2142 Claims Jobs - Page 49

1. Responsible for Overall GST Compliances. 2. Responsible for Identification of Risks and prepare mitigation plan. 3. Responsible for Annual Audit (GSTR-9) and filing of GST Returns prior to the due dates. 4. Manage and monitor the system for Vendor ITC reconciliation. 5. Define and supervise accounting of GST transactions and study ongoing litigations in detail and safeguard company s Interest. 6. Co-ordinate departmental audit (assessment) for PAN India states and ensure companys interest is safeguarded. 7. Responsible for classification of Goods / Services and maintaining HSN Code/ SAC Code for all the plants in the system. 8. Ensure timely IGST Refund claims and correctness of RCM payment and minimization of cash payments. 9. Interact with Internal and statutory auditors for matters relating to GST and resolution of audit observations and requirements. 10. Assist in representing the company before Government departments for litigations in GST.

Execution Support partners to register claims on behalf of customers, coordinate to ensure approvals within agreed timelines. 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 Service Orientation Schedule meetings with prospective banking clients and brief them about BAGIC products/ offer them lucrative products in coordination with the Vertical Head 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 New Acquisition Banking Partners 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 Relationship Management 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

Taking care of Corporate claims process One point contact for PID Creation and New MOU fallow up & collection External Surveyors fallow-up Back support for a team and an average of 800 Payment posting Attending phone calls of customers HO Co-ordination for repair portal ID creations

SUMMARY Job Opening for US Claims Professionals at a Leading Multinational Corporation in Mumbai-Airoli Position: US Claims Specialist We are currently seeking individuals with demonstrated expertise in managing US claims, specifically in the assessment of previous claims and efficient handling of current claims. Minimum Qualifications: Completion of a Bachelor's degree 1 year of practical experience in US claims Key Skills: Outstanding verbal and written communication abilities Proficient in MS Office applications (Excel, Word, and PowerPoint) Willingness to work night shifts (US shift timings) Submission of all academic transcripts up to the final semester of graduation without any pending courses, Aadhar card, and PAN card Additional Requirements: Residing within a 30 km radius of Airoli Shift Timing: 5:30 pm to 3:00 am Immediate availability is preferred Requirements Requirements: Bachelor's degree 1 year of experience in US claims Excellent verbal and written communication skills Proficiency in MS Office tools (Excel, Word, and PowerPoint) Flexibility to work night shifts Submission of all academic transcripts up to the final semester of graduation without any pending courses, Aadhar card, and PAN card. Benefits Salary: 30000/Month CTC PF ESI BOTH WAY CAB WORK FROM OFFICE

Become ALL IN! as an (Claims Management Associate/Senior Associate) As a pioneer in digital health our heart beats for the development and implementation of new technologies. For the next level of e-health evolution we are looking for creative minds who enjoy working with a variety of technologies, their own design freedom and professional development. What you can expect from us: • A safe digital application and a structured and streamlined onboarding process • An extensive group health and accidental insurance program • Our progressive transportation model allows you to choose: You can either receive a self-transport allowance, or we can pick you up and drop you off on your way from or to the office • Subsidized meal facility • Term insurance in plan for 2023 • Fun at Work: tons of engagement activities and entertaining games for everyone to participate • Various career growth opportunities as well as a lucrative merit increment policy in a work environment where we promote Diversity, Equity, and Inclusion • Best HR practices along with an open-door policy to ensure a very employee friendly environment • A recession proof and secured workplace for our entire workforce • Ample scope of reward and recognitions along with perks like marriage gift hampers and gifts for birth of a child What you can do for us: • Responsible for calling Insurance companies (in US) on behalf of doctors/physicians and follow up on outstanding Accounts Receivable. • To prioritize the pending claims for calling from the aging basket. • Should be able to convince the claims company (payers) for payment of their outstanding claims. • To check the appropriateness of the insurance information given by the patient if it is inadequate or unclear. • To make a physical call by following the international norms and applicable rules for confidentiality and HIPAA compliance. • Escalate difficult collection situations to management in a timely manner. • Review provider claims that have not been paid by insurance companies. • Handling patients billing queries and updating their account information. • Post cash and write off the contractual adjustments accordingly while working on the accounts. • Meeting daily/weekly and monthly targets set for an individual. Your Qualifications: • Should be willing to work in US Shift. (Night Shift) • Graduation is Mandatory. • Experience in US Healthcare Revenue Cycle Management process. • Strong written and verbal communication skills. • Good computer skills including Microsoft Office suite. • Ability to prioritize and manage work queue. • Ability to work independently as well as in a team environment. • Strong analytical and problem-solving skills. • Good typing skills with a speed of min 25-30 words /min. Convinced? Submit your persuasive application now online (including desired salary and earliest possible starting date). Synchronizing Healthcare Become ALL IN! with head, heart, and hand

About CoverSelf: We are an InsurTech start-up based out of Bangalore, with a focus on Healthcare. CoverSelf empowers healthcare insurance companies with a truly NEXT-GEN cloud-native, holistic & customizable platform preventing and adapting to the ever-evolving claims & payment inaccuracies. Reduce complexity and administrative costs with a uni ed healthcare dedicated platform. Overview about the role: We are seeking an experienced Product Designer with a focus on UX to join our team. This role requires a unique blend of strategic thinking and hands-on execution, with the ability to deliver polished, developer-ready UI designs for enterprise SaaS products. Responsibilities: Own the end-to-end design process from user research and problem definition to high-fidelity UI design and developer handoff. Create intuitive, accessible, and visually appealing user experiences for complex enterprise SaaS applications. Collaborate with product managers to translate business requirements and user needs into effective design solutions. Work within established design systems while contributing to their evolution and improvement. Partner closely with engineering teams throughout implementation, providing clear specifications and addressing design questions. Conduct usability testing and iterate on designs based on quantitative data and qualitative feedback. Present design decisions to stakeholders and defend them with sound rationale. Requirements: 5+ years of professional experience in product design for digital products. Strong portfolio showcasing end-to-end design process with high-fidelity, developer-ready UI designs. Proficiency in modern design tools (Figma, Rive, or similar). Experience working with and contributing to design systems. Excellent visual design skills with meticulous attention to detail. Ability to communicate effectively with developers using appropriate technical terminology. Experience with design handoff and developer collaboration tools. Nice to Have: Experience in our industry or with similar enterprise software products. Knowledge of front-end development (HTML, CSS, JavaScript) or prototyping code. Experience with animation and micro-interactions. Background in conducting user research and usability studies. Important Note: We are specifically looking for designers who can execute the entire design process through to pixel-perfect UI without requiring additional visual design support. Candidates whose portfolios consist primarily of wireframes, sticky notes, and process documentation without showcasing high-fidelity UI work will not be considered. Work Location: Jayanagar - Bangalore. Work Mode: Work from Office. Benefits: Best in the Industry Compensation, Friendly & Flexible Leave Policy, Health Benefits, Certifications & Courses Reimbursements, Chance to be part of rapidly growing start-up & the next success story, 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.

