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5 - 10 years
10 - 20 Lacs
Chennai, Bengaluru, Mumbai (All Areas)
Hybrid
Job Summary : We are seeking a skilled Product Analyst to join our team in the healthcare domain. The ideal candidate will have a strong background in healthcare analytics, project management, and data visualization. Mandatory Skills : Product Management Reports, KPIs, Metrics (Healthcare Analytics) Value Based Model (Healthcare Reimbursement Models) JIRA (Project Management) Project Management (Project Management) Project Planning (Project Management) Requirement Management (Project Management) Desired Skills : Contract Management Workflow (Healthcare Workflows) Other Regulatory Programs Healthcare Analytics - All Skills PowerBI (Data Visualization) Contract Management Workflow Payer / Provider Portal Client Relationship Management Role Responsibilities : Conduct end-to-end process analysis and solutioning from conceptualization to delivery. Develop and manage healthcare-related analytics and reporting. Collaborate with engineering teams to translate requirements and prototypes. Stay updated on competitor products and industry trends. Present and prototype analysis and reports using data visualization tools like PowerBI or Tableau. Perform secondary research and communicate with end-user clients to understand and create requirements. Translate and share requirements/prototypes with engineering teams clearly. Manage project planning, requirement management, and project management tasks using tools like JIRA. Ensure compliance with healthcare reimbursement models and value-based care contracting. Job Description : Required : Understanding of US Healthcare Independently handle E2E Process, solutioning, conversations from conceptualization to delivery Understanding of Value Based Care - Contracting is a plus Experience in Healthcare-related analytics, reporting, software/consulting Excellent data visualization skills Professional experience with Tableau, PowerBI or any other data visualization tool Experience presenting, prototyping analysis and reports Ability to do secondary research, communicate with end user clients to understand and create requirements Ability to translate and share requirements/prototypes to Engineering teams with clarity Keep abreast of competitor products and industry trends Excellent communication skills Desired : Knowledge of PowerBI/Tableau is a plus Problem-solving aptitude Analytical mind with a business acumen Proven experience as an Analytics PM or similar role Strong portfolio of Products Experience 5 to 10 years of relevant experience. Location Pune/Mumbai/Bangalore/Hyderabad/Chennai Notice Period 60days Max. Application Instructions : If you are interested in the above job profile, please share your resume to manojkumar.sampathkumar@citiustech.com along with the following details: Total experience: Relevant experience in Product Management: Current CTC: Expected CTC: Notice period: Preferred location (Mumbai/Pune/Bangalore/Hyderabad/Chennai):
Posted 2 months ago
0 - 7 years
2 - 9 Lacs
Pune
Work from Office
Duties include, but are not limited to: - Processing invoices and analyzing claims in Workday - Maintain Accuracy levels of above 99%. - Able to meet the productivity target set. - Vendor Statement preparation/reconciliation - Credits and Returns research - Payment holds research processing - Quality check for invoices processed Key job responsibilities - Processing invoices and analyzing claims in Workday - Maintain Accuracy levels of above 99%. - Able to meet the productivity target set. - Vendor Statement preparation/reconciliation Desired skills: - Bachelors/Masters Degree in Finance/Accounting as Major Subject. - Prior experience of at least 1 year in similar BPO outfit or more than 2 years of experience in an Accounting Analyst profile. - Knowledge of ERP - Oracle/Workday - Knowledge on Outlook, Word and Excel or similar desktop applications. - Good Communications skills - Written & Verbal - Good typing speed - 25-30 w. p. m with 90% accuracy - Applicant to have minimum experience of 6 months to 2 years.
