ensure all MOU documents between hospitals and Cuddles Foundation are properly Perform timely and accurate bank reconciliations for assigned accounts to maintain Update and track donation details from the Razorpay platform to ensure transparency and accountability. Prepare and manage the weekly vendor payment file for approvals and ensure timely Ideal Candidate Requirements- Experience and Qualifications: Minimum of 1 year of experience in procurement, accounts, or a related field. Bachelor s degree in Commerce or a related discipline. Technical Skills: Proficiency in Excel and Word for accurate data tracking and reporting. Expertise in Tally software for recording accounting entries and managing financial Familiarity with online payment platforms such as Razorpay is an added advantage. Detail-Oriented: Strong ability to maintain accuracy and precision in financial and Organized: Capable of managing multiple tasks and meeting strict deadlines. Team Player: Collaborates effectively with colleagues and external stakeholders Clear Communicator: Demonstrates polite, concise, and clear communication in all Proactive: Takes initiative in addressing issues, improving processes, and ensuring timely delivery of responsibilities. The Accounts Executive role offers an excellent opportunity to contribute to Cuddles Foundation s mission by ensuring efficient financial operations and robust vendor management. If you are detail-oriented, organized, and passionate about making an impact, we encourage you to apply!

About The Role Skill required: Order to Cash - Cash Application Processing Designation: Order to Cash Operations Associate Qualifications: Any Graduation Years of Experience: 1 - 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 Review and analyze deductions taken by customers to identify discrepancies.Investigate the reasons behind deductions, such as pricing errors, shipment issues, or promotional allowances.Maintain detailed records of all deductions and resolutions.Gather necessary documentation to support claims and disputes.Liaise with internal departments (e.g., sales, customer service, and finance) to gather information and resolve issues.Communicate effectively with customers regarding deduction disputes and resolutions.Prepare regular reports on deduction trends, root causes, and resolutions for management review.Track and report on the financial impact of deductions on revenue.Follow up on unresolved deductions to ensure timely resolution.Identify opportunities for process improvements to reduce the occurrence of deductions.Collaborate with cross-functional teams to implement best practices.Ensure that all deductions are processed in compliance with company policies and accounting standards.Analyze data to identify trends in deductions, helping to develop strategies to minimize them. What are we looking for Adaptable and flexibleAbility to perform under pressureProblem-solving skillsAbility to work well in a teamStrong analytical skills Written and verbal communication 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 Any Graduation

About The Role Skill required: NA - Business Transformation Designation: Business Transformation Specialist Qualifications: Any Graduation Years of Experience: 7 to 11 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 In this role, you will be expected to develop transformation vision, assess vision feasibility and capability gaps, plan journey management. Also, translate economic trends into industry competitive advantage, transform a business to enable profitable & sustainable growth.In this role, you will be expected to develop transformation vision, assess vision feasibility and capability gaps, plan journey management. Also, translate economic trends into industry competitive advantage, transform a business to enable profitable & sustainable growth. What are we looking for Adaptable and flexibleAbility to perform under pressureProblem-solving skillsDetail orientationAbility to establish strong client relationship 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

About The Role Skill required: Operations Support - Pharmacy Benefits Management (PBM) Designation: Health Operations New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 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 Embedding digital transformation in healthcare operations end-to-end, driving superior outcomes and value realization today, and enabling streamlined operations to serve the emerging health care market of tomorrowYou will be a part of the Healthcare Claims team which is responsible for the administration of health claims. This team is involved in core claim processing such as registering claims, editing & verification, claims evaluation, and examination & litigation.The business processes, operations and interactions of third party administrators of prescription drug programs, understanding of the processes used to manage programs for payers, process and pay prescription drug claims, develop and maintain the formulary, contract with pharmacies and negotiate discounts and rebates with drug manufacturers. What are we looking for Ability to perform under pressureAdaptable and flexibleAbility to establish strong client relationshipWritten and verbal communicationPrioritization of workload Roles and Responsibilities: In this role you are required to solve routine problems, largely through precedent and referral to general guidelines Your primary interaction is within your own team and your direct supervisor In this role you will be given detailed instructions on all tasks The decisions that you make impact your own work and are closely supervised You will be an individual contributor as a part of a team with a predetermined, narrow scope of work Please note that this role may require you to work in rotational shifts Qualification Any Graduation

