2820 Claims Jobs - Page 34

ROLES & RESPONSIBILITY: : SPOC for our clients, to assist them & help them in terms of solving there queries related to Product, Endorsements, Claims, Wellness etc. Ensure contacting clients as per their SLAB of Sum Insured, and decided by TL . Do the welcome call to all new clients, and service calls with old Clients mapped to him/her. Need to build repo with SPOC HR of the corporate, and help him/ her in there need, arrange Wellness camps for clients. Update them the benefit of using our Notify App, and maintaining CD balance in their accounts. Generate Leads with help of their allotted clients . Update Google sheet on daily basis, for all discussion with clients, mention there Issues & when resolve it should be updated. Work closely on high ageing Endorsement & Claims cases for their allotted clients, and guide them in case of any deficiency documents required from them. Conduct Wellness camps, helpdesk on claims, endorsements on regular basis. Policy orientation. Must have 2-5 years of experience in an similar profile.

Title: Senior Associate - Scientific Writing Date: 7 Jul 2025 Location: Bangalore, KA, IN Job Description We are a technology-led healthcare solutions provider. We are driven by our purpose to enable healthcare organizations to be future-ready. We offer accelerated, global growth opportunities for talent that s bold, industrious, and nimble. With Indegene, you gain a unique career experience that celebrates entrepreneurship and is guided by passion, innovation, collaboration, and empathy. To explore exciting opportunities at the convergence of healthcare and technology, check out www.careers.indegene.comLooking to jump-start your careerWe understand how important the first few years of your career are, which create the foundation of your entire professional journey. At Indegene, we promise you a differentiated career experience. You will not only work at the exciting intersection of healthcare and technology but also will be mentored by some of the most brilliant minds in the industry. We are offering a global fast-track career where you can grow along with Indegene s high-speed growth.We are purpose-driven. We enable healthcare organizations to be future ready and our customer obsession is our driving force. We ensure that our customers achieve what they truly want. We are bold in our actions, nimble in our decision-making, and industrious in the way we work. Must Have EDUCATION: MBBS/PhD/MDS/BDS/MPharm/PharmD EXPERIENCE: 4 to 6 years experience in writing Clinical & Regulatory documents supporting global filings (CTD Module 2 and Module 5) ROLE PURPOSE: Lead Medical Writer is responsible for the development and review of medical writing deliverables that support the clinical regulatory writing portfolio and train the junior writers. SKILLS: Experience in authoring a broad set of different clinical document types that support regulatory filings with a preference for experience with Module 2.4, 2.5, 2.6, 2.7, 5.2, clinical study reports (CSRs,) protocols, amendments, and Investigator Brochures (IBs) Demonstrated excellence in focused/lean writing and editing following defined processes and templates Lead cross-functional teams to draft agreed-upon scientific/ medical content that addresses data interpretation, product claims, and internal/external questions Understanding of clinical development process from program panning to submission, including clinical trial design Communication skills commensurate with a professional working environment Effective time management, organizational, and interpersonal skills Customer focus Comfortable following directions, templates, and structured processes for delivering documents for review and finalization Able to work independently while maintaining communication with the Sponsor s MW project manager Ability to move across Therapeutic Areas to support business continuity and resource needs Ability to develop, coordinate, and oversee work plans for both individual and multiple-document delivery, with all the needed tasks and subtasks, timelines, and assigned roles and responsibilities that enable the team to work efficiently and effectively to deliver all milestone tasks and documents within specified timelines Develop work plan and ensure adherence Ability to manage the tasks, roles, responsibilities, and timing of the authoring team, internal/external contributors, and reviewers to facilitate document completion Adherence to processes and Sponsor-defined best practices Ability to facilitate review meetings, address feedback, and negotiate solutions/agreements KNOWLEDGE REQUIREMENT: Scientific Knowledge Strong knowledge of regulatory guidelines/requirements and other regional guidelines such as those from the European Union and the United States Ability to interpret data and apply scientific knowledge to support regulatory document writing (ie. IB, protocols, amendments, CSR, Clinical summaries) Ability to build clinical or regulatory arguments in the absence of direct data using logic, analogy and therapeutic area science Understanding of medical practices regarding procedures, medications, and treatment for different disease states Manage messaging for consistency with historical information and in alignment with agreed-upon strategy Capable of providing insight, alternatives, and suggestions based on previous experiences Comfortable working on cross-functional teams with the ability to drive document content to support lean authoring Experience writing protocols, amendments, CSR, and CTD summary documents Good to have Technology Skills Expert authoring in MS Word, understanding of MS Word functionality Experience working in document management systems; managing workflows eApproval/signatures Experience working with Word add-ins that facilitate the management of fonts, styles, references, etc. Flexibility in adapting to new tools and technology Capable of training writers/authors on the use of templates, guidelines, and tools RESPONSIBILITIES: Without guidance from senior members of the writing staff, prepare/review clinical study reports, protocols, investigator brochures, submission data summaries, and other regulatory documents on investigational drugs in various stages of clinical development Apply lean authoring principles as part of document development and, when applicable, structured content management text libraries as part of authoring process Coordinate and initiate activities for document review, consensus meeting, quality control, and document finalization under aggressive timelines Develop and maintain project plans Work as an active member of cross-functional teams representing Medical Writing Coordinate and deliver document kick-off meetings with writers and cross-functional representatives Ensure adherence to standard content, lean authoring, and messaging across team members Ensure communication between members remain open and information is disseminated appropriately Possible participation in the orientation and coaching of junior team members Conduct appropriate literature searches and screening, as needed Participate on Medical Writing department initiatives, as appropriate. Research regulatory requirements to remain current in the regulatory landscape Share lessons learned and best practices Ensure compliance with company training and time reporting EQUAL OPPORTUNITY