Posted 2 months ago
7 - 12 years
11 - 16 Lacs
Mumbai
Work from Office
Job Profile - To Analyze the risk-based performance and strategize the premium flow to the Insurers with a goal to meet the desired bottom line of the organization. Role & responsibilities Claim ratio calculation, monitoring and publishing the claim ratio dashboard. Holding primary discussions with key stakeholders (internally) along with Insurers, Reinsurers and Brokers for sharing findings, way ahead for programs/policies and settlement. Providing insights on loss ratios, risk dynamics and their impact on business performance. Calculating in depth analysis of any anomalies observed in claim/loss ratios trends. Providing key findings for product/category in terms of data requirement from risk. Discussions with insurers/Reinsurers and brokers for regular renewal management and placement of new business. Preparing Program notes for Insurers to quote. Maintaining cordial relationships with Insurers, Reinsurers, and brokers To drive tech enabled automations with an intent for process excellence. Education & Experience Graduation required & MBA will be an added advantage 8-10 years of experience in Claims/ Underwriting. Should be working for a general insurance company or Insurance broker Skills, Abilities and Competencies Ability to engage with Employees across levels Ability to handle conflicts and grievance handling Effective Negotiation skills High level of empathy with good listening skills Strong people skills to assess behavioral & values alignment Highly skilled in process management with eye for detailing Behavioral Attributes Go-Getter, self starter Bias for action, Execution & speed Open to ideas and eager to experiment Collaborative approach with ease in dealing with multiple stakeholders and teams Task focused with Interested can share CV on given id sangeeta.rajput@techguard.in
Posted 2 months ago
4 - 6 years
7 - 12 Lacs
Hyderabad
Work from Office
About The Role Design, develop, and configure Policy Center, Claim Center, and Billing Center applications in Guidewire. Customize Guidewire applications to meet specific business needs, including creating and modifying workflows, rules, and integrations. Develop and maintain integrations between Guidewire applications and other systems using APIs and web services. Develop and execute test plans, perform unit testing, and ensure the quality of the solutions delivered. Provide ongoing support and troubleshooting for Guidewire applications, addressing any issues that arise in production. Create and maintain technical documentation, including design specifications, user guides, and process flows. Work closely with business analysts, project managers, and other stakeholders to gather requirements and ensure alignment with business objectives. Primary Skills Extensive experience with configuring and improving Policy Center, including workflows, rules, and integration points. Proficiency in developing and configuring Claim Center, including claim processing and integration with external systems. Strong background in Billing Center configuration and customization, including payment processing and billing rules. Expertise in using Guidewire Studio for application development and debugging. Secondary Skills Basic project management skills to manage tasks and deliverables effectively. Strong verbal and written communication skills for collaboration with team members and stakeholders. Excellent problem-solving skills with the ability to think critically and troubleshoot issues efficiently. Equal Opportunities at frog Frog and Capgemini Invent are Equal Opportunity Employers encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, national origin, gender identity/expression, age, religion, disability, sexual orientation, genetics, veteran status, marital status, or any other characteristic protected by law.
Posted 2 months ago
3 - 6 years
7 - 12 Lacs
Hyderabad
Work from Office
About The Role 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. Mandatory Skills 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. Skills (competencies) JavaScript API integration Analytical Thinking Verbal Communication Policy Development
Posted 2 months ago
3 - 8 years
4 - 7 Lacs
Noida
Work from Office
Basic Function Handle and administer Family & Medical Leave Act standalone (as well as other leave) claims and adhere to federal and state regulatory and/or company plan requirements and established FMLA workflow procedures Complete eligibility decisions and review for entitlement, gather pertinent data when necessary, from employee, physicians office or employer through outgoing calls, email, fax or other supporting systems. Promptly review new FMLA and other leave claims within regulatory timelines, evaluate against appropriate leave plans and make initial claim decision. Perform leave administration tasks as required, including recertification of health condition, intermittent claim tracking, RTW confirmation, return phone calls, etc. Update systems to accurately reflect leave status and ensure appropriate diary documentation exists Business recommended TAT to complete the activity is up to 5 business days to maintain compliance measures The position is expected to do absence