About The Role Skill required: Retirement Solutions - Customer Service Designation: Customer Service Associate Qualifications: Any Graduation Years of Experience: 1-3 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 We are dealing with individual retirement of variable annuity and here we have work in policy transactions received from policy owners based on request we deal with policy admin services and death claims request. Also, both the teams handle phone calls on NIGO request with agent and customersRetirement solution is a comprehensive process to understand how much money you will need when you retire. Retirement solution also helps you identify the bestCustomer service refers to the assistance and support provided by a business or organization to its customers before, during, and after a purchase or use of a product or service. It involves addressing inquiries, resolving issues, and ensuring customer satisfaction to build and maintain positive relationships. What are we looking for 2.What are you looking forWe are looking for candidate with experience in Life-Annuity Claims and Policy admin services financial and non-fi transactions such as policy surrender, loan, withdrawal, and policy transfersLife , Annuity, Retirement Insurance ,claims experience and managed financial transactions Roles and Responsibilities: Candidates who will hire for above role will be responsible for 100% transaction role with same day processing tat and ~20-30% NIGO calls with clientCandidate should have been flexible for 100%-night shift start from 8.30 PM and RTO during the training Qualification Any Graduation

About The Role 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 efficienciesAnalyze, improve and optimize automotive supply chains to make them more effective, efficient and resilient through digitization. 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: Mechanical knowledge of machinery/auto-componentInvestigate 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

About The Role Skill required: Supply Chain - Automotive Supply Chain Designation: Business Advisory Analyst Qualifications: BE/Diploma in Automobile Years of Experience: 3 to 5 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 efficienciesAnalyze, improve and optimize automotive supply chains to make them more effective, efficient and resilient through digitization. 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: Mechanical knowledge of machinery/auto-componentInvestigate 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

Project Role : Application Developer Project Role Description : Design, build and configure applications to meet business process and application requirements. Must have skills : Duck Creek Claims Good to have skills : NAMinimum 3 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Developer, you will engage in the design, construction, and configuration of applications tailored to fulfill specific business processes and application requirements. Your typical day will involve collaborating with team members to understand project needs, developing innovative solutions, and ensuring that applications function seamlessly to support organizational goals. You will also participate in testing and refining applications to enhance user experience and efficiency, while staying updated on industry trends and best practices to continuously improve your contributions. Roles & Responsibilities:- Expected to perform independently and become an SME.- Required active participation/contribution in team discussions.- Contribute in providing solutions to work related problems.- Assist in the documentation of application specifications and user guides.- Collaborate with cross-functional teams to gather requirements and provide technical insights. Professional & Technical Skills: - Must To Have Skills: Proficiency in Duck Creek Claims.- Strong understanding of application development methodologies.- Experience with software testing and debugging techniques.- Familiarity with database management and data integration processes.- Ability to work with version control systems and collaborative development tools. Additional Information:- The candidate should have minimum 3 years of experience in Duck Creek Claims.- This position is based at our Mumbai office.- A 15 years full time education is required. Qualification 15 years full time education

Hope you are looking for a job change. We have opening for Duck Creek Claims Developer & Lead for an MNC in Greater Noida, Pune, Mumbai, Hyderabad & Bhubaneswar Locations., I'm sharing JD with you. Please have a look and revert with below details and Updated Resume to rejeesh.s@jobworld.jobs. Apply only if you can join in 20 Days and Serving Notice Period. Initially It's 5-Days from Office. Role : Duck Creek Claims Developer & Lead Experience: 3-14 Years Mode: Permanent Work Location: Greater Noida, Pune, Mumbai, Hyderabad & Bhubaneswar Notice Period: immediate to 20 Days Work Mode : 5-Days Work from Office Mandatory Skills: Duck Creek Claims, Claim, Claims Centre, Dot Net & Dot net Framework Full Name: Email ID: Mobile Number: Alternate No: Alternative Mail: Qualification: Regular Course: Graduation Year: Total Experience: Relevant experience: Current Organization: Working as Permanent Employee: Payroll Company: Experience in Duck Creek: Experience in Duck Creek Claims Development : Experience in Claims Centre : Experience in Dot net Framework: You are Certified in Duck Creek: Current location: Preferred location: Current CTC: Exp CTC: Pan Card Number : Date of Birth: Any Offer in Hand: Serving Notice Period: Official LWD: Can you join immediately : Job Description- Required Skills.: Duck Creek Claims, Claim, Claims Centre, Dot Net & Dot net Framework. Experience 3- 14 Years Location- Hyderabad Interview Mode: For Pune candidates F2F on 02-Aug-25 and other location candidates Virtual Notice periods-Immediate to 20 Days Responsibilities: Candidate should have strong experience in Duck creek Claims V11 / V12. Candidate should have strong experience in .net and .net Frame work. Hands-on experience in Claims Configuration and Console modules, Configuring /Customizing Party. Hands on Exp in Module, Task Creation, Configuring/Customizing, Extension and Advanced Extension points etc... Good Knowledge of customizing Automated Reserves. Good understanding of underwriting, rating, insurance rules, forms Experience in Insurance / P&C insurance domain. Must have excellent Communication Skills Regards, Rejeesh S Email : rejeesh.s@jobworld.jobs Mobile : +91- 9188336668