Career Opportunities Job Code IJP- Executive - Customer Engagement (Agency) Position Executive - Customer Engagement (Agency) No. of Positions 1 Department Operations Function Operations - Agency Reporting to Manager/Chief Manager - Customer Engagement Band 5 Location Vapi O ffice Last date of submission Key Responsibilities Managing office administration assets and upkeep of the same. Agents Contracting New Business Processing Banking of Initial & Renewal Premium Managing Petty cash & vendor payments Retention of Surrender Requests Execution of all Service Requests - Post Policy Issuance Reverting on customer queries and complaints Maintaining high NPS Scores Life and Health Claims processing Handling compliance issues. Audit Rating Measure of Success Customer Engagement - 70% Surrender Retention - 70% NPS-90 Managing office administration assets and upkeep of the same. Agents Contracting New Business Processing Banking of Initial & Renewal Premium Managing Petty cash & vendor payments Retention of Surrender Requests Execution of all Service Requests - Post Policy Issuance Reverting on customer queries and complaints Maintaining high NPS Scores Life and Health Claims processing Handling compliance issues. Audit Rating Measure of Success Customer Engagement - 70% Surrender Retention - 70% NPS-90 100% Banking with 24 hours. Vendor payment TAT should be Surrender Requests 100 % Accuracy of POS requests 100 % Accuracy of Customer service Zero Day upload of POS & Claims Docs in FTP server. Audit rating 2 Desired qualifications and experience Graduate / Post-Graduate in any discipline. 2-3 year s experience handling front end customer services Knowledge of service quality is required Knowledge and skills required Must be highly customer centri c Excellent communication skills Good co-ordination skills Data management on Excel should be good

"Snapscale is seeking an experienced Medical Biller and Payment Poster to join our dynamic team remotely from India The ideal candidate will possess a strong background in medical billing and payment posting, with at least 4 years of hands-on experience in the healthcare industry You will be responsible for ensuring accurate billing processes, managing payment postings, and collaborating with healthcare providers to optimize revenue cycle management Responsibilities:Process and submit medical claims to insurance companies and ensure timely follow-up for payments Post payments received from insurance companies and patients accurately into the billing system Review and resolve claim denials and rejections by analyzing payment trends and working with insurance carriers Maintain up-to-date knowledge of billing regulations, codes, and compliance standards Collaborate with healthcare providers to enhance billing accuracy and address any discrepancies Generate and analyze financial reports to monitor revenue cycle performance

Senior Associate/Associate - Field Force Operations (FFO) Location: Hyderabad Department: Insights & Analytics - FFO Industry: Pharma / Healthcare About Us: Chryselys is a Pharma Analytics & Business consulting company that delivers data-driven insights leveraging AI-powered, cloud-native platforms to achieve high-impact transformations. We specialize in digital technologies and advanced data science techniques that provide strategic and operational insights. Who we are: People - Our team of industry veterans, advisors and senior strategists have diverse backgrounds and have worked at top tier companies. Quality - Our goal is to deliver the value of a big five consulting company without the big five cost. Technology - Our solutions are Business centric built on cloud native technologies. Role Summary: As a Senior Associate/Associate - Field Force Operations (FFO) at Chryselys, you will support pharmaceutical clients with analytics-based solutions to optimize field team performance and improve commercial effectiveness. Your focus will be on delivering segmentation and targeting, sales force sizing, and call plan support using US-based datasets and claims information. You will work with internal analytics teams and client stakeholders to convert business questions into actionable field force strategies. The role involves applying both traditional and advanced segmentation techniques using machine learning models to enhance targeting precision and HCP engagement strategies. Key Responsibilities: Execute projects using US commercial and claims datasets to support field force planning Build and apply segmentation and targeting models, including machine learning-driven approaches, to optimize HCP engagement Perform sales force sizing analysis based on reach, frequency, and promotional goals Develop and refine call plans aligned with customer segmentation Design balanced Territories using the S&T and Sizing data Analyze claims data, CRM activity, and sales performance to assess rep impact Translate analytics into clear, business-friendly recommendations and reports Ensure accuracy, timeliness, and consistency in deliverables across projects What You Bring: Education: Bachelor s or Master s degree in Data Science, Statistics, Computer Science, Engineering, or a related field Experience: 2+ years of experience in Field Force Operations, preferably in the pharmaceutical or healthcare industry Technical Skills: Proficiency in SQL for querying and transforming large datasets Experience working with claims data, CRM systems, and sales activity data Strong knowledge of Advanced Excel for reporting Domain Knowledge: Understanding of segmentation and targeting, sales force sizing, and call plan development Experience in applying ML techniques (e.g., clustering, decision trees) for advanced HCP segmentation Familiarity with commercial data used in US pharma markets Strong problem-solving, communication, and teamwork skills Ability to manage deadlines in a collaborative, client-focused environment How to Apply: Ready to make an impact? Apply now by clicking [here] or visit our careers page at https: / / chryselys.com / chryselys-career / Please include your resume and a cover letter detailing why you re the perfect fit for this role. Equal Employment Opportunity: Chryselys is proud to be an Equal Employment Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Connect with Us: Follow us for updates and more opportunities: https: / / www.linkedin.com / company / chryselys / mycompany / Discover more about our team and culture: www.chryselys.com