management and adjudication on Federal, State and company leaves. Interact with claim specialist, claim support specialist, QA, Claims Unit Leader (stateside supervisors), employees, employers/customer and physicians office Essential Functions: Analyze, validate and process transactions as per Desktop procedures (L3 & L4) Analyze and research all discrepancies Research & Investigate and resolve outstanding items Determine eligibility, entitlement and applicable plan provisions while meeting timeliness goals Clear and accurate written and verbal communication (Mix of scripted/unscripted) with employee, employer & stateside resources by email and outgoing calls Establish action plans for each file to bring claims to resolution Utilize internal and external specialty resources to maximize impact on each claim file Use PC programs to increase productivity and performance Ensure that the assigned targets are met in accordance with SLA, Performance Guarantee and Internal standards Ensure that the quality of transaction is in compliance with predefined parameters as defined by Process Excellence Work as a team member to meet office goals to obtain disabilitys vision while demonstrating core values and meeting key measures Ensure adherence to established attendance schedules Close visual activity - viewing a computer terminal and extensive reading To apply call Miss Jaspreet Kaur at 9667037957
Posted 2 months ago
3 - 6 years
3 - 7 Lacs
Greater Noida
Work from Office
Claims QA resources with experience on working through Property and Casualty domain. --Surety Claims --QA -- Understanding of claims workflow -- Test case creation and execution -- Agile -- Devops and status reporting
Posted 2 months ago
4 - 6 years
6 - 8 Lacs
Chennai
Remote
Technical Expertise & Essential Job Functions Working Experience with the following technologies: C Unix/Linux Systems Oracle SQL, PL/SQL Develop, test, and maintain applications using C programming and Pro*C Work with Unix/Linux systems to deploy and optimize software solutions Write and optimize SQL and PL/SQL queries for database management Collaborate with team members to troubleshoot and resolve software issues Participate in code reviews and contribute to the continuous improvement of development processes Experience working with Member, Managed Care, Provider, Financial, Claims domain is a plus
Posted 2 months ago
1 - 3 years
0 - 2 Lacs
Chennai
Work from Office
Positions General Duties and Tasks: Process Insurance Claims timely and qualitatively Meet & Exceed Production, Productivity and Quality goals Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing Be a team player and work seamlessly with other team members on meeting customer goals Requirements for this role include: Both Under Graduates and Post Graduates can apply. Excellent communication (verbal and written) and customer service skills. Able to work independently; strong analytic skills. Detail-oriented; ability to organize and multi-task. Ability to make decisions. Required computer skills: must have experience with data entry and word processing, possess a working knowledge of MS Office applications, and understand how to navigate through web-based applications. Demonstrate strong reading comprehension and writing skills. Cognitive Skills include language, basic math skills, reasoning ability and verbal communication skills. Ability to work in a team environment. Handling different Reports - IGO/NIGO and Production/Quality. To be in a position to handle training for new hires Work together with the team to come up with process improvements Strictly monitor the performance of all team members and ensure to report in case of any defaulters. Encourage the team to exceed their assigned targets. **Required schedule availability for this position is Monday-Friday 6PM/4AM IST. The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekends basis business requirement. Requirements for this role include: Candidate should be flexible & support team during crisis period Should be confident, highly committed and result oriented Experience on working in an office environment set up utilizing Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools Experience in a professional/office related role that required you to communicate (oral/written) effectively with internal team members and external customers Experience in a role that required a focus on quality including attention to detail, accuracy, and accountability for your work product Candidate should be flexible to work from home and office environment. Broadband connection is must while working from home. Preferences for this role include: 1-3 years of experience processing insurance claims in the health, life, or disability disciplines that required knowledge of CPT, HCPCS, ICD9/10, CDT. 2+ year(s) of experience in role that required understanding and interpreting complex documents such as medical records and legal contracts If interested please walk - in to the location on below date NTT Data services, 5th Block 4th Floor, DLF IT park, Ramapuram, Chennai Date - 03rd April 2025
Posted 2 months ago
1 - 4 years
1 - 2 Lacs
Chennai
Work from Office
