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1.0 - 3.0 years

3 - 5 Lacs

Chennai

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Job Summary We are seeking a dedicated Senior Process Executive - HC with 1 to 3 years of experience in Claims Adjudication. The ideal candidate will have expertise in Medicare and Medicaid Claims and it is advantageous if they also have experience in Commercial Claims. This is a work-from-home position with night shifts. Responsibilities Process and adjudicate Medicare and Medicaid claims efficiently and accurately. Ensure compliance with all relevant regulations and guidelines. Analyze and resolve claim discrepancies and issues promptly. Collaborate with team members to improve claim processing workflows. Maintain up-to-date knowledge of industry standards and changes. Provide exceptional customer service to internal and external stakeholders. Utilize technical skills to enhance claims adjudication processes. Monitor and report on claim processing metrics and performance. Identify and implement process improvements to increase efficiency. Conduct regular audits to ensure accuracy and compliance. Train and mentor junior team members on claims adjudication processes. Communicate effectively with other departments to resolve claim issues. Participate in continuous learning and development opportunities. Qualifications Possess strong technical skills in claims adjudication. Have in-depth knowledge of Medicare and Medicaid claims. Experience in Commercial Claims is a plus. Demonstrate excellent analytical and problem-solving abilities. Exhibit strong attention to detail and accuracy. Show proficiency in relevant software and tools. Display effective communication and teamwork skills. Maintain a high level of professionalism and integrity. Be adaptable to night shifts and work-from-home model. Have a proactive approach to learning and development. Demonstrate the ability to work independently and manage time effectively. Show commitment to delivering high-quality work consistently. Possess a customer-focused mindset and dedication to service excellence.

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2.0 - 6.0 years

6 - 10 Lacs

Noida

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JOB TITLE Technical Business Analysis Engineer II RESPONSIBILITIES May perform one or more of the following: Requirement/Analysis Ability to comprehend Business Requirement Documents (BRD) Maintain and Update Data/Vendor Interfaces BRD Interprets requirements to create systems specifications documents to build and execute system. Perform Data Analysis, Audit, and associated research and provide subsequent resolutions. Understanding of database/SQL Query Writing Work alongside with Sr. members or individually (as required) to assist in smooth integration/transition of processes and create/maintain documentations for the same. Responsible for solving the data and Vendor files related issues and preparation of annual calendar, as applicable. Execute & Manage the assigned tasks {Data Analysis, Vendor files, Requirement Analysis} specific to your Tower HW Domain knowledge is good to have. Process Ability to think and conceptualize and/or implement ideas of process automation. Follow the standard practices and procedures specific to your Tower. Accountability/Communication Work independently on tasks assigned. Should be able to Coach & mentor team members. Demonstrate ownership on work assigned to self and immediate sub-ordinates. Manage Offshore/Onshore interaction and stakeholder communication as per the business needs. Update all documentation with task details and provide regular updates to team. All other tasks as assigned. Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law. People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded:click here to access or download the form. Complete the form and then email it as an attachment toFTADAAA@conduent.com.You may alsoclick here to access Conduent's ADAAA Accommodation Policy. At Conduent we value the health and safety of our associates, their families and our community. For US applicants while we DO NOT require vaccination for most of our jobs, we DO require that you provide us with your vaccination status, where legally permissible. Providing this information is a requirement of your employment at Conduent.

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4.0 - 9.0 years

7 - 7 Lacs

Hyderabad, Pune, Chennai

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The candidate should be working as a Quality Analyst / Trainer in the US healthcare industry for the Claims Adjudication Payment Integrity process. Qualification - Graduate Shift - US rotational shifts Work Location - Chennai and Bangalore Required Candidate profile Immediate Joiners OR Max 1 month notice period candidates can apply Contact Sr. HR Kenedy at 9620999035 for more details.

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4.0 - 9.0 years

7 - 7 Lacs

Hyderabad, Pune, Chennai

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The candidate should be working as a Team Leader/SME in the US healthcare industry for the Claims Adjudication Payment Integrity process. Qualification - Graduate Shift - US rotational shifts Work Location - Chennai and Bangalore Required Candidate profile Immediate Joiners OR Max 1 month notice period candidates can apply Contact Sr. HR Kenedy at 9620999035 for more details.

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3.0 - 5.0 years

2 - 6 Lacs

Navi Mumbai

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Skill required: Group Core Benefits- Claims Case Mgmt. Group Disability Insurance Designation: Claims Management Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years About Accenture Accenture is a global professional services company with leading capabilities in digital, cloud and security.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. We embrace the power of change to create value and shared success for our clients, people, shareholders, partners and communities.Visit us at www.accenture.com What would you do 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.Team prepares a case studyGroup disability coverage is tied to employment. If change or loss of job, the coverage is not portable. The cost of group coverage can also change from year to year. It is a sort of insurance that pays out if a policyholder is unable to work and earn an income due to a disability. What are we looking for Problem-solving skillsWritten and verbal communicationCollaboration and interpersonal skillsAbility to meet deadlinesProcess-orientation Roles and Responsibilities: In this role you are required to do analysis and solving of lower-complexity problems Your day to day interaction is with peers within Accenture before updating supervisors In this role you may have limited exposure with clients and/or Accenture management You will be given moderate level instruction on daily work tasks and detailed instructions on new assignments The decisions you make impact your own work and may impact the work of others You will be an individual contributor as a part of a team, with a focused scope of work Please note that this role may require you to work in rotational shifts Qualification Any Graduation