You ll be working with members of our marketing team to bring their ideas to life. The creative assets will be used across a wide range of digital and print media. Your work will be seen by hundreds of thousands of people across the country. You ll be designing creatives for marketplaces such as Amazon; in-store collaterals in places such as D-Mart; posts for social media; advertising assets on Instagram; and contributing to our packaging design. We would also love it if you would like to contribute to the creative ideation and conceptualisation of the graphic assets. Skills / Experience We are looking for creative folks across the spectrum (including creative heads!). Just no freshers (sorry). High level of comfort with Photoshop and Illustrator We are also looking at illustrators who doodle Some experience with motion-graphics/ 3D rendering/ and video-editing tools is highly preferred. You should be comfortable working in a very fast-paced and ambiguous environment Experience working at an agency is strongly preferred A passion for your craft Good to Have An interest in writing copy and scripts. We value ideas and creativity! Brownie points to those with an interest in fitness and enjoy clean-eating! Who We Are We are a Bangalore based health-food brand. We are one of the most recognised health-food brands in the country. We are purpose-driven and on a mission to make the country eat healthier. We believe in honest food labels and balanced nutrition. We take the harder route and make our products tasty without loading them up with junk ingredients. We do it because we all truly believe in our mission. The company is founded by sisters Anindita and Suhasini Sampath (LBS, Wharton, IIM-C, and BITS Pilani). Yogabars has been nominated as one of the top women-led Indian startups by various publications. We are venture-capital funded and our institutional investors include SAIF Parnters and Fireside ventures. We also have several distinguished industry leaders as investors and active members of our board. What we offer We have an aggressive, fast-paced, and mission oriented culture. We promise significant autonomy and room for experimenting. Our culture is centered on respect, innovation and growth. We offer the same (if not better) perks that everyone else offers. Though some have claimed that they are likelier to eat healthier and live longer because of their association with us. We advise that you judge the authenticity of such claims with a pinch of low-sodium Himalayan Pink Salt. Also, free lots of free yummy food. That your doctor, nutritionist, and mum would approve of. APPLICATIONS WITHOUT A PORTFOLIO LINK WILL NOT BE CONSIDERED ^ Sorry, for the caps. Oh, and please share this. Maybe someone you know needs a job!

Investigation Associate Level 2 (Work from Home) "Please note that this job is a seasonal role (FTC) for 9 months on the payroll of Amazon." About the team Amazon India is seeking dedicated, hardworking, analytical candidates with a proven track record of performance and results-oriented thinking, to join the Transaction Risk Management Team in Bangalore. Candidates will be responsible for a wide range of duties related to the investigation and elimination of online ecommerce risk. Ideal applicants will have experience in the ecommerce payments space, previous trust and safety experience, and experience succeeding in a customer-driven workplace. All candidates will be analytical and capable of succeeding in a fast-paced team environment. These Investigators position relies on excellent judgment to plan and accomplish goals and will work under very limited supervision of the Manager. Excellent individual problem-solving and analytical skills are used to authenticate customers and complex transactions. Nearly all decisions are expected to be made independently with little to no guidance and a high degree of accuracy. The Transaction Risk Investigator will be required to engage in frequent written and verbal communication with department management, risk analysts, risk engineers, other company associates and third-parties to accomplish goals. They may also be required to contact customers by phone. Productivity and quality assurance will be evaluated along with the overall contribution to the development of the department. This includes, but is not limited to: Researches and evaluates facts surrounding seller transactions Takes appropriate action on investigated transactions based on established standard operation procedure and tools Documents their actions by providing detailed annotations Communicates with external customers via phone or email during the investigation process Communicates with internal customers and peers in person, via email, annotations and phone during and following the investigation process Understand the issue and make best use of the available resources to resolve it Systematically escalate problems or variance in the information to the relevant owners/ teams according to processes and standard Communicate with internal and external stakeholders Understand performance metrics to create analysis for driving business goals Meet predetermined and assigned productivity targets and quality standards A day in the life These investigators review the Safe-T claims raised by the sellers and take Grant / Nogrant decisions basis the evidence provided. About the team The mission of Selling Partner Risk Operations (SPRO) is to build trust with all its Customers & Partners Buyers, Brands, Vendors, Sellers, and Employees in reality and perception. Scaling through technology, analytics & science and inverting the curve on headcount & cost growth. Being a center of excellence that develops technology, science, and processes to achieve our goals in a fashion that is scalable, decoupled and easily leveraged across Amazon and externally. Education Qualification: Graduate in any discipline Work Experience: 0 to 1 years Communication SkillsExcellent communication skills (written and spoken) in English language Ability to handle and interpret large sets of data Demonstrated ability to work in a team in a very dynamic environment Demonstrated problem solving and analytical skills Proven ability to work productively and efficiently in an independent setting Proven ability to clearly communicate with managers and associates at all levels Global perspective and solid understanding of business objectives Excellent attention to detail and work with the highest level of accuracy