Description: Imagine your career taking you to the depths of innovation and the heights of impact. Our people enable continuous progress. Their commitment, collective expertise, and unique capabilities are the engine room behind SBM Offshore s - shaping the future of energy, and beyond. About Us: SBM Offshore is the world s deepwater ocean-infrastructure expert. Our work is already resulting in cleaner, more efficient energy production. is our promise to enable that into the future while at the same time using our expertise to support new and existing markets in the blue economy. It starts with Advancing our Core: continuing to advance the decarbonization of traditional energy production. While Pioneering More: helping to enable the energy transition and using our unique capabilities in ocean infrastructure to support more industries to grow sustainably. Sharing our experience for a better blue tomorrow. The role The Buyer is responsible to source, negotiate and purchase equipment/services in line with budget, schedule, quality and technical project requirements while ensuring that any procurement activity complies with Group Supply Chain strategy processes. Responsibilities Lead the tender process in a fair manner and identify Bidders that will best meet SBM s technical requirements, budget and schedule constrains. Understand the contractual requirements of equipment/service to be purchased and elaborate the bid package together with the relevant disciplines (Eng, Legal, etc) Ensure that Vendor Qualification process is performed as per SBM rules Issue Request For Quotation, expedite and collect offers from Bidders Analyze the offers and identify areas for commercial or contractual clarifications in order to facilitate discussion with Bidders and get offers aligned and in line with SBM requirements Develop recommendations for the Bidder selection based on the input from the relevant disciplines and on the assessment of offered costs, technical requirements and delivery time in accordance with SBM Ethics and Compliance rules (eg competition rules ) Fully document the tendering process (i.e. Commercial Bid Evaluation, Recommendation To Purchase ) Ensure that the tactical management of the procurement process (from RFQ preparation till Recommendation To Purchase) is conducted appropriately and in full compliance with SBM Working Procedures. Set up package strategy with close coordination of Package Manager to lead commercial negotiations, using any possible leverage to achieve your targets and obtain competitive pricing Perform financial/commercial analysis (market intelligence, cost breakdown structure, benchmark ) of the current scenarios, identify Risks and Opportunities and recommend options that can drive the final decision to purchase. Conduct internal contract check points all along the Purchase Order execution to ensure contractual protections are in place and to minimize contractual /financial risks. Be responsible for managing any claims with Vendors and develop appropriate settlement plan In the case of this role the Buyer is responsible fo r Mechanical and Process equipment. Your experience and expertise in mechanical and process equipment is required for most key packages including rotating (pumps, compressors, turbines, etc.) and static equipment (pressure vessels, heat exchangers, boilers, etc.). Job Requirements: Bachelor s or Master s degree in relevant field of Engineering or Business Administration and a minimum of 5 years of experience as a Buyer with an Oil and Gas or EPC company. The ideal candidate will have broad and deep procurement experience in the Offshore, Marine or Petrochemical Industry. International travel may be required. Furthermore, you are or you have: a self- starter who possesses good interpersonal and organizational skills; great Time Management skills; proactive behaviour; Flexible and adaptable to react to operational changes; Willingness to travel; Fluent in English (both written and verbally) GENERAL INFORMATION SBM Offshore N.V. is a listed holding company that is headquartered in Amsterdam. It holds direct and indirect interests in other companies that collectively with SBM Offshore N.V. form the SBM Offshore Group ( the Company ). For further information, please visit our website at www.sbmoffshore.com. The companies in which SBM Offshore N.V., directly and indirectly, owns investments are separate entities.