Positions General Duties and Tasks: Process Insurance Claims timely and qualitatively. Meet & Exceed Production, Productivity and Quality goals. Review medical documents, policy documents, policy history, claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities. Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing. Be a team player and work seamlessly with other team members on meeting customer goals. Requirements for this role include: Both Under Graduates and Post Graduates can apply. Excellent communication (verbal and written) and customer service skills. Able to work independently; strong analytic skills. Detail-oriented; ability to organize and multi-task. Ability to make decisions. Required computer skills: must have experience with data entry and word processing, possess a working knowledge of MS Office applications, and understand how to navigate through web-based applications. Demonstrate strong reading comprehension and writing skills. Cognitive Skills include language, basic math skills, reasoning ability and verbal communication skills. Ability to work in a team environment. Handling different Reports - IGO/NIGO and Production/Quality. To be in a position to handle training for new hires. Work together with the team to come up with process improvements Strictly monitor the performance of all team members and ensure to report in case of any defaulters. Encourage the team to exceed their assigned targets. **Required schedule availability for this position is Monday-Friday 6PM/4AM IST. The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekends basis business requirement.** Requirements for this role include: Candidate should be flexible & support team during crisis period. Should be confident, highly committed and result oriented. Experience on working in an office environment set up utilizing Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools. Experience in a professional/office related role that required you to communicate (oral/written) effectively with internal team members and external customers, Experience in a role that required a focus on quality including attention to detail, accuracy, and accountability for your work product. Candidate should be flexible to work from home and office environment. Broadband connection is must while working from home. Preferences for this role include: 3+ years of experience processing insurance claims in the health, life, or disability disciplines that required knowledge of CPT, HCPCS, ICD9/10, CDT. 2+ year(s) of experience in role that required understanding and interpreting complex documents such as medical records and legal contracts.
Posted 2 months ago
1 - 6 years
2 - 6 Lacs
Navi Mumbai
Work from Office
WE HAVE AN URGENT REQUIREMENT OF AR CALLERS & AR FOLLOW UP CANDIDATES #AR follow-up with insurance companies & patients. #To follow up on claims assigned. #To Complete EDI rejections #End to End RCM Knowledge #Good knowledge of modifiers & softwares Required Candidate profile #EXPERIENCE : 01 TO 06 YEARS IN AR CALLING & FOLLOW UP US HEALTHCARE RCM #NIGHT SHIFTS #SALARY : 2.50 LPA TO 6.00 LPA + INCENTIVES #CALL/WATSAPP : PRAYAG : 9911985567 #vrtalenthunters6210@gmail.com Perks and benefits #best Salary & Incentives Plans Virtual Interviews
Posted 2 months ago
3 - 8 years
20 - 32 Lacs
Bandra
Work from Office
Hiring for Duckcreek Developer Location-Bangalore Exp-3+ Notice Period-immediate to 30 Days Contact-7042723062
Posted 2 months ago
0 - 5 years
3 - 4 Lacs
Mumbai
Work from Office
Greeting from Medi assist TPA Pvt ltd. Hiring Medical officer for Insurance Claim processing Profile Location- Mumbai -Andheri East. Role - Medical officer Exp : 0-8 years Job description : * Check the medical admissibility of claim by confirming diagnosis and treatment details * Verify the required documents for processing claims and raise an information request in case of an insufficiency * Approve or deny claims as per T&C within TAT Interested candidate can drop there resume in my Mail ID : Sarika.pallap@mediassist.in Thanks & Regards Sarika Pallap - 8951865563
Posted 2 months ago
1 - 4 years
3 - 6 Lacs
Pune
Work from Office
Working Hours- Night shift(8pm-5:30am)-(Mon-Fri) Sound knowledge of HCPCS, CPT, and ICD-10 coding. Results Oriented (Energetic self-starter; sets realistic goals; meets commitments; persistent, prioritizes daily to achieve results). Customer Service Advocate (flexible and adaptive; empathetic; passionate; ethical). Ability to respond to common inquiries from customers, staff, vendors, or other members of the community. Ability to draw valid conclusions, apply sound judgment in making decisions, and to make decisions under pressure; ability to interpret and apply policies and procedures. Must address others professionally and respectfully by actions, words and deeds. Detail oriented, organized, process focused, problem solver, self-motivated, proactive, customer service focused. Displays independent judgment by willingness to make timely and accurate decisions based on available information that is sometimes vague or limited in nature. Ability to multitask effectively and work in a fast paced and sometimes ambiguous environment, without compromising quality of work. Ability to prioritize tasks and projects with limited direction, understanding and contributing to the success of the clinic.