Accountable for accurate payroll processing in time, by adhering to statutory compliance, company policies and process. . To manage Employee data & documents of GMR employees and ensure accurate data is maintained of employees in HR system. ORGANISATION CHART KEY ACCOUNTABILITIES Accountabilities Key Performance Indicators Employee Data Compliance - Ensure employee data in SAP HR & employee documents in physical file management is maintained as per HR Policies & Procedures Audit remarks/ reports b) Data availability & accuracy in SAP HR & files SLA Adherence - Compliance to Quality & Timelines SLA as defined CSAT reviews/ feedback b) Non-compliances raised by stakeholders Stakeholder Management - Engage with process stakeholders and facilitate smooth transition of data to meet various process needs and timelines. Also educate stakeholders in case of inaccurate/ process non-compliant inputs. CSAT reviews/ feedback b) Non-compliances raised by stakeholders Team Support - Support team as a back up resource during absence of other team members or crucial times a) Support offered to team members & other functions Employee Insurance - Provide timely & accurate inputs to Insurance Service Providers to include employee & his/ her family members in Company provided insurance benefits. Also facilitate claims filed by employees. No. of claims successfully facilitated b) Quality issues raised by employees/ BHR KEY ACCOUNTABILITIES - Additional Details EXTERNAL INTERACTIONS Background verification agencies for BG checks (RAXA) or to share ex - employee verification checks Insurance Service Providers to share monthly endorsement inputs & facilitation of employee claims. INTERNAL INTERACTIONS Business HR for managing Employee Data Payroll to share monthly payroll inputs Recruitment for creation of new joined record in HR systems Employees to handle queries & requests related to their data and benefits FMS for preparation of new joiner ID Cards Compliance to handle insurance & compliance needs related to employee Work Design to handle OM related SAP transactions FINANCIAL DIMENSIONS OTHER DIMENSIONS Span of employees for data administration - 5000 plus employees EDUCATION QUALIFICATIONS Span of employees for data administration - 5000 plus employees RELEVANT EXPERIENCE 0 to 3 years experience in handling Employee Lifecycle Management data/ HR Generalist activities Exposure to HR Systems like SAP HCM or other HRMS tools will be an added advantage Work experience in MS Excel Good Communication skills (Verbal & Written) Good analytical skills COMPETENCIES Execution & Results Teamwork & Interpersonal influence Problem Solving & Analytical Thinking Planning & Decision Making Personal Effectiveness Stakeholder Focus Networking Capability Building Strategic Orientation Social Awareness Entrepreneurship

Business Title: Associate Team Lead-OTC Global Function: Business Services Role Purpose Statement: The Order to Cash (OTC) Associate Team lead will be the owner of the process e.g. Credit & Compliance, Insurance policy renewal and claims settlements, Bank Guarantees, Weekly & daily Reports. Main Accountabilities: Perform credit assessment and counterparty risk review, prepare score card for credit assessment. Liaise with other departments and to seek approvals on counterparty credit risk assessments. Conduct due diligence on counterparties. Database Management - Updating of summary sheet and saving all the approvals for approved counterparties. Highlight potential high credit risk counterparties. Monthly Warehouse Exposure report and highlight limit breach. Monthly Credit report.Insurance policy renewals and Claims settlements: Coordinate with surveyor and transporter or plant team for survey after loss incident. Registered the claims and provide necessary documents for claim settlement. Prepare insurance claim MIS and share fortnightly with respective stakeholders. Prepare import shipments detail and share with R2R team for amortization. Renewal of Insurance Policies, IAR, Standard Fire & Special Perils, Package Policy, CGL Policy, Directors and officers Policy (D&O), Pollution Legal Liability (PLA). Renewal of Marine Policy, Domestic and Import. Coordinate with valuer for insurance appraisal. Sum insured enhancement time to time. Education & Experience: 3 - 5 years of work experience in a similar role. Experience in Agribusiness/Commodity trading industry preferred. Experience working in Counterparty credit risk assessments & reporting. Independent and meticulous with figures. Strong written & oral communications skills in English. Knowledge of Asia languages added advantage. Strong problem solving & organization skills. Experience in managing people and processes through a sustained period of change. Excellent computer skills and competency in Microsoft Office (Word, PowerPoint, Excel, Outlook) Experience in ERP/ Accounting systems.

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

TATA AIG General Insurance Company Limited is looking for Senior Manager - Health Claims to join our dynamic team and embark on a rewarding career journey. Oversee the processing and management of health insurance claims. Develop and implement claims processing policies and procedures. Monitor claims performance and ensure compliance with regulations. Collaborate with healthcare providers and clients to resolve claim issues. Provide leadership and support to claims processing teams.