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5.0 - 8.0 years

4 - 8 Lacs

Navi Mumbai

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Skill required: Group Core Benefits- Claims Case Mgmt. Group Disability Insurance Designation: Claims Management Senior Analyst Qualifications: Any Graduation Years of Experience: 5 to 8 years About Accenture Accenture is a global professional services company with leading capabilities in digital, cloud and security.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. We embrace the power of change to create value and shared success for our clients, people, shareholders, partners and communities.Visit us at www.accenture.com What would you do 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.Team prepares a case studyGroup disability coverage is tied to employment. If change or loss of job, the coverage is not portable. The cost of group coverage can also change from year to year. It is a sort of insurance that pays out if a policyholder is unable to work and earn an income due to a disability. What are we looking for Problem-solving skillsWritten and verbal communicationCollaboration and interpersonal skillsAbility to meet deadlinesProcess-orientation Roles and Responsibilities: In this role you are required to do analysis and solving of increasingly complex problems Your day to day interactions are with peers within Accenture You are likely to have some interaction with clients and/or Accenture management You will be given minimal instruction on daily work/tasks and a moderate level of instruction on new assignments Decisions that are made by you impact your own work and may impact the work of others In this role you would be an individual contributor and/or oversee a small work effort and/or team Please note that this role may require you to work in rotational shifts Qualification Any Graduation

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3.0 - 5.0 years

1 - 5 Lacs

Noida

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Skill required: Group Core Benefits - Group Disability Insurance Designation: Insurance Operations Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years About Accenture Accenture is a global professional services company with leading capabilities in digital, cloud and security.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. We embrace the power of change to create value and shared success for our clients, people, shareholders, partners and communities.Visit us at www.accenture.com What would you do 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.The benefits of having a strong core include injury prevention, reduction of back pain, improved lifting mechanics, balance, stability, and posture, as well as improved athletic performance.Group disability coverage is tied to employment. If change or loss of job, the coverage is not portable. The cost of group coverage can also change from year to year. It is a sort of insurance that pays out if a policyholder is unable to work and earn an income due to a disability. What are we looking for Adaptable and flexibleAbility to perform under pressureProblem-solving skillsAbility to work well in a teamPrioritization of workloadTower:Group InsuranceLevel 1:Employee BenefitLevel 2:Claims ProcessingMust have/ minimum requirement2+ years of experience in Insurance Disability Claims Processing.Knowledge of MS Office Tools and good computer knowledge. Roles & Responsibilities:Processing Disability insurance claims, calculating overpayments and Underpayments.Review and assess complex Disability claims to determine benefits and eligibility for payment.Research and verify claims information including policy details, claims document validation, calculating benefit amount and other relevant documentation.Identify the correct payee or beneficiary to release the claims payment.Complies with all regulatory requirements, procedures, and Federal/State/Local regulations.Research on any queries/ requests sent by the Business Partners/Client Support Teams and replying the same with minimum response time.Taking active participation in process improvements and automation.Ensure Quality Control standards that have been set are adhered to.Excellent organizational skills with ability to identify and prioritize high value transactions.Completing assigned responsibilities and projects within timelines apart from managing daily BAU.Skillset:Graduate in any stream.Open to flexible shifts based on business requirements.Good verbal & written communication skillsGood typing skills and attention to detail.Time management skills. Ability to work independently Roles and Responsibilities: In this role you are required to do analysis and solving of lower-complexity problems Your day to day interaction is with peers within Accenture before updating supervisors In this role you may have limited exposure with clients and/or Accenture management You will be given moderate level instruction on daily work tasks and detailed instructions on new assignments The decisions you make impact your own work and may impact the work of others You will be an individual contributor as a part of a team, with a focused scope of work Please note that this role may require you to work in rotational shifts Qualification Any Graduation

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8.0 - 11.0 years

35 - 37 Lacs

Kolkata, Ahmedabad, Bengaluru

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Dear Candidate, We are hiring a Zig Developer to build bare-metal, embedded, or systems-level applications with minimal runtime overhead. Key Responsibilities: Develop applications in Zig with a focus on performance and safety Replace or extend C code with cleaner Zig equivalents Work on cross-compilation for embedded or platform-specific builds Contribute to tooling, kernel development, or embedded firmware Optimize binary sizes and compile times Required Skills & Qualifications: Strong grasp of Zig and its manual memory management Familiar with low-level programming , C interop , and cross-compilation Experience with bare-metal systems or firmware is a plus Bonus: Kernel development or OS-level contributions Note: If interested, please share your updated resume and preferred time for a discussion. If shortlisted, our HR team will contact you. Kandi Srinivasa Delivery Manager Integra Technologies