Posted 2 months ago
5 - 8 years
4 - 8 Lacs
Navi Mumbai
Work from Office
Skill required: Operations Support - Pharmacy Benefits Management (PBM) Designation: Health Operations Senior Analyst Qualifications: Any Graduation Years of Experience: 5 to 8 years What would you do? Embedding digital transformation in healthcare operations end-to-end, driving superior outcomes and value realization today, and enabling streamlined operations to serve the emerging health care market of tomorrowYou will be a part of the Healthcare Claims team which is responsible for the administration of health claims. This team is involved in core claim processing such as registering claims, editing & verification, claims evaluation, and examination & litigation.The business processes, operations and interactions of third party administrators of prescription drug programs, understanding of the processes used to manage programs for payers, process and pay prescription drug claims, develop and maintain the formulary, contract with pharmacies and negotiate discounts and rebates with drug manufacturers. What are we looking for? Adaptable and flexible Ability to perform under pressure Problem-solving skills Results orientation Ability to establish strong client relationship Business Operation Management Healthcare Management 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
Posted 2 months ago
7 - 11 years
12 - 17 Lacs
Mumbai
Work from Office
Skill required: NA - Business Transformation Designation: Business Transformation Specialist Qualifications: Any Graduation Years of Experience: 7 to 11 years What would you do? In this role, you will be expected to develop transformation vision, assess vision feasibility and capability gaps, plan journey management. Also, translate economic trends into industry competitive advantage, transform a business to enable profitable & sustainable growth.Develop transformation vision, assess vision feasibility and capability gaps, plan journey management. Translate economic trends into industry competitive advantage, transform a business to enable profitable & sustainable growth. What are we looking for? Ability to establish strong client relationship Ability to handle disputes Ability to manage multiple stakeholders Ability to meet deadlines Ability to perform under pressure Roles and Responsibilities: In this role you are required to do analysis and solving of moderately complex problems May create new solutions, leveraging and, where needed, adapting existing methods and procedures The person would require understanding of the strategic direction set by senior management as it relates to team goals Primary upward interaction is with direct supervisor May interact with peers and/or management levels at a client and/or within Accenture Guidance would be provided when determining methods and procedures on new assignments Decisions made by you will often impact the team in which they reside Individual would manage small teams and/or work efforts (if in an individual contributor role) at a client or within Accenture Please note that this role may require you to work in rotational shifts
Posted 2 months ago
10 - 16 years
8 - 12 Lacs
Coimbatore
Work from Office
Greetings!! Looking for experienced folks from Enrollment and claims, EDI or provider contracting-Member or group enrollment process. Job Title: Senior manager - Enrollment and claims, EDI or provider contracting& Claims Adjudication (US Healthcare) Experience: 10+years Qualification: Bachelors degree Shift: Night shift Transportation: Pick up and drop would be provided Job Summary: Senior manager - Enrollment and Claims Adjudication will oversee a team of healthcare professionals responsible for processing member enrollments and adjudicating claims in compliance with US healthcare regulations, client-specific guidelines, and quality standards. The role ensures efficient workflow, team performance, process improvement, and client satisfaction. Key Responsibilities: Team Management & Leadership: Lead, mentor, and manage a team handling enrollment and claims adjudication processes. Monitor team productivity, quality, and adherence to service level agreements (SLAs). Provide training, coaching, and development opportunities to team members. Conduct regular team meetings, performance reviews, and provide constructive feedback. Resolve escalations and complex issues promptly and