Job description Do you enjoy seeing products come to life You will be responsible for developing the strategic direction, goals, objectives and key measurement systems to ensure the business goals are met. Specific responsibilities include, but not limited to: Clear to build: Handle the CTB process, ensure the process is working smoothly and we have clear visibility on materials over a 26-week horizon. Partner with the CM s and the GSMs (Global Supply Managers) on all identified material issues (including sub-tier supply chain) until issues are closed/resolved. Logistics: Ensure the smooth flow of materials necessary to meet the production schedules, inventory control requirements, and on-going production line support. Make sure that we clearly understand the logistics requirements by commodity to enable an uninterrupted flow of materials. Excess & Obsolete: - Lead phase-out of obsolete parts and the transition to new production materials. - Identify and mitigate E&O in advance to ensure we make the correct company decisions regarding build plan changes, cut-in vs. roll-in requirements, post ramp qualification opportunities, etc. - Highlight parts with liability and propose solutions to management. - Upon Engineering Change Notice (ECN) or End of Production (EOP) events, track & audit E&O claims, report to Finance for financial reserves, and ensure timely resolution and closure of such claims/reserves. New Product Materials Readiness: - During New Product Introduction (NPI) phase, lead material readiness meetings with the GSMs to ensure that we understand the supply base and related challenges (i.e. supplier location and logistics, sole sourced modules, component lead-time, supplier share of business, order lead time and order cancellation window). - Identify critical engineering release breakthroughs; assess necessity for risk ramp and associated liabilities, to ensure material supply for product ramp is protected. - Identify issues early in the NPI phase and monitor/drive these to resolution prior to ramp. - Identify supply chain on modules and components to ensure that we understand any new challenges associated with the new product. Allocations: - Play a meaningful role in the allocation of components that are in short supply. - Provide an aggregated view of supply versus demand as the baseline for program and site-allocation decisions. - Collaborate with the Supply Demand Management (SDM) team and GSMs to make sure we allocate parts to improve revenue. Communicate the allocation plans with the significant parties. Executive Management Reporting: Build and maintain reports and summaries on a regular (weekly/daily) basis to support the business growth. Ensure data is accurate and on time. Minimum Qualifications Minimum Qualifications 7+ years experience in Materials / Production Planning Preferred Qualifications Technical expertise and prior OEM materials management experience Advanced User of Excel and a deep understanding of Excel Modeling techniques Professional experience with complex supply chain, technical expertise, or prior OEM management experience preferred Highly analytical and detail oriented Strong written and oral interpersonal skills with the ability to present to Executive teams Bachelors in Engineering with an MBA from a premier institute

Uk process Evening n night shifts 3 lob 1 st - claims 2 nd - fcc Hard copy graduation mark sheet fresh / HSC + 6 mont exp 5 days 2 week off 1 way transport 26k upto - fresh 32 in hand - exp Required Candidate profile 3 nd - fpg fraud process 1 year Min. Cse exp on paper mandatory 5 days 2 week off 1 way transport HSC / grad 34k in hand

TATA AIG General Insurance Company Limited is looking for Manager - Commercial Claims to join our dynamic team and embark on a rewarding career journey Delegating responsibilities and supervising business operations Hiring, training, motivating and coaching employees as they provide attentive, efficient service to customers, assessing employee performance and providing helpful feedback and training opportunities. Resolving conflicts or complaints from customers and employees. Monitoring store activity and ensuring it is properly provisioned and staffed. Analyzing information and processes and developing more effective or efficient processes and strategies. Establishing and achieving business and profit objectives. Maintaining a clean, tidy business, ensuring that signage and displays are attractive. Generating reports and presenting information to upper-level managers or other parties. Ensuring staff members follow company policies and procedures. Other duties to ensure the overall health and success of the business.