About RPG Enterprises: Mumbai head-quartered RPG Enterprises is one of Indias largest industrial conglomerates. With over 15 companies in its fold, the group has a strong presence across core business sectors such as Infrastructure, Tyres, IT, Healthcare, Energy and Plantation to name a few. Established in 1979, RPG Enterprises is one of India s fastest growing business groups with a turnover of $4 billion. About KEC International: KEC International Limited, headquartered in Mumbai, India, is the flagship company of the RPG Group. A USD 2.1 billion Engineering, Procurement, and Construction (EPC) major, we deliver projects in key infrastructure sectors such as Power Transmission & Distribution, Railways, Civil, Urban Infrastructure, Solar, Smart Infrastructure, Oil & Gas Pipelines, and Cables. Our robust and integrated capabilities span the entire EPC value chain from concept to commissioning . We have successfully executed complex projects across some of the world s most difficult terrains and conditions, aided by robust engineering, procurement, execution and project management capabilities. We have vast manufacturing footprint extending across India, Dubai, Brazil and Mexico. Our global presence has enabled a robust and agile supply chain that extends across six continents in over 105 countries. For over 75 years, we have prided ourselves for our unmatched expertise in EPC, backed by a strong customer-centric approach, quest for world-class quality, and safety-first attitude. Integrity in our actions and respect for people, environment and our stakeholders are the cornerstones of our corporate responsibility. Empowered by a mindset driven to outperform and excel, we build infrastructure for the world of tomorrow. About Civil & Urban Infrastructure Business: KEC s Civil business focuses on the construction of factories, warehouses, residential buildings, railway stations, metros, and sewage & water treatment plants, and comprises of four verticals - A. Infrastructure & Heavy Civil (Metro & Water Projects), B. Industrial & Hydrocarbon (Factories) , C. Residential & Public Spaces (Buildings, Commercial Spaces), D. Defence (Civil projects in Defence sector). We provide professional EPC services in an area dominated either by small unorganized players or by very few large companies. With extensive Civil expertise and capabilities built over the years across all our businesses, we are setting benchmarks in speed, quality and safety by bringing in leading technologies, professional project management expertise and intense focus on safety & quality, enabling us to deliver excellence to our clients. The business has established itself as a premier contractor in the industrial segment, especially cement and auto sector. Currently, we are executing around 20 turnkey EPC projects comprising metros, factories, data centre, townships and residential buildings for a repertoire of clients in sectors such as Metro Rail, Cement, Auto & Auto ancillaries, Metals & Mining, FMCG, Real Estate and Defence, among others. POSITION DETAILS: Engineer - Safety Job Title : Engineer - Safety Grade: O2 SBU: Civil Business: Civil Location: Adani Link Bay - Mumbai Date: Reporting to: People Management (Yes/ No): Yes Number of Reportees: 1 JOB DUTIES Job Summary: Engineer - Safety Key Accountabilities Duty Statements Develop and execute health and safety plans in the workplace according to legal guidelines Prepare and enforce policies to establish a culture of health and safety Evaluate practices, procedures and facilities to assess risk and adherence to the law Conduct training and presentations for health and safety matters and accident prevention Monitor compliance to policies and laws by inspecting employees and operations Inspect equipment and machinery to observe possible unsafe conditions Investigate accidents or incidents to discover causes and handle worker s compensation claims Recommend solutions to issues, improvement opportunities or new prevention measures Report on health and safety awareness, issues and statistics Skill/ Competencies Technical: Result Orientation and Delivery focus Functional: Safety Standards, Safety Techniques Behavioural: Safety and Quality compliance, Site Coordination, Supervision and planning JOB SPECIFICATIONS: Years of Experience: 6 To 8 Years Qualification: BE/B.tech Special Requirements (If any):

About this role Technology & Operations Global Accounting and Product Services: Alternatives Operations supports BlackRock Alternative Investments ("BAI") and over $140B of assets globally. BAI takes a dynamic approach to alternative investments, creating investment vehicles that increasingly capitalize on evolving opportunities in fast-changing markets. We offer clients strategies designed to provide returns with low correlations to the broad equity and bond markets, including private equity, real estate equity and debt, hedge funds of funds, single strategy hedge funds, long-only absolute return strategies, commodities and structured products. Our alternative investment capabilities are fully integrated into BlackRock, allowing investment teams to capitalize on the firm s considerable resources in areas such as risk management, product development, client service and operational support. Team Overview We are looking to add a team member to our GATs team (Equity/Credit). The core focus of the team is to provide consistent data capture related to alternative products and investments, and dissemination of the data to various downstream consumers. The GATS team is responsible for settlements, amendments/restructures and documentation globally and strives for superior client service. The team coordinates, initiates and builds processes for new/non-standard transactions. Role Responsibility Technical Expertise: Credit: Demonstrate product and functional knowledge of the syndicated loan and privates market to communicate with the business, trading counterparties and large/sensitive clients. Preferably 5-7 years of understanding the intricacies of the loan market and documentation driven transactions. Ability to interpret legal documentation and translate in the simplest terms Support the settlement process of loan syndications, secondary loan trades, CLO s, restructures, privates, infrastructure debt, renewable power, direct lending and trade claims including funding and documentation matters. Work with Custodians on timely funding/receipt of wires and delivery of physical certificates. Liaise with Administrative Agents, Borrowers and Legal with regards to KYC documentation, including administrative details, tax and fund formation documents. Working knowledge of the maintenance and distribution of loan documentation inclusive of private and public amendments/ restructures and voting requirements with settled and trade date positions. Experience of Supervision and review, people management experience will be an added advantage. Responsible for work allocation and ensure day to day activities are on track. Equity Provide onboarding support for the data capture of alternative products and investment types, which includes sourcing data from legal documents and received from third parties, and coordinating input of data into internal systems Assist in the design of the onboarding of alternative products and investments process including design of investment/trade, cash management, valuation, PnL recognition and reconciliation processes and related system implementation Assist in trading support and execution functions for private investment funds, including monitoring internal and external teams to ensure accurate and timely execution. Work with external service providers, internal team members and other BlackRock groups to transmit and receive product and asset related data, and resolve operational issues, as identified Prepare process documentation and controls for the team s core responsibilities, and ensure they are updated and reviewed regularly. Participate in other group projects and initiatives. Experience of Supervision and review, people management experience will be an added advantage. Responsible for work allocation and ensure day to day activities are on track. Experience The Ideal candidate will have 5-7 years experience in the fields of data management, loans, operations, accounting, finance. A master s degree or equivalent experience in accounting or finance is preferred. In addition, we are looking for the following qualifications: Proficient in the financial industry in particular Fixed Income, Equity, Privates and Syndicated Loan Instruments Excellent communication and client service skills. Strong performer in a high pace environment with high volume and high-risk transactions with a low tolerance for error. Able to work independently or in a team environment and proactively assume additional responsibilities. Able to work in a dynamic team environment with diverse approaches and thinking styles. Highly proficient in Excel and MS application skills Technology-focused with a creative approach Knowledge of trading instruments and the settlement mechanics Strong Leadership Skills Strong analytical and organizational skills Financial degree required Flexible work hours Our benefits To help you stay energized, engaged and inspired, we offer a wide range of benefits including a strong retirement plan, tuition reimbursement, comprehensive healthcare, support for working parents and Flexible Time Off (FTO) so you can relax, recharge and be there for the people you care about. Our hybrid work model BlackRock s hybrid work model is designed to enable a culture of collaboration and apprenticeship that enriches the experience of our employees, while supporting flexibility for all. Employees are currently required to work at least 4 days in the office per week, with the flexibility to work from home 1 day a week. Some business groups may require more time in the office due to their roles and responsibilities. We remain focused on increasing the impactful moments that arise when we work together in person - aligned with our commitment to performance and innovation. As a new joiner, you can count on this hybrid model to accelerate your learning and onboarding experience here at BlackRock. About BlackRock At BlackRock, we are all connected by one mission: to help more and more people experience financial well-being. Our clients, and the people they serve, are saving for retirement, paying for their children s educations, buying homes and starting businesses. Their investments also help to strengthen the global economy: support businesses small and large; finance infrastructure projects that connect and power cities; and facilitate innovations that drive progress. This mission would not be possible without our smartest investment - the one we make in our employees. It s why we re dedicated to creating an environment where our colleagues feel welcomed, valued and supported with networks, benefits and development opportunities to help them thrive. For additional information on BlackRock, please visit @blackrock | Twitter: @blackrock | LinkedIn: www.linkedin.com / company / blackrock BlackRock is proud to be an Equal Opportunity Employer. We evaluate qualified applicants without regard to age, disability, family status, gender identity, race, religion, sex, sexual orientation and other protected attributes at law.