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3.0 - 8.0 years

10 - 14 Lacs

Nagpur

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PRINCIPAL ACCOUNTABILITIES 1. Business Analysis : Channel wise Health LOB data and analysis for Achievement against AOP target for all the retail channels. Provide analysis on product mix , business mix , Sum insured Mix geography wise Maintain Geography wise P& L and share with concern stakeholders Publish Monthly Target Vs achievement metrics in terms of GWP , active agent , agent recruitment. Publish Monthly business figures of Market insurer wise Channel wise : Health Agent recruitment and activation report Pay-out calculations monthly basis Extremely good in MS Excel and Analysis 2. UW and Claims Analysis : UW Pendency report and TAT report Channel wise Loss ratio analysis geography wise , IMD wise and product wise Discuss actionable to control the loss ratio with channel head and business leaders 3. Automation: Automation of daily reports Click sense automation as per business requirement 4. Presentation Coordinate with all channel for data points for LRP and AOP strategy making Maintain management tracker and share with management on periodic basis 5. Strategy Explore profitable market and New town to enter, analysis on loss ratio and competition business model. Benchmark with competition business strategy in terms of product, manpower, agent network Share HR manpower data with NHOD grade wise to take decision in Hiring Roles and Responsibilities 2

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2.0 - 5.0 years

3 - 5 Lacs

Noida

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Job Title: Royalty Operations & Accounting Administrator Career Level: B2 We are seeking a diligent and detail-oriented Royalty Operations & Accounting Administrator In this role, you will be responsible for providing support and assistance during Royalty Audits for various authors This position requires regular collaboration with the other departments as well as the ability to work with large data sets, performing various analyses and research to ensure accurate audit proceedings, Key Responsibilities Assist in the preparation of author/auditor inquiry support using various system(s) extracts and royalty statements, Collating, checking, and analyzing spreadsheet data, Research on various aspects of the audit, collaborate with cross functional teams for process understanding and information gathering, Assist in the maintenance of Fieldwork Tracking reports and provide regular updates, Manage data/report extraction, storage, transformation, and processing through data analytics, Interact closely with portfolio team to ensure smooth audit proceedings, Assist in the review and analysis of the claim reports submitted by the auditor, as well as the relevant provisions of the underlying contracts, Draft summaries for internal and external stakeholders, Conduct effective rate analysis on various titles, calculating flat rates based on weighted revenue across channels, Review contracts, clarify issues, summarize key points, and communicate to all affected departments to ensure compliance with the contract's terms and accurate accounting, Collaborate with portfolio team to resolve queries and interpret rates accurately, Assist in ad-hoc projects involving complex analysis and large data sets for other Operating Units and US leadership team, Actively participate in data maintenance efforts and contribute to improving data reports as needed, Drafting SOPs and continuously working on process improvement initiates Qualifications Bachelor's degree in Accounting, Finance, or related field, Prior experience in audit fieldwork, claims analysis, or similar role preferred, Requirements Proficiency in working with large data sets and conducting thorough analyses, Strong communication skills and ability to collaborate effectively with cross-functional teams, Detail-oriented with excellent organizational and problem-solving abilities, Ability to work independently and manage multiple tasks simultaneously, English fluency both verbal and written is required, Disciplined self-starter with can-do attitude; proactive, resourceful, detail oriented and strong follow-through skills, Advanced proficiency in Microsoft Excel and/or Access/SQL, Experience reading and interpreting agreements/Contracts and possess knowledge of License/Sub-License agreements, Experience with workpaper documentation, Knowledge on Tableau/Power BI Who We Are At Pearson, our purpose is simple: to help people realize the life they imagine through learning We believe that every learning opportunity is a chance for a personal breakthrough We are the world's lifelong learning company For us, learning isn't just what we do It's who we are To learn more: We are Pearson, Pearson is an Equal Opportunity Employer and a member of E-Verify Employment decisions are based on qualifications, merit and business need Qualified applicants will receive consideration for employment without regard to race, ethnicity, color, religion, sex, sexual orientation, gender identity, gender expression, age, national origin, protected veteran status, disability status or any other group protected by law We actively seek qualified candidates who are protected veterans and individuals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act, If you are an individual with a disability and are unable or limited in your ability to use or access our career site as a result of your disability, you may request reasonable accommodations by emailing TalentExperienceGlobalTeam@grp pearson,com, Job: FINANCE Organization: Corporate Finance Schedule: FULL_TIME Workplace Type: Hybrid Req ID: 18946

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5.0 - 10.0 years

6 - 7 Lacs

Kochi, Hyderabad, Pune

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Candidate should be working as a Team leader / Quality analyst / Trainer / SME on papers in US Healthcare for Claims adjudication process. Qualification - Graduate Shift - US rotational shifts Work Location - Chennai / Bangalore Required Candidate profile Immediate Joiners OR Max 1 month notice period candidates can apply Call HR Sadiq @ 8904378561 for more details.