Principal Accountabilities How they are achieved/measured Manage the Group business with the Bank employees Liaison with different departments for closure of the cases Champion product and process to d rive top line sales through business sales team and maintaining penetration levels of group insurance products with channel partner. Coordinate and train key officials (ASSL, DSA, other bank officials) to enhance their understanding of the business to increase seller activisation Provide market feedback on competition and other products in the market. Manage and strengthen relationship through engagement with Partner s Zonal Leadership team, Ops & Credit Team, DSAs, SMs, Field Sales Staff at all levels and across functions. Values add in key initiatives to enhance attachment ration & business volume through training and service. Tracking penetration performance and publishing dashboards, along with Group Operations. To measure & monitor the various metrics (Files and sum assured Penetration rates, seller activation, Claim denial rates/ pending rates, rejection ratios , medical TATs etc) , to minimize the same and adhere to TATs and contribute to product improvement. Monitoring and control process of Post Sales. Managing complete claims operation & end to end process. Principal Accountabilities How they are achieved/measured Manage the Group business with the Bank employees Liaison with different departments for closure of the cases Champion product and process to drive top line sales through business sales team and maintaining penetration levels of group insurance products with channel partner. Coordinate and train key officials (ASSL, DSA, other bank officials) to enhance their understanding of the business to increase seller activisation Provide market feedback on competition and other products in the market. Manage and strengthen relationship through engagement with Partner s Zonal Leadership team, Ops & Credit Team, DSAs, SMs, Field Sales Staff at all levels and across functions. Values add in key initiatives to enhance attachment ration & business volume through training and service. Tracking penetration performance and publishing dashboards, along with Group Operations. To measure & monitor the various metrics (Files and sum assured Penetration rates, seller activation, Claim denial rates/ pending rates, rejection ratios , medical TATs etc) , to minimize the same and adhere to TATs and contribute to product improvement. Monitoring and control process of Post Sales. Managing complete claims operation & end to end process.