About this role Technology & Operations Global Accounting and Product Services: Alternatives Operations supports BlackRock Alternative Investments ("BAI") and over $140B of assets globally. BAI takes a dynamic approach to alternative investments, creating investment vehicles that increasingly capitalize on evolving opportunities in fast-changing markets. We offer clients strategies designed to provide returns with low correlations to the broad equity and bond markets, including private equity, real estate equity and debt, hedge funds of funds, single strategy hedge funds, long-only absolute return strategies, commodities and structured products. Our alternative investment capabilities are fully integrated into BlackRock, allowing investment teams to capitalize on the firm s considerable resources in areas such as risk management, product development, client service and operational support. Team Overview We are looking to add a team member to our GATs team(Equity/Credit). The core focus of the team is to provide consistent data capture related to alternative products and investments, and dissemination of the data to various downstream consumers. The GATS team is responsible for settlements, amendments/restructures and documentation globally and strives for superior client service. The team coordinates, initiates and builds processes for new/non-standard transactions. Role Responsibility Technical Expertise: Credit: Demonstrate product and functional knowledge of the syndicated loan and privates market to communicate with the business, trading counterparties and large/sensitive clients. Preferably 2-5 years years of understanding the intricacies of the loan market and documentation driven transactions. Ability to interpret legal documentation and translate in the simplest terms Support the settlement process of loan syndications, secondary loan trades, CLO s, restructures, privates, infrastructure debt, renewable power, direct lending and trade claims including funding and documentation matters. Work with Custodians on timely funding/receipt of wires and delivery of physical certificates. Liaise with Administrative Agents, Borrowers and Legal with regards to KYC documentation, including administrative details, tax and fund formation documents. Working knowledge of the maintenance and distribution of loan documentation inclusive of private and public amendments/ restructures and voting requirements with settled and trade date positions. Private Equity Provide onboarding support for the data capture of alternative products and investment types, which includes sourcing data from legal documents and received from third parties, and coordinating input of data into internal systems. Assist in the design of the onboarding of alternative products and investments process, including design of investment/trade, cash management, valuation, PnL recognition and reconciliation processes and related system implementation. Assist in trading support and execution functions for private investment funds, including monitoring internal and external teams to ensure accurate and timely execution. Work with external service providers, internal team members and other BlackRock groups to transmit and receive product and asset related data, and resolve operational issues, as identified; Prepare process documentation and controls for the team s core responsibilities, and ensure they are updated and reviewed regularly. Participate in other group projects and initiatives. Experience The ideal candidate will have 2-5 years experience in the fields of finance, operations, accounting and/or administration with a focus on Loan Instruments. A master s degree or equivalent experience in accounting or finance is preferred. In addition, we are looking for the following qualifications: Proficient in the financial industry in particular Fixed Income, Equity, Privates and Syndicated Loan Instruments Excellent communication and client service skills. Strong performer in a high pace environment with high volume and high-risk transactions with a low tolerance for error. Able to work independently or in a team environment and proactively assume additional responsibilities. Able to work in a dynamic team environment with diverse approaches and thinking styles. Highly proficient in Excel and MS application skills Technology focused with a creative approach Knowledge of trading instruments and the settlement mechanics Strong analytical and organizational skills Financial degree required Flexible work hours #EarlyCareers Our benefits To help you stay energized, engaged and inspired, we offer a wide range of benefits including a strong retirement plan, tuition reimbursement, comprehensive healthcare, support for working parents and Flexible Time Off (FTO) so you can relax, recharge and be there for the people you care about. Our hybrid work model BlackRock s hybrid work model is designed to enable a culture of collaboration and apprenticeship that enriches the experience of our employees, while supporting flexibility for all. Employees are currently required to work at least 4 days in the office per week, with the flexibility to work from home 1 day a week. Some business groups may require more time in the office due to their roles and responsibilities. We remain focused on increasing the impactful moments that arise when we work together in person - aligned with our commitment to performance and innovation. As a new joiner, you can count on this hybrid model to accelerate your learning and onboarding experience here at BlackRock. About BlackRock At BlackRock, we are all connected by one mission: to help more and more people experience financial well-being. Our clients, and the people they serve, are saving for retirement, paying for their children s educations, buying homes and starting businesses. Their investments also help to strengthen the global economy: support businesses small and large; finance infrastructure projects that connect and power cities; and facilitate innovations that drive progress. This mission would not be possible without our smartest investment - the one we make in our employees. It s why we re dedicated to creating an environment where our colleagues feel welcomed, valued and supported with networks, benefits and development opportunities to help them thrive. For additional information on BlackRock, please visit @blackrock | Twitter: @blackrock | LinkedIn: www.linkedin.com / company / blackrock BlackRock is proud to be an Equal Opportunity Employer. We evaluate qualified applicants without regard to age, disability, family status, gender identity, race, religion, sex, sexual orientation and other protected attributes at law.