Closing Ratio/Meeting all KPI of team member& Self Negotiate with dealers Large Value Claims handling Avoid cost wastage Workshops Regular training of claims policies Faster settlements Settlement Ratio-97% Investment Ratio-3% Re-open ratio/Segmentation of vehicles Separating the Claims according to Vehicles Conducting Team Meeting with internal and external survey. Re-open of claims should not be cross >2% Key Accountabilities/ Responsibilities Stakeholder interfaces Experience 3-5 years of experience in Motor Claims & Body paint Workshop. Education Preferably Diploma in Automobile, Graduate from MechanicalEngineer Graduate from Any discipline with prior experience in Claims

About CoverSelf: CoverSelf empowers US healthcare payers with a truly next-generation, cloud-native, holistic, and customizable platform designed to prevent and adapt to the ever-evolving inaccuracies in healthcare claims and payments. By reducing complexity and administrative costs, we offer a unified, healthcare-dedicated platform backed by top VCs like BeeNext, 3One4 Capital, and Saison Capital. Position Overview: This Manager / Senior Manager - Learning & Development (L&D) role at CoverSelf is a fantastic opportunity for a seasoned professional passionate about Medical Coding and US Healthcare Payment Integrity . Based in Jayanagar, Bangalore , youll be joining a rapidly growing HealthTech company focused on revolutionizing US healthcare payment integrity through a next-gen, cloud-native platform. Why This Role is for You: At CoverSelf, you wont just be delivering training; youll be building a future-ready L&D function from the ground up. This means leading the charge on: Pioneering Medical Coding & Payment Integrity Training: Design and deliver cutting-edge programs on claim lifecycle, fraud/waste/abuse (FWA), overpayment recovery, and critical compliance standards like HIPAA, ICD-10, CPT, and HCPCS Level II . Youll engage learners with real-world case simulations and hands-on coding practice. Driving AI-Enabled Learning: Be at the forefront of integrating AI tools to accelerate content creation, documentation, and learning analytics. Youll train employees on effective AI usage, fostering a culture of innovation. Shaping Learning Infrastructure: Lead the end-to-end setup and administration of our Learning Management System (LMS), creating structured learning paths and dashboards that drive employee growth. Strategic Upskilling & Development: Proactively identify skill gaps with business leaders and orchestrate impactful upskilling programs, bringing in the best industry trainers. Impactful Onboarding: Design and deliver standardized induction and On-the-Job Training (OJT) programs, ensuring a smooth and effective transition for all new hires. Who Were Looking For: Were seeking a dynamic individual with: 10+ years (Manager) / 13+ years (Senior Manager) in L&D or Medical Coding Training. A strong Medical/Life Science background (MBBS, BDS, BSN, B.Pharm, M.Pharm, PharmD, Life Science Degree). Mandatory certifications such as CPC, CPMA, COC, CIC, CPC-P, CCS or other AHIMA/AAPC certifications. Specialty coding certifications are a significant plus. Proven experience with LMS setup and content development . Deep expertise in Medical Coding & Billing methodologies (CPT, ICD, LCD/NCD, PTP, NCCI edits, modifiers). A solid understanding of Payment Integrity concepts and Denials Management . Experience leveraging AI tools and strong prompt writing skills. Excellent instructional design, documentation, and communication abilities. Work Location: Jayanagar - Bangalore. Work Mode: Work from Office. Benefits: Best-in-class compensation. Health insurance for Family. Personal Accident and Life Insurance. Friendly and Flexible Leave Policy. Certification and Course Reimbursement. Medical Coding CEUs and Membership Renewals. Health checkup. And many more! Additional Information: At CoverSelf, we are creating a global workplace that enables everyone to find their true potential, purpose, and passion irrespective of their background, gender, race, sexual orientation, religion and ethnicity. We are committed to providing equal opportunity for all and believe that diversity in the workplace creates a more vibrant, richer work environment that advances the goals of our employees, communities and the business.

Hi Location No constraints Experience – 3 to 15 years Skills – Guidewire Developer experience with any of the detailed skill like (Policy / Billing / Claims / Integration / Configuration / Insurance Now / Portal / Rating) Insurance domain knowledge with Property & Casualty background Hands on experience in at least one of the Guidewire products (Claim/Policy/Billing) Should have knowledge on Admin data loading. Good knowledge in Web services, XML, GxModel, Messaging, Batch implementation, Integrating with 3rd Party Systems and Document composition tools like Xpressions, Thunderhead Experience on any database Oracle / SQL Server and well versed in SQL Designed & modified existing workflows (required for Billing Integration) Experience in SCRUM Agile, prefer Certified Scrum Master (CSM) Good written and oral communication Excellent analytical skills.