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5.0 - 10.0 years

5 - 8 Lacs

Pune

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We are hiring for an Assistant Manager Operations with mandatory experience in UK Insurance (Motor Insurance) . This role offers an exciting opportunity to lead operational excellence, ensure compliance, manage team performance, and drive process improvement within a dynamic insurance environment. Your Future Employer - A globally recognized organization offering world-class operations and customer service support for international insurance clients, fostering a culture of excellence, innovation, and continuous development. Responsibilities - 1. Managing day-to-day operations while ensuring client-defined service level metrics (SLAs) are being met. 2. Leading team scheduling, leave management, and transport coordination 3. Ensuring accurate and timely reporting of productivity and performance metrics 4. Conducting monthly appraisals, one-on-ones, confirmations, and maintaining employee records 5. Developing and managing incentive programs to boost team motivation 6. Driving at least one productivity initiative annually using LEAN or Six Sigma methodologies 7. Monitoring compliance and legal standards with a target of achieving zero defects 8. Handling daily issue logs related to operations, IT, QA, etc. 9. Ensuring team members are being punctual, utilizing leaves effectively, and following proper shift schedules 10. Escalating any incidents that may impact productivity to leadership Requirements - Graduation is mandatory for the role. Prior experience in UK Insurance either P&C Insurance or Health Insurance but Motor Insurance (mandatory) Strong operational management, team leadership, and stakeholder coordination skills Experience in productivity tools, quality monitoring, and service excellence frameworks Exposure to LEAN or Six Sigma practices preferred What is in it for you - Opportunity to work with global insurance clients A fast-paced role with strong career progression potential Exposure to quality-focused operations and process improvement methodologies A collaborative and structured work culture Reach us: If you think this role is aligned with your career, kindly write to me along with your updated CV at vasu.joshi@crescendogroup.in for a confidential discussion on the role. Disclaimer: Crescendo Global specializes in senior to C-level niche recruitment. We are passionate about empowering job seekers and employers with an engaging and memorable job search and leadership hiring experience. Crescendo Global does not discriminate on the basis of race, religion, colour, origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Note: We receive a high volume of applications daily, so if you dont hear back from us within a week, please assume your profile was not shortlisted. Your patience is appreciated. Stay Alert: Scammers may misuse Crescendo Globals name for fake job offers. We never ask for money, purchases, or system upgrades. Verify all opportunities at www.crescendo-global.com and report any fraud immediately. Profile Keywords: Crescendo Global, Jobs in Bangalore, Assistant Manager Operations Jobs, UK Insurance Process Jobs, Life & Pensions operations Jobs, Motor Insurance operations Jobs, Insurance BPO, Team Lead Insurance Jobs, SLA Management, Six Sigma in Insurance, Productivity Improvement Jobs

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2.0 - 7.0 years

2 - 4 Lacs

Pune

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Claims Specialist Exp- 2+ Years Loc- Pune Skills- Claims, Dispute, Claims Mgt, Reason Codes, SAP, etc Pkg- 5.5 LPA Aparupa 9311697179 Aparupa.imaginators@gmail.com

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0.0 years

0 - 3 Lacs

Bengaluru

Hybrid

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Job Title : Analyst Qualification : Any Graduate Experience :F resher Must Have Skills : > Good working knowledge of the Microsoft office, particularly Excel & PowerPoint > Relevant Claims/risk management/Accounting Knowledge experience as a minimum according to the role Good to Have Skills : l Excellent analytical problem-solving skills. l Strong communication skills, both orally and in writing. l Commercial awareness a commercial and pragmatic approach to managing compliance. l IT literate knowledge of Microsoft office packages needed. Roles and Responsibilities : Accounts: l Good understanding of financial statementsand accounting concepts l Strong analytical skills l Excellent knowledge of Microsoft office is essential andadvanced Excel skills l Maintain and manage carrier accounts and settlements l Perform financial analysis and reporting Risk managements: l Collaborate with various teams for performing day-to-dayactivities ensuring effective risk management: l Engage with different departments to integrate risk management practices into their daily operations. l Identify potential risks and develop strategies to mitigate them in collaboration with cross-functional teams. l Ensure that risk management policies are consistently applied and adhered to across the organization. Claims: l Adjudicate international claims in accordance with policy terms and conditions to meet personal and team productivity and quality goals. l Respond within the time commitment given to enquiries regarding plan design, eligibility, claims status and perform necessary action as required, with first issue/call resolution where possible. l Handling and resolving complex claim issues l Collaborating with internal teams to ensure accurate claims processing l Providing support in claims settlement negotiations l Maintaining detailed documentation of claims activities Location : Bangalore CTC Range : 3.7 lpa (lakh per annum) Notice period : Immediate Shift Timings : Early morning / Afternoon shift Mode of Interview : Virtual Mode of Work : Hybrid Mode of Hire : Permanent Thanks & Regards, Amala Subject Matter Expert Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432458 Send Resumes to amala@blackwhite.in www.blackwhite.in ******DO REFER YOUR FRIENDS AND FAMILY******