professionally. Enrollment Management: Oversee new member enrollment, renewals, terminations, and updates in healthcare plans. Ensure data accuracy for member eligibility, coverage, and benefits. Collaborate with clients and internal teams to resolve enrollment discrepancies or queries. Claims Adjudication Oversight: Supervise the processing of healthcare claims ensuring accuracy and compliance with policies, provider contracts, and regulatory guidelines (HIPAA, CMS, etc.). Ensure proper review of claims for eligibility, benefits coverage, coding, and payments. Monitor claim denials and implement corrective action plans to reduce errors and rework. Process & Compliance: Ensure compliance with US healthcare regulations, privacy laws (HIPAA), and client-specific guidelines. Identify process improvement opportunities and work with quality teams to implement best practices. Prepare and analyze reports related to team performance, quality audits, and operational metrics. Liaise with clients and stakeholders for updates, process changes, or reporting needs. Required Skills and Qualifications: Bachelors degree or equivalent work experience in healthcare operations. Minimum:10+ years of experience in US healthcare processes, with 3 years in a Operation manager in Enrollment and claims, EDI or provider contracting Strong knowledge of US healthcare insurance, including enrollment, eligibility, claims processing, and adjudication rules. Proficient with CMS, Medicaid, Medicare, ACA, and HIPAA regulations. Proficient in claims platforms Excellent analytical, problem-solving, and decision-making skills. Strong communication and interpersonal skills. Ability to multitask and work under pressure. Interested candidates can share your updated cv to : anitha.c@sagilityhealth.com
Posted 2 months ago
7 - 12 years
9 - 13 Lacs
Greater Noida
Work from Office
Lead DuckCreek Claims Developer Position : Technical Analyst / Technology Specialist Experience : 5 to 12 Years. Job Location : Greater Noida, Mumbai, Pune & Hyderabad. Mandatory Skills: P&C, Property & Casualty, Claims Center, Claims Administration System, Product Studio, Transact, Claims Desktop, . Description: Responsible for Requirement Analysis, Effort Estimation and Delivery of the team. Candidate will work with the application Architect for Solution approach, Design and Estimation. Lead the development team for Task assignment and Progress tracking & will Code, Unit Test and Code review. Help development team in manuscript coding, SQL store procedure, C#, XSLT Technical Expertise. Must have deep understanding of Duck Creek Claim Administration System configuration. Ability to understand business needs and translate them into manuscript inheritance and group structure, including design of technical components. Experienced in Manuscript Coding & Configuration using Author, Product Studio, Express, Server, User Admin and TransACT. Hands on experience in Claims Desktop, Console modules, Party Module, Task Creation, Claim Configuring, Extension and Advanced Extension points, Auto Reserves. Integration and configuration with Claim related third party. Experience with SQL Server, customizing and Debugging SQL store, Triggers, User defined Functions / Types, Cursors and XQueries. Must be experienced in DCT debugging Tools (TraceMonitor, ExampleUtil, TSV Monitor and Data Tester). Must have XML and XSLT programing experience. Must have working experience in Duck Creek product versions 4.x , 5.x, 6.x, 7.x Or latest. Experience with SQL Server, customizing and Debugging SQL store, Triggers, User defined Functions / Types, Cursors and XQueries. Must have experience in Branch and Rep creation for version control using TFS, SVN or GitHub. Professional Attributes. Should have good communication and team building skill. Good to have knowledge in Insurance. Ability to work in a team environment which will include but is not limited coaching team, help to fix issues. Full knowledge of software development life cycle using Agile methodology Please share your profile at anshul.meshram@coforge.com
Posted 2 months ago
6 - 11 years
11 - 21 Lacs
Bengaluru, Gurgaon, Kolkata
Work from Office
Must have skills : GuideWire ClaimCenter Minimum 5 year(s) of experience is required Expected to be an SME, collaborate, and manage the team to perform. Responsible for team decisions. Engage with multiple teams and contribute on key decisions.