M&R The designation of the candidate in Wipro Agents (Fresher) AA Voice Academic Qualification and external certification required High School / GED Must have skills from the candidate Excellent verbal communication skills, typing speed of min 30 wpm with 90% accuracy The Responsibilities which will be played by the role "1. Inbound Inquiries - Answer and resolve inbound telephone calls from Health Care Professionals and Members regarding benefits, eligibility and claims inquiries. 2. Resolution of Inbound Inquiries and/or proactive outbound calls - May be required to take actions to resolve inbound inquiries and/or proactive outbound claims" Do Support process by managing transactions as per required quality standards Fielding all incoming help requests from clients via telephone and/or emails in a courteous manner Document all pertinent end user identification information, including name, department, contact information and nature of problem or issue Update own availability in the RAVE system to ensure productivity of the process Record, track, and document all queries received, problem-solving steps taken and total successful and unsuccessful resolutions Follow standard processes and procedures to resolve all client queries Resolve client queries as per the SLAs defined in the contract Access and maintain internal knowledge bases, resources and frequently asked questions to aid in and provide effective problem resolution to clients Identify and learn appropriate product details to facilitate better client interaction and troubleshooting Document and analyze call logs to spot most occurring trends to prevent future problems Maintain and update self-help documents for customers to speed up resolution time Identify red flags and escalate serious client issues to Team leader in cases of untimely resolution Ensure all product information and disclosures are given to clients before and after the call/email requests Avoids legal challenges by complying with service agreements Deliver excellent customer service through effective diagnosis and troubleshooting of client queries Provide product support and resolution to clients by performing a question diagnosis while guiding users through step-by-step solutions Assist clients with navigating around product menus and facilitate better understanding of product features Troubleshoot all client queries in a user-friendly, courteous and professional manner Maintain logs and records of all customer queries as per the standard procedures and guidelines Accurately process and record all incoming call and email using the designated tracking software Offer alternative solutions to clients (where appropriate) with the objective of retaining customers and clients business Organize ideas and effectively communicate oral messages appropriate to listeners and situations Follow up and make scheduled call backs to customers to record feedback and ensure compliance to contract /SLAs Build capability to ensure operational excellence and maintain superior customer service levels of the existing account/client Undertake product trainings to stay current with product features, changes and updates Enroll in product specific and any other trainings per client requirements/recommendations Partner with team leaders to brainstorm and identify training themes and learning issues to better serve the client Update job knowledge by participating in self learning opportunities and maintaining personal networks Deliver No Performance Parameter Measure 1 Process No. of cases resolved per day, compliance to process and quality standards, meeting process level SLAs, Pulse score, Customer feedback 2 Self- Management Productivity, efficiency, absenteeism, Training Hours, No of technical training completed Mandatory Skills: Member Inbound.

Analyst Claims- Review and process property insurance claims, including analyzing policies, assessing damage, and determining coverage and settlements. Work with insurance adjusters, clients, and third-Frty vendors to gather necessary information and documentation for claims processing. Collation of data and information of claims for reporting purposes Investigate and evaluate claims to ensure accuracy and completeness. Prepare and present reports and recommendations to management regarding claims status, trends, and outcomes. Involvement in subrogation requests and required follow-ups. Communicate with clients and stakeholders regarding claims status and resolution. Provide support to other departments and teams as needed. What You Bring To The Role Bachelor's degree in business, finance, or related field. At least 3 years of experience in property insurance claims analysis. Strong analytical and problem-solving skills. Excellent verbal and written communication skills. Detail-oriented with the ability to manage multiple tasks simultaneously. Proficient in Microsoft Office Suite and other relevant software programs. Knowledge of property insurance policies, procedures, and regulations. Other skills: Ability to work independently as well as be a team player. Able to take direction and ask questions. Strong organizational skills. Eye for detail. Resourcefulness. Excellent communication skills Mandatory Skills: Institutional_Finance_Buy_Side_Others. Experience1-3 Years.

Work with Us. Change the World. At AECOM, we're delivering a better world. Whether improving your commute, keeping the lights on, providing access to clean water, or transforming skylines, our work helps people and communities thrive. We are the world's trusted infrastructure consulting firm, partnering with clients to solve the world’s most complex challenges and build legacies for future generations. There has never been a better time to be at AECOM. With accelerating infrastructure investment worldwide, our services are in great demand. We invite you to bring your bold ideas and big dreams and become part of a global team of over 50,000 planners, designers, engineers, scientists, digital innovators, program and construction managers and other professionals delivering projects that create a positive and tangible impact around the world. We're one global team driven by our common purpose to deliver a better world. Join us. Job responsibilities Provide risk and commercial advice during the project lifecycle to assess performance and provide support to the associated business unit, project, market sector and/or business development leadership. Working with the relevant Bid Manager, Business Unit Lead, Finance and Legal support, lead on the coordination and preparation of Risk committee submissions for bids. With support from the finance function provide effective reporting and forecasting of the commercial performance within the business unit. Ensure changes are managed rigorously with a focus on commercial implications of change, manage commercial risk and opportunity generally. Ensure that activities meet both internal company standards and external regulatory requirements. Attend regular progress meetings and change control meetings with the client. Work with AECOM project leads to identify and assess change. Assist in managing internal AECOM reporting processes. Skills Required Previous experience in commercial management for a range of project values A good understanding of risk management procedures and processes Demonstrate commercial acumen, strong business analysis skills Experience in negotiating fee claims Experience in producing fee quotations Experience in negotiating and administering contracts Ability to identify and extract additional value from projects Basic knowledge of Indian commercial law and specific knowledge of contract law with respect to the built environment; experience of a range of forms of contract Good interpersonal skills including relationship building and communication at all levels and working collaboratively across the organisation; listening to other points of view while still being persuasive. Demonstrates the AECOM behaviours, as defined by the performance and rewards process. Qualifications Preferably a degree in Project Management, Cost Management or Engineering discipline. Post graduate business qualifications are advantageous. A qualification in accountancy, surveying or law would be advantageous. Additional Information