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0.0 years

0 - 3 Lacs

Bengaluru

Hybrid

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Job Title : Analyst Qualification : Any Graduate Experience : Fresher Must Have Skills : > Good working knowledge of the Microsoft office, particularly Excel & PowerPoint > Relevant Claims/risk management/Accounting Knowledge experience as a minimum according to the role Good to Have Skills : l Excellent analytical problem-solving skills. l Strong communication skills, both orally and in writing. l Commercial awareness a commercial and pragmatic approach to managing compliance. l IT literate knowledge of Microsoft office packages needed. Roles and Responsibilities : Accounts: l Good understanding of financial statements and accounting concepts l Strong analytical skills l Excellent knowledge of Microsoft office is essential and advanced Excel skills l Maintain and manage carrier accounts and settlements l Perform financial analysis and reporting Risk managements: l Collaborate with various teams for performing day-to-day activities ensuring effective risk management: l Engage with different departments to integrate risk management practices into their daily operations. l Identify potential risks and develop strategies to mitigate them in collaboration with cross-functional teams. l Ensure that risk management policies are consistently applied and adhered to across the organization. Claims: l Adjudicate international claims in accordance with policy terms and conditions to meet personal and team productivity and quality goals. l Respond within the time commitment given to enquiries regarding plan design, eligibility, claims status and perform necessary action as required, with first issue/call resolution where possible. l Handling and resolving complex claim issues l Collaborating with internal teams to ensure accurate claims processing l Providing support in claims settlement negotiations l Maintaining detailed documentation of claims activities Location : Bangalore CTC Range : 3.1 lpa (lakh per annum) Notice period : Immediate Shift Timings : Early morning / Afternoon shift Mode of Interview : Virtual Mode of Work : Hybrid Mode of Hire : Permanent Note : NA -- Thanks & Regards, HR Sneha Staffing Analyst Black and White Business Solutions Pvt Ltd Bangalore,Karnataka,INDIA. Direct Number: 8067432406|Whatsapp:8951047887| sneha.v@blackwhite.in | www.blackwhite.in

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3.0 - 15.0 years

5 - 17 Lacs

Mumbai, New Delhi

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Designation: Associate Vice President / Senior Manager / Manager - Liability & Speciality Products. (Depending on the seniority of the candidate). Location: Mumbai, Delhi Organisation: One of the Leading Insurance Broking Companies in India. Reporting to: The Vice President- Liability & Speciality Products. Key Accountabilities: Underwriting liability proposals of all lines of business, and rating them. Coordinate with the Sales team and Brokers of the entire Zone; and assisting them in converting business. Assist in Product development and Product filing. To ensure renewal and identify possibilities of up-sell/cross- sell. Coordinate with the Claims Team & other stake-holders. Requirements: At least 3 to 15 years in Liability Underwriting.

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2.0 - 5.0 years

2 - 5 Lacs

Vadodara

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Qualifacts Systems, Inc. is looking for RCMS AR Specialist II to join our dynamic team and embark on a rewarding career journey Billing & Invoicing: Generate and review accurate invoices through the RCMS platform for self-pay and third-party payers. Validate charge capture data from clinical and services departments prior to billing. Payment Posting & Reconciliation: Post payments, adjustments, and write-offs in RCMS and general ledger systems. Reconcile daily cash buckets and investigate discrepancies between bank deposits and system postings. Denial & AR Follow-Up: Monitor aging reports and aging buckets in RCMS; prioritize and manage escalation of past-due accounts. Research claim denials and rejections; prepare and submit appeals or corrected claims to payers. Patient & Payer Inquiry Resolution: Act as primary point of contact for patient billing inquiriesexplain statements, provide payoff quotes, arrange payment plans. Interface with insurance carriers to resolve coverage, eligibility, and claims-status questions. Reporting & Analysis: Produce weekly/monthly AR performance reports (days in AR, net collection rate, denial %, etc.). Analyze trends to recommend process improvements and reduce avoidable denials or write-offs.

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2.0 - 7.0 years

4 - 9 Lacs

Jammu, Katwa

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Assists in carrying out the daily activities of the Human Resource Office including recruitment, total compensation, and training and development. Additionally, he/she assists in delivering HR services that meet or exceed the needs of employees and enable business success; as we'll as ensuring compliance with all applicable laws, regulations and operating procedures. CANDIDATE PROFILE Education and Experience High school diploma or GED; 2 years experience in the human resources, management operations, or related professional area. OR 2-year degree from an accredited university in Human Resources, Business Administration, or related major; no work experience required. CORE WORK ACTIVITIES Assisting in Managing Recruitment and Hiring Process Assists in the interviewing and hiring of Human Resource employee team members with the appropriate skills, as needed. Assists in establishing and maintains contact with external recruitment sources. Attends job fairs and ensures documentation of outreach efforts in accordance with Human Resource Standard Operating Procedures. Networks with local organizations (eg, Hotel Association and peers) to source candidates for current or future openings. Assists in monitoring candidate identification and selection process. Performs quality control on candidate identification/selection. Assisting in Administering and Educating Employee Benefits Works with the unemployment services provider to respond to unemployment claims; reviews provider reports for accuracy and corrects errors. Assists with unemployment claim activity reports. Attends unemployment hearings and ensures property is properly represented, as needed. Assisting in Managing Employee Development Assists with departmental orientation program for employees to receive the appropriate new hire training to successfully perform their job. Ensures employees are cross-trained to support successful daily operations. Assists with coordination and facilitation of new hire orientation program to generate a positive first impression for employees and emphasize the importance of guest service in company culture. Ensures attendance by all new hires and participation of the leadership team in training programs Assists with ensuring departmental orientation processes are in place and employees receive the appropriate new hire training to successfully perform their job. Assisting in Maintaining Employee Relations Assists in maintaining effective employee communication channels in the property (eg, develops daily communications and assists with regularly scheduled property-wide meetings). Reviews progressive discipline documentation for accuracy and consistency, and checks for supportive documentation and is accountable for determining appropriate action. Utilizes an open door policy to acknowledge employee problems or concerns in a timely manner Ensures employee issues are referred to the Department Manager for resolution or escalated to the Director of Human Resources/Multi-Property Director of Human Resources. Partners with Loss Prevention to conduct employee accident investigations, as necessary. Communicates performance expectations in accordance with job descriptions for each position. Assisting in Managing Legal and Compliance Practices Assists with ensuring employee files contain required employment paperwork, proper performance management and compensation documentation, are properly maintained and secured for the required length of time. Assists with ensuring compliance with procedure for accessing, reviewing, and auditing employee files and ensure compliance with the Privacy Act. Assists with ensuring medical records are maintained in a separate, secure and confidential medical file. Facilitates random, reasonable belief and post accident drug testing process (in properties where applicable). Communicates property rules and regulations via the employee handbook. Assists with ensuring all safety and security policies (eg, property removal, lost and found items, blood borne pathogens, accident reporting, and hygiene) are communicated to employees on a regular basis through orientation, property meetings, bulletin boards, etc Assists with periodic claims reviews with Regional Claims office to ensure claims are closed in a timely manner and reserve levels are appropriate for open claims. Assists with managing Workers Compensation claims to ensure appropriate employee care and manage costs.