Farnell Farnell, an Avnet company, is a global high-service distributor of technology products, services and solutions for electronic system design, maintenance and repair. Job Summary: Responds to customer inquiries, expedites critical orders, communicates dispositions, researches and resolves issues, and researches orders. Principal Responsibilities: May provide quote preparation, order tracking, backlog processing, invoicing, returns, discrepancy resolution, customer credit problems and/or other such support to sales team members and/or external customers. Identifies, investigates, and participates in opportunities to improve processes and procedures, to include various key performance metrics. Ensures that good customer relations are maintained and customer claims and complaints are resolved fairly, effectively and in accordance with consumer laws. Maintains and updates electronic and/or hard copy records as required. Other duties as assigned. Job Level Specifications: Acquired and applies working knowledge of the organization, job, practices and procedures to be proficient in all aspects of job. Performs functions semi-routine in nature and recognizes the need for occasional alternative solutions. Work is performed independently, with minimal supervision. Able to establish priorities and manage time to complete work. Collaboration with other departments or teams may be required to perform role. May frequently respond to requests from others, internally or externally. Impact of decisions may affect the department. Errors may result in loss of time, resources and/or customer satisfaction. Work Experience: Typically requires a minimum of two years of related experience. Education and Certification(s): High School Diploma or equivalent Distinguishing Characteristics: Must have computer, email, phone, communication and problem solving skills. Must be able to multi-task and work in a fast paced environment. May require fluency in more than one language. The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills.

Job Description WNS is hiring CAT Modeling professionals for a global reinsurance client across below mentioned skill-mix. Kindly refer to the job description mentioned against the desired skill-mix. 1. Portfolio Modeling (3+ years experience in end-to-end portfolio rollups) 2. Regulatory Reporting (4+ years experience in EDM/RDM/SCHEMA) 3. Model Validation (4+ years experience in Model Validation with tools like RMS/AIR) 4. Technical Solution (3+ years experience in SQL Query writing for CAT Modeling function) JOB DESCRIPTIONS: 1. Portfolio Modeling Good understanding Cat Modeling process and workflows Run vendor catastrophe modeling platforms (primarily RMS, AIR, Elements) for insureds and perform portfolio risk analyses. Working knowledge of RMS model scope across worldwide peril-regions regarding sub-perils, amplification, etc. along with basic understanding of cat-modelling four-box principle concerning exposure, hazard, vulnerability modules and translation of insurance and (re)insurance financial terms through coding in RMS and SQL. Assist clients in the understanding of catastrophe risk of individual insured through analytics based on catastrophe model results. Provide analytical support to catastrophe modeling team operations by sharing knowledge and information Develop processes and scripts for process improvements Provide timely and frequent feedback to team members. Preparing MIS reports Training and mentoring of team members inducted in the pricing process. Assisting in monthly post bind and portfolio rollup activities. Ensure all SLAs are met Communication with onshore SPOCs at regular intervals. 2. Regulatory Reporting Role and Responsibilities Good understanding Cat Modeling process and workflows. Run vendor catastrophe modeling platforms (primarily RMS, AIR, Elements) including accumulation analysis for reporting needs, whenever required Thorough knowledge of RMS EDM-RDM schema Ability to understand the requirements of regulatory submissions and further deliver them accordingly Understanding of RDS scenarios of Lloyds including Non-Modelled scenarios as well Working knowledge regulatory reports like LCM, RDS Scenarios, Terror Accumulations & reporting. Working knowledge of any other regulatory reports. Working knowledge of RMS model scope across worldwide peril-regions regarding sub-perils, amplification, etc. along with basic understanding of cat-modelling four-box principle concerning exposure, hazard, vulnerability modules and translation of insurance and (re)insurance financial terms. Provide analytical support to catastrophe modeling team operations by sharing knowledge and information Develop processes and scripts for process improvements Assisting in portfolio rollup activities. Ensure all SLAs are met Communication with onshore SPOCs at regular intervals. 3. Model Validation: : Perform model validation and provide recommendations on model use and/or required adjustments. Work with internal teams and external data providers on analysis, utilising available data including scientific information, claims and insured exposure Contribute to and lead Group projects as required, liaising with other teams globally. Produce customised reports on exposure and modelled results. Evaluate re/insurance pricing for individual accounts and product classes. Analyse catastrophe reinsurance structures and strategies to support reinsurance placements. Assist with the analysis of real time events and identify learnings from post-event reviews. Strong analytical and numerical ability, in order to interrogate large datasets Experience of working with re/insurance catastrophe data and/or catastrophe modelling software Excellent written and verbal communication skills, and the ability to explain technical concepts clearly Intermediate/Advanced Excel skills Pro-active attitude to identifying inefficient processes and developing improvements Desirable Requirements Knowledge of commercial insurance and/or the catastrophe modelling industry Sound working knowledge of RMS/AIR and any other vendor modelling platforms Coding experience in a relevant language (e.g. SQL, VBA, R, C#) Experience in using mapping software (e.g. GIS) 4. Technical Solution (SQL query): Catastrophe Modelling Analyst in the Accumulation Management department, working with the Technical Solutions team The Technical Solutions team is focused on developing customized in-house tools and databases for the Accumulation Management team, to streamline processes and organize data in an efficient manner Technical role with large potential for growth in responsibilities Develop an understanding of existing Catastrophe Modelling processes, licensed software, and the various in-house tools used to automate processes Maintain existing Accumulation Management tools. Debug errors in the code when users experience issues Assist users with technical questions. Explain how tools work and deliver training sessions when required Test new functionality prior to launch to ensure that tools are working as intended Support team to design and develop new tools to automate processes. Update user guides when needed Work with colleagues around the globe on ad-hoc projects Qualifications Bachelor s Degree in Mathematics/ Applied Mathematics/ Statistics/ Operations Research/ Actuarial Science