Work with Us. Change the World. At AECOM, we're delivering a better world. Whether improving your commute, keeping the lights on, providing access to clean water, or transforming skylines, our work helps people and communities thrive. We are the world's trusted infrastructure consulting firm, partnering with clients to solve the world’s most complex challenges and build legacies for future generations. There has never been a better time to be at AECOM. With accelerating infrastructure investment worldwide, our services are in great demand. We invite you to bring your bold ideas and big dreams and become part of a global team of over 50,000 planners, designers, engineers, scientists, digital innovators, program and construction managers and other professionals delivering projects that create a positive and tangible impact around the world. We're one global team driven by our common purpose to deliver a better world. Join us. The staff has to perform the work of chief Contract expert and needs to monitor the EPC-Contracts Qualifications Graduate in discipline. 20+ years in railway or railway related industry, out of which minimum 10 years in Metro/MRTS. Shall have worked in atleast one metro project. Additional Information

Job Title - Area Tax Associate Manager EMEA > Management Level : Location:Bangalore Must have skills: V&A, M&A Good to have skills: Job Summary : This is an exciting opportunity to join the Accenture EMEA tax team working primarily in the V&A function. This function is a key part of the tax team and provides the opportunity to work with all members of the EMEA and wider Accenture tax team. The role will focus primarily on providing tax due diligence and post-acquisition integration support on V&A deals. You will be working closely with other members of the tax team as well as other key functions such as Corporate Development, Legal, Controllership and Treasury. Roles & Responsibilities: Coordination and gathering of information for valuation purposes Management of post-acquisition claims towards external sellers Coordination with respect to client contracts of newly acquired entities Review of closing balance sheet taxes as compared to filed tax returns Integration of newly acquired entities into the Accenture tax systems Updating of data-bases Coordination of the process around sending corporate tax returns to external sellers for their review Keeping internal systems up to date with respect to new V&A and the integration Preparation of ATAD-2 documentation Tracking and allocation of acquisition costs Management and support with respect to purchase order numbers Otherwise supporting the tax team based on guidance of the tax team Professional & Technical Skills: Excellent communication skills, both verbal and written. The ability to continually re-prioritise and work in a fast-paced environment. A desire to work collaboratively with personnel both within and outside of tax. Additional Information: This role will report to one of the EMEA tax Leads, but the successful candidate will have full visibility to other members of the EMEA tax team. Although the day-to-day activities will concern tax due diligence and integration support on V&A deals, there is opportunity and scope to be involved in internal projects contributing to the overall global tax team. If you would like the opportunity to work in a dynamic environment, then please get in touch. (do not remove the hyperlink)Qualification Experience: Minimum 7+ year(s) of experience is required Educational Qualification: CA, MBA (Accurate educational details should capture)

Good typing skills Basics of MS office Back office support Documentation

Execution Analyze the customer segmentation, sales trends in terms of demographics, geography, characteristics etc. to assess the potential for business Conduct trainings at the branch for all banking partners around regulatory guidelines and products. Plan for activation of branches through R&R activities to increase the penetration in active branches to realize full potential of the bank partner in the given geography Relationship Management Drive the campaign/contest for the Partner Bank to drive sales in profitable segments. Assist banking partners in pitching product to crucial customers & driving sales closure for the same. Identify cross sell opportunities for existing customers New Acquisition Banking Partners Gather market information of potential partner, analyze partners profile and customer mix to identify best product fitment from BAGIC portfolio, assess profitability & viability assessment of partnership Schedule meetings with prospective banking clients and brief them about BAGIC products/ offer them lucrative products in coordination with the Vertical Head Service Orientation Engage with cross functional teams to ensure seamless execution of work across channels and deliver desired productivity including everyday servicing and policy issuance etc. Gather relevant documents from customer post sales and submit the same to operations team; gather additional data/documents as required Resolve operational issues faced by the partners to ensure smooth experience while working with BAGIC Provide support for cancellation requests, policy endorsements; process & track such requests in coordination with internal ops team ; Ensure ease of process & approvals for partners by coordinating with internal Ops team Support partners to register claims on behalf of customers, coordinate to ensure approvals within agreed timelines. Execution Analyze the customer segmentation, sales trends in terms of demographics, geography, characteristics etc. to assess the potential for business Conduct trainings at the branch for all banking partners around regulatory guidelines and products. Plan for activation of branches through R&R activities to increase the penetration in active branches to realize full potential of the bank partner in the given geography Relationship Management Drive the campaign/contest for the Partner Bank to drive sales in profitable segments. Assist banking partners in pitching product to crucial customers & driving sales closure for the same. Identify cross sell opportunities for existing customers New Acquisition Banking Partners Gather market information of potential partner, analyze partners profile and customer mix to identify best product fitment from BAGIC portfolio, assess profitability & viability assessment of partnership Schedule meetings with prospective banking clients and brief them about BAGIC products/ offer them lucrative products in coordination with the Vertical Head Service Orientation Engage with cross functional teams to ensure seamless execution of work across channels and deliver desired productivity including everyday servicing and policy issuance etc. Gather relevant documents from customer post sales and submit the same to operations team; gather additional data/documents as required Resolve operational issues faced by the partners to ensure smooth experience while working with BAGIC Provide support for cancellation requests, policy endorsements; process & track such requests in coordination with internal ops team ; Ensure ease of process & approvals for partners by coordinating with internal Ops team Support partners to register claims on behalf of customers, coordinate to ensure approvals within agreed timelines.