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1.0 - 6.0 years

3 - 8 Lacs

Salem

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The incumbent would be responsible for the primary & secondary sales for the territory. The deliverables of this role is to increase the sales with the retailers/wholesalers by handling the distributors. Continuous exploration and implementation of strategy for building opportunities & developing team to drive daily POB target. Key Stakeholder: Internal Marketing, Supply Chain, Human Resources, Sales Development Key Stakeholder: External Retailers, Wholesalers, Distributors, Key Accounts customers Reporting Structure: Role directly reports to Area Business Manager Experience: Minimum 3 years of experience in OTC/FMCG industry Hands on experience in handling distributors and subordinates Skills: Effective persuasive skills and basic understanding of numerical. Good communication skills Team development and engagement. Planning & Execution Stakeholder management Technology adoption & embedment Graduate or above Responsible for Primary/Secondary target for the region and growth of business Planning of primary and secondary for the month Distributor management with appointment of new distributor whenever required Team handling Ensuring fill rate for physical and online retailers Receiving correct claims and getting them processed Maintain all required records Ensuring timely clearance of company outstanding Closure of distributor in case required and clearing all outstanding Store execution Make journey plan for TSO and ensure adherence to same Ensuring stock availability at prominent place for all our products Ensuring that all promotion communications are properly done Taking paid or non-paid secondary space in the store in best possible place Interact with local/regional category persons of all retailers (National/regional/Local) Help in getting products available with local retailers Coordinate with respective CFA to ensure timely supplies to distributors/direct retailers Ensuring sufficient stocks with distributors and retailers in the region

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8.0 - 13.0 years

30 - 35 Lacs

Bengaluru

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You as a Legal Counsel will be part of Hitachi Energy business based in Bengaluru , India You will provide professional advice on a broad range of legal and integrity issues relating to the Grid Integration business line particularly regarding high value complex tenders and projects (i. e. HVDC Interconnector, offshore wind, Grid and Power Quality Solutions, etc. ). How you ll make an impact: Meeting with customers, partners and suppliers, negotiating contractual terms in collaboration with relevant business stakeholders to drive the development of different business models particularly with regard to high value complex tenders and projects (HVDC, offshore wind connections, substations and FACTS). Working as a trusted business partner. Identifying legal issues of concern to the business and proactively develop effective legal strategies, mitigation actions and practical solutions in support of business activities. Contributing to the review the tender preparation, risks identification, risk review, framework agreements, partnerships, settlements, etc. all in coordination with key internal stakeholders. Collaborating with legal teams in globally, as well as with interdisciplinary teams. Promoting dispute avoidance and strategize the management of disputes and litigations liaising, where necessary, with external law firms and experts. Ensuring compliance with the applicable laws and regulations as well as internal regulations in various fields. Contributing to the development of directives and assisting with implementation. Collaborating in Risk Management and other internal processes. Collaborating and supporting Regional Legal team. Training of Company employees in all legal matters. Living Hitachi Energy s core values of safety and integrity, which means taking responsibility for your own actions while caring for your colleagues and the business. Your background: Bachelors degree in law. 8+ years of experience as a lawyer relating to grid system or major utilities construction/ engineering projects with a successful track record of handling complex international corporate and commercial transactions as well as significant claims and litigations. Knowledge of governmental and commercial regulations and practices, working knowledge of FIDIC and offshore contracts. Proven communication, drafting of contracts and negotiation skills. Ability to work under pressure. Ability to travel. Proficiency in both spoken & written English language is required.

