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1.0 - 3.0 years

3 - 5 Lacs

Thane

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Key Responsibilities:- Installation and SetupAssist in the installation, setup, and configuration of medical devices at customer sites, ensuring proper integration and functionality.- Preventive MaintenancePerform routine maintenance tasks on medical devices according to manufacturer guidelines, including cleaning, calibration, and testing.- Troubleshooting and RepairsDiagnose technical issues with medical devices, identify root causes, and implement timely repairs to minimize downtime.- Quality AssuranceConduct inspections and quality checks on medical devices to verify compliance with regulatory standards and company specifications.- User TrainingProvide training and technical support to healthcare professionals on the proper use and maintenance of medical devices.- DocumentationMaintain accurate records of equipment maintenance, repairs, and service activities, ensuring compliance with regulatory requirements.- Customer SupportRespond to customer inquiries and service requests in a timely and professional manner, providing effective solutions and recommendations.- Should be open to travel when it is troubleshooting/handholding of devices Qualifications:- Associate degree or certification in biomedical equipment technology, electronics, or a related field.- Previous experience in medical device installation, maintenance, or repair is preferred.- Strong technical aptitude and problem-solving skills, with the ability to troubleshoot complex equipment issues.- Excellent communication and interpersonal skills, with the ability to interact effectively with customers and internal teams.- Detail-oriented approach with a commitment to quality assurance and customer satisfaction.- Ability to work independently and prioritize tasks in a dynamic and fast-paced environment This job opening was posted long time back. It may not be active. Nor was it removed by the recruiter. Please use your discretion. Last Login: 26 Jul 2024 Posted by Head HR at Prep.Study Posted in Functional Area Bio-medical Engineer Job Code24364 Location Posted on22 Jul 2024 Views 224 Applications 0 Recruiter Actions () 0 --> Your email address Comments ----> -->

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4.0 - 9.0 years

5 - 5 Lacs

Noida

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School : GIIS Campus : Noida Country : India Qualification : BBA + MBA OverView : An Admissions Counselor at OWIS Sarjapur plays a vital role in guiding prospective families through the admissions process, providing them with detailed information about the school’s curriculum, values, and programs. They handle inquiries, conduct campus tours, and ensure a smooth and welcoming experience for new students. Additionally, they collaborate with the marketing and administrative teams to support enrollment growth and maintain strong relationships with parents. Responsibility : Guiding Prospective Families: Manage the end-to-end admissions process, including handling inquiries, conducting campus tours, providing information about the school’s programs, and ensuring a seamless and welcoming experience for prospective students and parents. Supporting Enrollment Growth: Collaborate with the marketing and administrative teams to promote the school, follow up with leads, and maintain accurate records to support enrollment targets and strengthen parent relationships. SkillsDescription : Communication & Interpersonal Skills: Excellent ability to engage with prospective families, clearly convey information about the school, and build positive relationships through empathetic and persuasive communication. Organizational & Multitasking Skills: Strong proficiency in managing multiple inquiries, coordinating campus tours, maintaining accurate records, and effectively collaborating with internal teams to support the admissions process. Disclaimer : Our company is an equal opportunity employer committed to creating a diverse and inclusive workplace. We encourage applications from individuals of all backgrounds and experiences.