Manager, Data Visualization The Opportunity Based in Hyderabad, join a global healthcare biopharma company and be part of a 130- year legacy of success backed by ethical integrity, forward momentum, and an inspiring mission to achieve new milestones in global healthcare. Be part of an organisation driven by digital technology and data-backed approaches that support a diversified portfolio of prescription medicines, vaccines, and animal health products. Drive innovation and execution excellence. Be a part of a team with passion for using data, analytics, and insights to drive decision-making, and which creates custom software, allowing us to tackle some of the worlds greatest health threats. Our Technology centers focus on creating a space where teams can come together to deliver business solutions that save and improve lives. An integral part of the company IT operating model, Tech centers are globally distributed locations where each IT division has employees to enable our digital transformation journey and drive business outcomes. These locations, in addition to the other sites, are essential to supporting our business and strategy. A focused group of leaders in each tech center helps to ensure we can manage and improve each location, from investing in growth, success, and well-being of our people, to making sure colleagues from each IT division feel a sense of belonging to managing critical emergencies. And together, we must leverage the strength of our team to collaborate globally to optimize connections and share best practices across the Tech Centers. Role Overview: A unique opportunity to be part of an Insight & Analytics Data hub for a leading biopharmaceutical company and define a culture that creates a compelling customer experience. Bring your entrepreneurial curiosity and learning spirit into a career of purpose, personal growth, and leadership. We are seeking those who have a passion for using data, analytics, and insights to drive decision-making that will allow us to tackle some of the worlds greatest health threats As a manager in Data Visualization, you will be focused on designing and developing compelling data visualizations solutions to enable actionable insights & facilitate intuitive information consumption for internal business stakeholders. The ideal candidate will demonstrate competency in building user-centric visuals & dashboards that empower stakeholders with data driven insights & decision-making capability. Our Quantitative Sciences team use big data to analyze the safety and efficacy claims of our potential medical breakthroughs. We review the quality and reliability of clinical studies using deep scientific knowledge, statistical analysis, and high-quality data to support decision-making in clinical trials. What will you do in this role: Design & develop user-centric data visualization solutions utilizing complex data sources. Identify & define key business metrics and KPIs in partnership with business stakeholders. Define & develop scalable data models in alignment & support from data engineering & IT teams. Lead UI UX workshops to develop user stories, wireframes & develop intuitive visualizations. Collaborate with data engineering, data science & IT teams to deliver business friendly dashboard & reporting solutions. Apply best practices in data visualization design & continuously improve upon intuitive user experience for business stakeholders. Provide thought leadership and data visualization best practices to the broader Data & Analytics organization. Identify opportunities to apply data visualization technologies to streamline & enhance manual / legacy reporting deliveries. Provide training & coaching to internal stakeholders to enable a self-service operating model. Co-create information governance & apply data privacy best practices to solutions. Continuously innovative on visualization best practices & technologies by reviewing external resources & marketplace. What Should you have: 5 years relevant experience in data visualization, infographics, and interactive visual storytelling Working experience and knowledge in Power BI / QLIK / Spotfire / Tableau and other data visualization technologies Working experience and knowledge in ETL process, data modeling techniques & platforms (Alteryx, Informatica, Dataiku, etc.) Experience working with Database technologies (Redshift, Oracle, Snowflake, etc) & data processing languages (SQL, Python, R, etc.) Experience in leveraging and managing third party vendors and contractors. Self-motivation, proactivity, and ability to work independently with minimum direction. Excellent interpersonal and communication skills Excellent organizational skills, with ability to navigate a complex matrix environment and organize/prioritize work efficiently and effectively. Demonstrated ability to collaborate and lead with diverse groups of work colleagues and positively manage ambiguity. Experience in Pharma and or Biotech Industry is a plus. Our technology teams operate as business partners, proposing ideas and innovative solutions that enable new organizational capabilities. We collaborate internationally to deliver services and solutions that help everyone be more productive and enable innovation. Who we are: What we look for: #HYDIT2025 Current Employees apply HERE Current Contingent Workers apply HERE Search Firm Representatives Please Read Carefully Employee Status: Regular Relocation: VISA Sponsorship: Travel Requirements: Flexible Work Arrangements: Hybrid Shift: Valid Driving License: Hazardous Material(s): Required Skills: Business Intelligence (BI), Clinical Decision Support (CDS), Clinical Testing, Communication, Create User Stories, Data Visualization, Digital Transformation, Healthcare Innovation, Information Technology Operations, IT Operation, Management Process, Marketing, Motivation Management, Requirements Management, Self Motivation, Statistical Analysis, Statistics, Thought Leadership, User Experience (UX) Design Preferred Skills: Job Posting End Date: 07/31/2025 *A job posting is effective until 11:59:59PM on the day BEFORE the listed job posting end date. Please ensure you apply to a job posting no later than the day BEFORE the job posting end date.

Job Summary Join our dynamic team as a Claims Processing Specialist where you will play a crucial role in ensuring the accuracy and efficiency of claims adjudication. With a focus on Medicare and Medicaid claims you will contribute to the seamless processing of claims enhancing our service delivery. This hybrid role offers the flexibility of working both remotely and on-site during night shifts. Responsibilities Process claims with precision ensuring adherence to Medicare and Medicaid guidelines. Analyze claims data to identify discrepancies and resolve issues promptly. Collaborate with team members to streamline claims adjudication processes. Utilize claims adjudication software to enhance processing efficiency. Provide feedback on process improvements to enhance service delivery. Maintain up-to-date knowledge of industry regulations and compliance standards. Communicate effectively with stakeholders to ensure clarity and resolution of claims issues. Document claims processing activities accurately for audit and reporting purposes. Support the team in achieving departmental goals and objectives. Participate in training sessions to stay informed about the latest claims processing techniques. Ensure confidentiality and security of sensitive claims information. Contribute to a positive work environment by supporting colleagues and fostering teamwork. Adapt to changing priorities and work effectively under pressure. Qualifications Demonstrate proficiency in claims adjudication processes and software. Possess strong analytical skills to identify and resolve claims discrepancies. Exhibit excellent communication skills for effective stakeholder interaction. Show a keen understanding of Medicare and Medicaid claims requirements. Display attention to detail in processing and documenting claims activities. Have the ability to work independently and collaboratively in a hybrid work model. Certifications Required Not required

Davies is looking for an experienced Processing Specialist to join our growing team! As a Processing Specialist, you will assist the claims departments with general clerical functions. Reporting to the Processing Supervisor, you will open and scan mail documents, including attaching scanned documents in the claims system.