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1.0 - 3.0 years

3 - 5 Lacs

Noida

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Job Description Proofread Issued Patent and Pre-grant Published Application Browsing of patent prosecution documents and cross-checking the issued patents with relevant references Automated and manual proofreading of claims, specifications, formal drawings and sequence listings Checking all received documents for correctness and completeness against the file history of the patent Generating proofreading reports and submitting the same to the management Writing Newsletters & Blogs Requirement Language skills: Candidate must have excellent written and verbal communication skills in English. Soft Skills: Team player, strong interpersonal skills. Computer Skills: Good knowledge of MS-Office. 1 Basic Details Candidate Details First Name * Last Name * Phone number * Email * Upload Resume * Experience Previous Company PREVIOUS JOB TITLE FROM DATE TO DATE Roles & Responsibilities/ Job profile/ KRA Total Years of work experience Cancel

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3.0 - 6.0 years

8 - 12 Lacs

Gurugram

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Job Purpose The role will be a part of the ReNew s Program Management Office (PMO). The key dimension of the role will be Project Scheduling. List of responsibilities: Developing detailed project schedules using Primavera P6 software, including the creation of work breakdown structures, resource loading, and critical path analysis. Collaborating with project managers, engineers, and other stakeholders to gather information and define project scope, objectives, and schedule constraints. Analyzing and interpreting project data to identify potential schedule risks and develop mitigation plans. Maintaining and updating project schedules on a regular basis to reflect progress, changes, and delays. Communicating schedule status and progress to project stakeholders, including management and other relevant parties. Providing guidance and training to project team members on the use of Primavera P6 software. Continuously monitoring the project schedule and providing feedback and suggestions for improvement to the project team. Keep the project schedule and documentation up-to-date, accurate and in compliance with the project requirements. Understand the contractual obligation and ensure that the project schedule is aligned with the contract schedule. Provide support to the project manager in managing project change requests and claims and ensure that the schedule is updated accordingly. Integrated schedule in P6 Prior experience in Solar, Wind, Regulatory, financing activities are desirable. Coordinate with Power BI team & publish integrated BI dashboard

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1.0 - 5.0 years

5 - 6 Lacs

Noida

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Browsing of patent prosecution documents and cross-checking the issued patents with relevant references Automated and manual proofreading of claims, specifications, formal drawings and sequence listings Checking all received documents for correctness and completeness against the file history of the patent Generating proofreading reports and submitting the same to the management Writing Newsletters & Blogs Requirement Language skills: Candidate must have excellent written and verbal communication skills in English. Soft Skills: Team player, strong interpersonal skills. Computer Skills: Good knowledge of MS-Office. Candidate Details Previous Company PREVIOUS JOB TITLE FROM DATE TO DATE Roles & Responsibilities/ Job profile/ KRA Total Years of work experience Didn t Find Anything a fit? Well, Help Us Create a Place For You Request a Call Back! Thank you for your interest. Please fill out the form and we will contact you shortly. Team Will Contact Soon! Thank you for subscribing, we shall be in touch

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3.0 - 7.0 years

18 - 19 Lacs

Coimbatore

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About us We invite you to bring your ideas to ExxonMobil to help create sustainable solutions that improve quality of life and meet society s evolving needs. Learn more about our What and our Why and how we can work together . ExxonMobil s affiliates in India ExxonMobil s affiliates have offices in India in Bengaluru, Mumbai and the National Capital Region. ExxonMobil s affiliates in India supporting the Product Solutions business engage in the marketing, sales and distribution of performance as well as specialty products across chemicals and lubricants businesses. The India planning teams are also embedded with global business units for business planning and analytics. ExxonMobil s LNG affiliate in India supporting the upstream business provides consultant services for other ExxonMobil upstream affiliates and conducts LNG market-development activities. The Global Business Center - Technology Center provides a range of technical and business support services for ExxonMobil s operations around the globe. ExxonMobil strives to make a positive contribution to the communities where we operate and its affiliates support a range of education, health and community-building programs in India. Read more about our Corporate Responsibility Framework. To know more about ExxonMobil in India, visit ExxonMobil India and the Energy Factor India . What role you will play in our team Manage portfolio of retail customers i.e, retailers, independent & branded workshops and coordinate sales activities through authorized distributor, authorized reseller network in assigned territory. As part of a career in Sales, candidates would need to be mobile across various locations and cities, to be fully developed across different markets in India Job Location- Hyderabad/ Chennai/ Coimbatore What you will do Implement assigned marketing programs and promotions through distributors & authorized resellers Conduct periodic business reviews with distributors & authorized resellers for business improvement Track distribution, market share and take appropriate steps to meet growth objectives Collaborate with cross functional team, leverage ExxonMobil resources to meet business objectives Build positive business relationships with authorized distributors, authorized resellers and their key customers Monitor market conditions, emerging trends and provide feedback to enhance marketing offers Manage and answer enquiries, disputes, claims and complaints raised by customers with appropriate help from cross functional teams Train and coach distributors and their sales staff About You Skills and Qualifications: Bachelors degree in engineering OR Sales OR Marketing OR Commerce from a recognized university (with CGPA 7 and above) Minimum 3 and maximum of 10 yrs of total work experience in B2C/ Retail Sales in Automotive, FMCG, Paints or similar trade. Ability to analyze business performance and identify the areas of improvement Willing to travel Preferred Qualifications/ Experience Engineers and MBA in Marketing will be preferred A highly motivated team player with excellent oral and written communication skills Proficiency in MS Excel, Word & Power point Listens actively, summarizes information and asks appropriate questions to fully understand concepts, activities and priorities. Your benefits An ExxonMobil career is one designed to last. Our commitment to you runs deep: our employees grow personally and professionally, with benefits built on our core categories of health, security, finance and life. We offer you: Competitive compensation Medical plans, maternity leave and benefits, life, accidental death and dismemberment benefits Retirement benefits Global networking & cross-functional opportunities Annual vacations & holidays Day care assistance program Training and development program Tuition assistance program Workplace flexibility policy Relocation program Transportation facility Stay connected with us Learn more about ExxonMobil in India, visit ExxonMobil India and Energy Factor India . Follow us on LinkedIn and Instagram Like us on Facebook Subscribe our channel at YouTube EEO Statement ExxonMobil is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin or disability status. Business solicitation and recruiting scams ExxonMobil does not use recruiting or placement agencies that charge candidates an advance fee of any kind (e.g., placement fees, immigration processing fees, etc.). Follow the LINK to understand more about recruitment scams in the name of ExxonMobil. Nothing herein is intended to override the corporate separateness of local entities. Working relationships discussed herein do not necessarily represent a reporting connection, but may reflect a functional guidance, stewardship, or service relationship. Exxon Mobil Corporation has numerous affiliates, many with names that include ExxonMobil, Exxon, Esso and Mobil. For convenience and simplicity, those terms and terms like corporation, company, our, we and its are sometimes used as abbreviated references to specific affiliates or affiliate groups. Abbreviated references describing global or regional operational organizations and global or regional business lines are also sometimes used for convenience and simplicity. Similarly, ExxonMobil has business relationships with thousands of customers, suppliers, governments, and others. For convenience and simplicity, words like venture, joint venture, partnership, co-venturer, and partner are used to indicate business relationships involving common activities and interests, and those words may not indicate precise legal relationships.