About the Role You ll be leading our e-commerce supply chain pan-India. You d be reporting to the eCommerce head. Your primary KPIs would be to ensure 100% fill rate across channels including but not limited to Amazon, Flipkart, Bigbasket, Grofers, etc, and to ensure Dispatch SLAs are met. You d be building, managing and mentoring the team to create a high-growth but sustainable engine for the business. This would need bold decisions to meet aggressive targets. You d have significant autonomy. Skills / Experience Experience managing operations on Amazon Vendor Central and Replication is a plus. Should have been part of an organisation which derives significant revenue from online marketplaces: Amazon and Flipkart; Or have scaled the marketplace business significantly. We are very startupy and also have a bias towards former tech-entrepreneurs. 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 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 Elevation Capital 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.

Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. We are looking for a Java Backend Engineer to join our athenaCollector team in Chennai. The Team : In athenaCollector , we build technology solutions that automate (RCM) Revenue Cycle Management. This Collector team is implementing the underlying medical back-office processes to automate and integrate the unique claims cycle requirements. This team is focused on making the billing and payment process simple, transparent and flexible for both healthcare practices and their patients. The athenaCollector product builds a critical part of the athenaOne platform, which helps our medical provider clients manage their business and revenue cycle (RCM), automating claims and billing for well over $200 billion in client revenue. This Zone is committed to building new and exciting capabilities to improve how we help health practices collect the right patient insurance, understand eligibility benefits, improve cost transparency, drive effective billing workflows and offer flexible payment solutions. Job Responsibilities may include, but are not limited to: Design and develop code on an agile team of Engineers, a Product Owner, and Experience Designer Collaborate inclusively with cross-functional team members Develop knowledge and domain expertise . Demonstrate ownership of what you and the team build and deploy in production Troubleshoot production and non-production issues Open to learn any new technology Education, Experience, & Skills Required: 2-4 years of experience in a software development role Strong knowledge of Java, Spring Boot. Exposure to relational database technologies, RESTful API and Modern JS frameworks (React JS) is good to have Experience in an Agile environment is preferred Bachelor s Degree or equivalent About athenahealth Here s our v ision: To create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. What s unique about our locations From an historic, 19 th century arsenal to a converted, landmark power plant, all of athenahealth s offices were carefully chosen to represent our innovative spirit and promote the most positive and productive work environment for our teams. Our 10 offices across the United States and India plus numerous remote employees all work to modernize the healthcare experience, together. Our company culture might be our best feature. We dont take ourselves too seriously. But our workThat s another story. athenahealth develops and implements products and services that support US healthcare : It s our chance to create healthier futures for ourselves, for our family and friends, for everyone. Our vibrant and talented employees or athenistas , as we call ourselves spark the innovation and passion needed to accomplish our goal . We continue to expand our workforce with amazing people who bring diverse backgrounds, experiences, and perspectives at every level, and foster an environment where every athenista feels comfortable bringing their best selves to work. Our size makes a difference, too: W e are small enough that your individual contributions will stand out but large enough to grow your career with our resources and established business stability . Giving back is integral to our culture. Our athenaGives platform strives to support food security, expand access to high-quality healthcare for all, and support STEM education to develop providers and technologists who will provide access to high-quality healthcare for all in the future. As part of the evolution of athenahealth s Corporate Social Responsibility ( CSR ) program, we ve selected nonprofit partners that align with our purpose and let us foster long-term partnerships for charitable giving, employee volunteerism, insight sharing, collaboration, and cross-team engagement. What can we do for you Along with health and financial benefits, athenistas enjoy perks specific to each location, including commuter support, employee assistance programs, tuition assistance, employee resource groups, and collaborative workspaces some offices even welcome dogs. In addition to our traditional benefits and perks, we sponsor events throughout the year, including book clubs, external speakers, and hackathons. And we provide athenistas with a company culture based on learning, the support of an engaged team, and an inclusive environment where all employees are valued . We also encourage a better work-life balance for athenistas with our flexibility . W hile we know in-office collaboration is critical to our vision, we recognize that not all work needs to be done within an office environment, full-time. With consistent communication and digital collaboration tools, athenahealth enables employees to find a balance that feels fulfilling and productive for each individual situation.

Farnell Farnell, an Avnet company, is a global high-service distributor of technology products, services and solutions for electronic system design, maintenance and repair. Job Summary: Responds to customer inquiries, expedites critical orders, communicates dispositions, researches and resolves issues, and researches orders. Principal Responsibilities: May provide quote preparation, order tracking, backlog processing, invoicing, returns, discrepancy resolution, customer credit problems and/or other such support to sales team members and/or external customers. Identifies, investigates, and participates in opportunities to improve processes and procedures, to include various key performance metrics. Ensures that good customer relations are maintained and customer claims and complaints are resolved fairly, effectively and in accordance with consumer laws. Maintains and updates electronic and/or hard copy records as required. Other duties as assigned. Job Level Specifications: Acquired and applies working knowledge of the organization, job, practices and procedures to be proficient in all aspects of job. Performs functions semi-routine in nature and recognizes the need for occasional alternative solutions. Work is performed independently, with minimal supervision. Able to establish priorities and manage time to complete work. Collaboration with other departments or teams may be required to perform role. May frequently respond to requests from others, internally or externally. Impact of decisions may affect the department. Errors may result in loss of time, resources and/or customer satisfaction. Work Experience: Typically requires a minimum of two years of related experience. Education and Certification(s): High School Diploma or equivalent Distinguishing Characteristics: Must have computer, email, phone, communication and problem solving skills. Must be able to multi-task and work in a fast paced environment. May require fluency in more than one language. The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills.