Posted 2 months ago
8 - 12 years
15 - 30 Lacs
Pune, Delhi NCR, Bengaluru
Hybrid
Role & responsibilities Solicit requirements using interviews, documentation analysis, requirements and workshops. Develop business requirement documentation, use cases, mock screen designs and workflow diagrams. Organize information gathered from multiple sources, reconcile conflicts and present information in a manner that business customers can review and approve. Coordinate efforts to gather requirements for multiple initiatives simultaneously. Become an expert in the detailed operation and configuration of the software package selected. Engage in reviewing and discussing product configuration within the Duck Creek Claims tool kits. Engage in the development and execution of testing plans, document and triage issues.
Posted 2 months ago
5 - 10 years
9 - 11 Lacs
Pune
Work from Office
Role- Team Lead & Assistant Manager Required Experience Min 5 yrs in Order Management, Claims, Logistics and Supply Chain. Must have Team handling Exp on Papers( Team size 10+) Location- Pune CTC- 10-11 LPA WFO| UK Shifts Notice Period-0-30 days
Posted 2 months ago
5 - 8 years
12 - 22 Lacs
Pune, Delhi NCR, Bengaluru
Hybrid
Role & responsibilities Solicit requirements using interviews, documentation analysis, requirements and workshops. Develop business requirement documentation, use cases, mock screen designs and workflow diagrams. Organize information gathered from multiple sources, reconcile conflicts and present information in a manner that business customers can review and approve. Coordinate efforts to gather requirements for multiple initiatives simultaneously. Become an expert in the detailed operation and configuration of the software package selected. Engage in reviewing and discussing product configuration within the Duck Creek Claims tool kits. Engage in the development and execution of testing plans, document and triage issues.
Posted 2 months ago
0 - 5 years
3 - 5 Lacs
Mumbai
Work from Office
Greeting from Medi assist TPA Pvt ltd. Hiring Medical officer for Insurance Claim processing Profile Location- Mumbai -Andheri East. Role - Medical officer Exp : 0-8 years Job description : * Check the medical admissibility of claim by confirming diagnosis and treatment details * Verify the required documents for processing claims and raise an information request in case of an insufficiency * Approve or deny claims as per T&C within TAT Interested candidate can drop there resume in my Mail ID : varsha.kumari@mediassist.in Thanks & Regards Varsha Kumari Email: varsha.kumari@mediassist.in
Posted 2 months ago
1 - 6 years
0 - 3 Lacs
Kolkata
Work from Office
Graduate in BHMS/BAMS/Pharma D/BPT/MPT/BDS Prior experience in domestic claims processing Should be able to provide support in staggered shifts Should be ready to work on weekends per the roster
Posted 2 months ago
15 - 20 years
37 - 45 Lacs
Chennai, Pune, Hyderabad
Work from Office
Key responsibilities Lead a diverse team of seasoned professionals, fostering a high-performance culture and developing future leaders. Oversee underwriting and claims operations, ensuring efficiency, accuracy, and compliance with industry standards. Working closely with senior global management across multiple operational areas. Define and execute the strategic roadmap for shared services, ensuring alignment with global business objectives. Strengthen risk and compliance frameworks, implementing controls to mitigate operational risks Work with senior stakeholders across the Group to shape the transformational change agenda for the function, managing execution to ensure benefits (financial and non-financial) are realized. Role requirements At least 15+ years of Team Management experience in a Global Insurance Wealth Management Shared Services/ GCCs, Financial Services GCCs or similar environment. Strong understanding of life insurance, pensions, group benefits, underwriting, retirements and claims. Managed Global Operations experience an essential for this opportunity. Proven track record in leading building successful teams. Demonstrate leadership ability in setting direction and prioritization. Strong communication and influencing skills required to be successful in this role. Strong interpersonal skills and evidence of working across teams and geographies to produce timely and accurate output. Professional accountancy qualification or equivalent relevant experience.
Posted 2 months ago
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