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10.0 - 15.0 years

12 - 17 Lacs

Ahmedabad

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Qualification : B. Com / B. Sc. / M. Sc., Local Ahmedabad based candidate preferable Experience : 10 to 15 years of experience in Chemical or Any Manufacturing Industries Yearly CTC : 15.00 LPA (Rs in Lakhs) We are seeking an experienced and detail-oriented professional to manage all DGFT-related activities and ensure seamless execution of export-related regulatory processes The ideal candidate will have a deep understanding of DGFT schemes, export-import documentation, and customs regulations to ensure timely and accurate execution of all export-related processes. Must have: Manage and track Advance Authorization Licenses, ensuring timely application, utilization, and compliance to secure export incentives. Liaise effectively with DGFT offices and portals (both online and offline) for matters related to E-com applications, EODC issuance, ECGC, RoDTEP, EPCG, LUT Bonds, and related schemes. Handle No-Norms/Self-Declaration approvals and maintain compliance with regulatory standards. Oversee license registration processes with Indian Customs, ensuring accurate and timely documentation. Prepare and process ARO (Advance Release Orders) and Invalidation Applications as per export requirements. Apply for and obtain various Certificates of Origin (CoO) from DGFT and other authorized agencies. Ensure accurate documentation for Drawback (DBK) claims and other export incentive schemes under Customs. Prepare and review all pre-shipment and post-shipment documentation to support export operations. Monitor and control shipment costs to ensure they remain within budgeted limits. Maintain and update detailed tracking reports for: Shipment movement Advance License utilization Export incentives and benefit realization ECGC and DGFT compliance Ensure timely application and follow-up for Export Obligation Discharge Certificates (EODC). Coordinate applications for norms fixation and amendments under Advance Authorization schemes. Want to Have: Hands on experience in MS-Excel. Excellent organizational and multitasking abilities with attention to detail. Proficiency in using procurement software and Microsoft Office suite. Good communication skills, both written and verbal. Ability to work collaboratively in a team environment and meet deadlines. Reporting to : Chief Financial Officer

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Exploring Claims Jobs in India

The claims job market in India is thriving with numerous opportunities for job seekers in the insurance sector. Claims professionals play a crucial role in assessing and processing insurance claims, ensuring customers receive rightful compensation in times of need.

Top Hiring Locations in India

  1. Mumbai
  2. Delhi
  3. Bangalore
  4. Chennai
  5. Pune

Average Salary Range

The average salary range for claims professionals in India varies based on experience level: - Entry-level: INR 3-5 lakhs per annum - Mid-level: INR 6-10 lakhs per annum - Experienced: INR 12-20 lakhs per annum

Career Path

In the claims domain, a typical career path may include roles such as: - Claims Associate - Claims Analyst - Senior Claims Specialist - Claims Manager - Claims Director

Related Skills

Apart from expertise in claims processing, individuals in this field may benefit from having skills such as: - Strong analytical abilities - Excellent communication skills - Attention to detail - Knowledge of insurance policies and regulations

Interview Questions

  • What experience do you have in handling insurance claims? (basic)
  • How do you ensure the accuracy of claim information? (basic)
  • Can you explain the claims settlement process? (medium)
  • How do you handle difficult or dissatisfied customers during the claims process? (medium)
  • Have you ever dealt with fraudulent claims? How did you handle them? (medium)
  • What software or tools are you familiar with for claims processing? (medium)
  • How do you stay updated with changes in insurance laws and regulations? (advanced)
  • Can you give an example of a complex claim you successfully processed? (advanced)
  • How do you prioritize and manage multiple claims simultaneously? (advanced)
  • How do you ensure confidentiality when handling sensitive claim information? (advanced)
  • ...

Conclusion

As you explore opportunities in the claims job market in India, remember to showcase your expertise, hone your skills, and prepare diligently for interviews. With determination and the right skills, you can excel in a rewarding career in claims management. Good luck!

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