Inspired to grow with your experience, learn and share with new colleagues Huhtamaki is a key global provider of sustainable packaging solutions for consumers around the world, enabling wellbeing and convenience. Our innovative products protect on-the-go and on-the-shelf food and beverages, ensuring hygiene and safety, and help prevent food waste. We are committed to protecting food, people and the planet and are on the lookout for passionate and consummate professionals to join our growing team to help us deliver on our ambitious 2030 Strategy. We look for colleagues who Care, Dare and Deliver. The Senior Credit Control Co-ordinator will play a critical role in the Finance & Controlling Function to ensure the timely collection and credit processes. The Role holder is expected to consistently communicate with the business teams to update on the current outstanding and bills receivable. The role holder is expected to work closely with the credit manager and provide regular data insights, overdue status updates, debtors reconciliation. (Related to Quality Claims) Credit Assessment for New and Existing customers (Reviewing Customer Financial statements, external credit agency report, etc.) Adherence to Credit Control Policy Review with Sales team for Overdue & Co-ordinate for support towards collection of aged dues. Timely Release of credit block as of request received from Sales. Responsible for review of customer master request by coordinating with the sales team and the master creation team. Periodical review of the master s to ensure accuracy and robustness Preparation of Daily collection / Overdue reports Debtors Reconciliation Support for all the month end closing and audits. Establish and maintain appropriate internal control safeguards including but not limited to revenue realization, costs, cash, and assets. To comply with all aspects of company s Quality, Health, Safety, Environment management systems Join us to shape the future together!

At Medtronic you can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You ll lead with purpose, breaking down barriers to innovation in a more connected, compassionate world. A Day in the Life Medtronic is expanding their footprint for Diabetes Care with a center in Pune and as the Credit Collection Senior Executive for Patient Financial Services, India, this role is responsible for all aspects of billing, credit and collection activities, including customer service with an objective of maximizing cash flow and keeping DSO to a minimum within Patient Financial Services. The Diabetes Operating Unit focuses on improving the lives of those within the global diabetes community. As a business, we strive to empower people with diabetes to live life on their terms by delivering innovation that truly matters and providing support in the ways they need it. Our portfolio of innovative solutions is designed to provide customers greater freedom and better health, helping them achieve better glucose control, while spending less time managing their disease. Responsibilities may include the following and other duties may be assigned: As a Credit Collections Senior Executive for Patient Financial Services, the role involves performing a variety of tasks using standard healthcare guidelines. Main objective is followed up collection activities including rebilling, appeals and recovery activities for denied or short paid claim Executes on established departmental objectives and assignments which affect the immediate operation, but that also have full revenue cycle and company-wide fiscal impact. Initiates follow-up activities with third-party payors regarding open claim balances; makes written and verbal inquiries to payors. Analyzes and problem solve account issues to full resolution. Manages internal and external customer/business inquiries regarding account status and account history. Research issues off-line as needed with payor/patient; conducts follow-up calls with payors and customers, initiating conference calls between insurance carrier and patients to resolve customer concerns. Research and initiates refund requests due to overpayments by payor and/or patient. Determines when claims/accounts are deemed uncollectable; recommends and initiates bad debt write-offs procedures. Enters data into computer systems using defined computer resources and programs. Compiles data and prepares a variety of reports. May reconcile records with PFS team members and leaders; communicates with external vendors and customers (including representatives of health plans/payors.) Required Knowledge and Experience: Bachelor s degree in business or accounting major is preferred. 2 to 4 years of Insurance Collections experience in a US healthcare environment. Demonstrated ability to prioritize work, managing daily and multiple tasks to completion within the time allotted. Experience in a payor or medical provider community that deals with all aspects of the revenue cycle. Experience with reviewing and analyzing insurance payments, and/or payer adjudication claims against contract terms and patient coverage and benefits. Experience with medical billing and collections terminology - CPT, HCPCS and ICD-10 coding. Previous experience in receiving and making outbound calls to patients to explain insurance benefits related to health insurance, and/or discussing patient financial responsibilities. Physical Job Requirements The above statements are intended to describe the general nature and level of work being performed by employees assigned to this position, but they are not an exhaustive list of all the required responsibilities and skills of this position. Benefits & Compensation Medtronic offers a competitive Salary and flexible Benefits Package A commitment to our employees lives at the core of our values. We recognize their contributions. They share in the success they help to create. We offer a wide range of benefits, resources, and competitive compensation plans designed to support you at every career and life stage. This position is eligible for a short-term incentive called the Medtronic Incentive Plan (MIP). About Medtronic We lead global healthcare technology and boldly attack the most challenging health problems facing humanity by searching out and finding solutions. Our Mission to alleviate pain, restore health, and extend life unites a global team of 95,000+ passionate people. We are engineers at heart putting ambitious ideas to work to generate real solutions for real people. From the R&D lab, to the factory floor, to the conference room, every one of us experiments, creates, builds, improves and solves. We have the talent, diverse perspectives, and guts to engineer the extraordinary. Learn more about our business, mission, and our commitment to diversity here

Position: Manager - Contract Management. Contract: On Permanent Role. "Reviewing and commenting on commercial and technical tender terms and conditions. Analyzes prime" contract terms to highlight areas of potential opportunity and risk, such as ambiguities, omissions and conflicts, as work proceeds. Cooperate with legal to draft, negotiate and finalize agreements during the Sales and Project Execution phases. Identifying the contract baseline (including terms and conditions, specifications, drawings, estimate, proposal, schedule and other documents incorporated in the contract) and highlights areas of potential risk. Ensures timely and accurate execution of commercial aspects in portfolio of contracts (i.e. payments, claims, variation orders, warranties, provisions, guarantees, etc.). Verifies that both parties to the contract have fulfilled their contractual obligations and there are no responsibilities outstanding. Assesses success of the contract and 0determines if there are any lessons learned for future contracting. Documents and communicates to all appropriate parties any deficiencies found as part of the closeout process. We re hiring Manager - Contract Management for one of our Leading MNC to join their growing team. This position is based out in Bangalore. Qualification required for the post: LLB/LLM is mandatory and Additional Qualification is MBA is added advantage Experience required for the post: 07 to 10 Years Experience Any additional /special skill required: Excellent in English & Hindi communication and written skills Experience in Wind & Solar Industry Experience in / land acquisition / land related documentation in Karnataka & Rajasthan