Flex is the diversified manufacturing partner of choice that helps market-leading brands design, build and deliver innovative products that improve the world. A career at Flex offers the opportunity to make a difference and invest in your growth in a respectful, inclusive, and collaborative environment. If you are excited about a role but dont meet every bullet point, we encourage you to apply and join us to create the extraordinary. Job Summary To support our extraordinary teams who build great products and contribute to our growth, we re looking to add Chinese Subject Matter Expert - GBS Procurement position will be based in Chennai . What a typical day looks like: Maintaining relations with the suppliers. Placing orders for necessary raw materials and purchased parts according to the requirements of the production. Receiving and handling the confirmations. Checking the purchase orders and modifying them according to the changes in the production plan with the help of the Shortage List and the Open Purchase Order List. Tracking shipments, urging them if needed. Regular, weekly check of the stocks, avoiding overstock. Minimizing the risk of obsolescence with the help of the weekly check of the obsolete report. Correspondence with the freight forwarders, warehouses, and in case organizing the transportation. Dealing with claims, settling debit and credit issues. Filing and recording all necessary documents. Checking the inventory of critical materials (personally if needed) according to the Shortage List. Getting in touch with the right warehouse personnel and having the discrepancy modified if there is any inventory discrepancies. Handling purchasing data privacy. Assuring all active components according to production needs, in time, for the accord price in the request. Reviews requisitions and MRP output. Confers with vendors to obtain product information such as price, availability and delivery schedule. Orders, reschedules and cancels material based on requisitions and MRP output. Maintains procurement records such as items purchased, costs, delivery and inventories. Manages supplier to price, delivery and quality expectations and escalates when appropriate. Approves invoices for payment. Investigation inventory levels. Monitors the movement of materials through the production cycle. Conducts quarterly supplier reviews. Maintains procurement records, reports and metrics. The experience we re looking to add to our team : Chinese Language expert - Read, write, Speak (mandatory) Typically requires a minimum of 5 to 8 years of procurement experience. Use of the following tools may be required: Working usage of Word, Excel and Power Point, English language knowledge, data entry, ten-key, spreadsheet (PC), ERP software. Ability to read, research and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence and procedures. Ability to effectively present information and acknowledges to questions from groups. Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra and geometry. Ability to apply common sense comprehension to carry out instructions furnished in written, oral or diagram form. Ability to deal with problems involving several concrete variables in standardized situations. What you ll receive for the great work you provide: Health Insurance Paid Time Off SK02 Job Category Global Procurement & Supply Chain Required Skills: Optional Skills: Flex pays for all costs associated with the application, interview or offer process, a candidate will not be asked for any payment related to these costs. Flex is an Equal Opportunity Employer and employment selection decisions are based on merit, qualifications, and abilities. We do not discriminate based on: age, race, religion, color, sex, national origin, marital status, sexual orientation, gender identity, veteran status, disability, pregnancy status, or any other status protected by law. Were happy to provide reasonable accommodations to those with a disability for assistance in the application process. Please email accessibility@flex. com and well discuss your specific situation and next steps (NOTE: this email does not accept or consider resumes or applications. This is only for disability assistance. To be considered for a position at Flex, you must complete the application process first).

Role & responsibilities Handling backend work of claims MS Excel and word knowledge Maintaining the database and managing files Additional knowledge about claims will be preferable. Preferred candidate profile Perks and benefits

POSITION: MEDICAL OFFICER PA/RI APPROVER PURPOSE OF ROLE: To scrutinize and process the claims within the agreed TAT by having an understanding of the policy terms & conditions while applying their domain medical knowledge. Designation Function Medical Officer/Consultant Claims PA/RI Approver Reporting to Location Assistant Manager Claims Mumbai/Bangalore Educational Qualification Shift BHMS, , BAMS, MBBS(Indian registration Required) Rotational Shift (for female employee shift ends at 8:30 PM) 6 rotational week offs Provided per month Week offs Related courses attended None Management Level Junior Management Level Industry Type Hospital/TPA/Healthcare/Insurance Roles and Check the medical admissibility of a claim by confirming the diagnosis and treatment details. Scrutinize the claims, as per the terms and conditions of the insurance policy Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc. • • • Responsibilities Understand the process difference between PA and an RI claim and verify the necessary details accordingly. • Verify the required documents for processing claims and raise an IR in case of an insufficiency. Coordinate with the LCM team in case of higher billing and with the provider team in case of non- availability of tariff. • • Approve or deny the claims as per the terms and conditions within the TAT. • Handle escalations and responding to mails accordingly. • • • • Error-free processing (100% Accuracy) Maintaining TAT Productivity (Achieve the daily targets) Key Results and Outcomes driven by this role: 0- 5 years Relevant Experience No of years of experience 0-5 years None Demonstrated abilities if any Technical Competencies • Analytical Skills • • Basic Computer knowledge Type writing skills • • Communication skills Decision Making Behavioral competencies

Mysuru, Karnataka, 570017 Onsite Mon-Frid: 5:30pm-2:30am IST AR Specialist–Resolve physician claim denials, follow up with insurers via calls, portals. 3+ yrs physician AR denials 1+ yr Emergency physician billing https://strivanthealth.com/careers