ResponsibilitiesIdentifying risks for new products and developing strategies to mitigate those risksAsset Liability Management (ALM)Hedging of interest rate and other market risks using derivative instrumentsRegular reporting of mortality, persistency and expense risksDevelopment / Re-calibration of predictive model for demographic risk (such as mortality risk, early claims propensity model etc.)Resilience testing and economic capital working for risk CommitteePreparing presentation & report for risk CommitteeKey CompetenciesMotivated and willingness to contribute to organizational goalsBasic understanding of different product structures and cashflowsAbility to produce the output and perform basic checks Proficiency in Excel/VBA and MS OfficeBasic knowledge of Prophet software" />

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 Support partners to register claims on behalf of customers, coordinate to ensure approvals within agreed timelines. 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 Service Orientation Schedule meetings with prospective banking clients and brief them about BAGIC products/ offer them lucrative products in coordination with the Vertical Head 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 New Acquisition Banking Partners 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 Relationship Management 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

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 Support partners to register claims on behalf of customers, coordinate to ensure approvals within agreed timelines. 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 Service Orientation Schedule meetings with prospective banking clients and brief them about BAGIC products/ offer them lucrative products in coordination with the Vertical Head 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 New Acquisition Banking Partners 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 Relationship Management 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

Job Title: Medical Claims Specialist Reports to: Mediclaim Job Type: Full-time Role & responsibilities : Review and analyze medical claims for accuracy, completeness, and compliance with insurance policies and regulations Verify patient and policyholder information, including eligibility and coverage details Examine medical records, procedures, diagnoses, and treatment codes to determine the validity of claims Investigate and resolve claim discrepancies, errors, or fraudulent activities Communicate with healthcare providers, policyholders, and other stakeholders to gather additional information and clarify claim details Evaluate medical necessity and appropriateness of treatments, procedures, and services Adjudicate claims according to established guidelines and procedures Process claim payments accurately and in a timely manner Document claim decisions, actions taken, and communication with stakeholders Stay updated on changes in medical billing codes, regulations, and industry trends

JOB PURPOSE The job holder is responsible of serving providers and insurance companies by determining requirements, answering inquiries, resolving problems, fulfilling requests and maintaining database. He/She is responsible for processing as per terms of benefits. He/She should provide accurate and relevant medical coverage details and maintain pre-approvals and claims processing as per the defined terms and policies of the organization. RESPONSIBILITIES AND DUTIES Processes claims from members and providers. Assists queries from providers and payers via phone calls or e-mails. Maintains files for authorizations and other reports. Assesses and processes claims in line with the policy coverage and medical necessity. Be fully versed with medical insurance policies for various groups / beneficiaries. May assist in training colleagues and asked to share knowledge. Accurately assesses eligibility within the policy boundaries. Monitors and maintains the claims processing as per the defined terms and policy of the organization. Achieves required processing targets assigned by the team leader on daily, weekly and monthly basis. Monitors the qualitative and quantitative measures for claims & pre-approvals. Ensures compliance to any changes in terms of system parameters or process. Maintains quality as per framework for accuracy. Maintains productivity and responsiveness to the work allocated. Collaborate with other stakeholders / teams to resolve queries including complex queries. Actively support all team members to enable operational goals to be achieved. Meet or exceed Service Level Agreement requirements, team KPI(s), monthly quality audit scores and NPS (Net Promoter Score). Assessing and processing claims for medical expenses while always bearing in mind the importance of medical confidentiality. Accurate data input to the system applications. Positioning him/herself analytically and critically in the context of cost management and in respect of existing working methods. Following up own workload (volume and timing): keeping an eye on chronology and processing time of the work volume and taking suitable actions. Participate efficiently in processing the flow of claims: inform the supervisor about claims lacking clarity and about possible ways of optimizing the processes. A sustained effort towards high-quality claims handling, accurate reimbursements and fast transactions are important motivators. Monitor and highlight high-cost claims and ensure relevant parties are aware. Follow Claim Manual and SOP strictly, adjudicate claims according to benefit policies, and meet both financial/procedure accuracy and TAT target on claims adjudication. Adjust error claims according to actual situation. Well handle recoupment and reconciliation work, communicate with providers and members via call and email for collection and explanation. Work with cross function teams, such as Finance, CSR, Eligibility, Network, Client Management, etc. Ensure recoupment work go smoothly. Actively support Team Leader and work with claim colleagues to enable all operational goals to be achieved KNOWLEDGE, SKILLS AND EXPERIENCE At least 1-2 years of experience performing a similar role. Experience of working for an international company, preferred but not essential. Claims processing or insurance experience, preferred but not essential. Broad awareness of medical terminology, advantageous. Excellent organizational skills, capable of following and contributing to agreed procedure. Strong administration awareness and experience, essential. Strong skills in Microsoft Office applications, essential. First class written and verbal communication skills, essential. Ability to communicate across a diverse population, essential. Capable of working independently, or as part of a team. Good time management, ability to work to tight deadlines. Flexible and adaptable approach, sometimes working in a fast-paced environment. Passion for achieving agreed objectives. Confident in calling out when facing issues. Should be flexible to work in shifts and on staggered weekends for overtime. COMMUNICATIONS AND WORKING RELATIONSHIPS The job holder must ensure building strong effective relationships with all his matrix partners and demonstrating approachability and openness. He/ She must be able to foster strong internal and external communication standards. Education * : Graduate (Any) - medical, Paramedical, Commerce, Statistics, Mathematics, Economics or Science. Experience Range * : Minimum 1-2 years and up to 3 years of experience in processing of healthcare insurance claims. Foundational Skills * Expertise in internati claims processing Work Timings * : 7:30AM to 4:30PM IST(Flexible shift) Job Location * : Bengaluru (Bangalore)