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3.0 - 8.0 years

8 - 12 Lacs

Kolkata

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Experience – 3 to 15 years Skills – Guidewire Developer experience with any of the detailed skill like (Policy / Billing / Claims / Integration / Configuration / Insurance Now / Portal / Rating) Insurance domain knowledge with Property & Casualty background Hands on experience in at least one of the Guidewire products (Claim/Policy/Billing) Should have knowledge on Admin data loading. Good knowledge in Web services, XML, GxModel, Messaging, Batch implementation, Integrating with 3rd Party Systems and Document composition tools like Xpressions, Thunderhead Experience on any database Oracle / SQL Server and well versed in SQL Designed & modified existing workflows (required for Billing Integration) Experience in SCRUM Agile, prefer Certified Scrum Master (CSM) Good written and oral communication Excellent analytical skills. Works in the area of Software Engineering, which encompasses the development, maintenance and optimization of software solutions/applications.1. Applies scientific methods to analyse and solve software engineering problems.2. He/she is responsible for the development and application of software engineering practice and knowledge, in research, design, development and maintenance.3. His/her work requires the exercise of original thought and judgement and the ability to supervise the technical and administrative work of other software engineers.4. The software engineer builds skills and expertise of his/her software engineering discipline to reach standard software engineer skills expectations for the applicable role, as defined in Professional Communities.5. The software engineer collaborates and acts as team player with other software engineers and stakeholders. - Grade Specific Experience – 3 to 15 years Skills – Guidewire Developer experience with any of the detailed skill like (Policy / Billing / Claims / Integration / Configuration / Insurance Now / Portal / Rating) Insurance domain knowledge with Property & Casualty background Hands on experience in at least one of the Guidewire products (Claim/Policy/Billing) Should have knowledge on Admin data loading. Good knowledge in Web services, XML, GxModel, Messaging, Batch implementation, Integrating with 3rd Party Systems and Document composition tools like Xpressions, Thunderhead Experience on any database Oracle / SQL Server and well versed in SQL Designed & modified existing workflows (required for Billing Integration) Experience in SCRUM Agile, prefer Certified Scrum Master (CSM) Good written and oral communication Excellent analytical skills. Skills (competencies) Verbal Communication

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3.0 - 8.0 years

8 - 12 Lacs

Bengaluru

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Experience – 3 to 15 years Skills – Guidewire Developer experience with any of the detailed skill like (Policy / Billing / Claims / Integration / Configuration / Insurance Now / Portal / Rating) Insurance domain knowledge with Property & Casualty background Hands on experience in at least one of the Guidewire products (Claim/Policy/Billing) Should have knowledge on Admin data loading. Good knowledge in Web services, XML, GxModel, Messaging, Batch implementation, Integrating with 3rd Party Systems and Document composition tools like Xpressions, Thunderhead Experience on any database Oracle / SQL Server and well versed in SQL Designed & modified existing workflows (required for Billing Integration) Experience in SCRUM Agile, prefer Certified Scrum Master (CSM) Good written and oral communication Excellent analytical skills. Works in the area of Software Engineering, which encompasses the development, maintenance and optimization of software solutions/applications.1. Applies scientific methods to analyse and solve software engineering problems.2. He/she is responsible for the development and application of software engineering practice and knowledge, in research, design, development and maintenance.3. His/her work requires the exercise of original thought and judgement and the ability to supervise the technical and administrative work of other software engineers.4. The software engineer builds skills and expertise of his/her software engineering discipline to reach standard software engineer skills expectations for the applicable role, as defined in Professional Communities.5. The software engineer collaborates and acts as team player with other software engineers and stakeholders. - Grade Specific Experience – 3 to 15 years Skills – Guidewire Developer experience with any of the detailed skill like (Policy / Billing / Claims / Integration / Configuration / Insurance Now / Portal / Rating) Insurance domain knowledge with Property & Casualty background Hands on experience in at least one of the Guidewire products (Claim/Policy/Billing) Should have knowledge on Admin data loading. Good knowledge in Web services, XML, GxModel, Messaging, Batch implementation, Integrating with 3rd Party Systems and Document composition tools like Xpressions, Thunderhead Experience on any database Oracle / SQL Server and well versed in SQL Designed & modified existing workflows (required for Billing Integration) Experience in SCRUM Agile, prefer Certified Scrum Master (CSM) Good written and oral communication Excellent analytical skills. Skills (competencies) Verbal Communication

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2.0 - 7.0 years

1 - 5 Lacs

Pune

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Basic Purpose:Provide timely and accurate response to assigned internal and external customers Collaborate with underwriters to establish target dates and communicate coverage recommendations.Responsibilities to include account set-up, quoting, proposals, policy issuance, policy administration requests, and account service.Assist in reviewing documentation received for completeness and request missing informationDocument and maintain unit processes and procedures and disseminate information to the applicable team.Other responsibilities as needed.Primary Job Responsibilities:Screen transactions to determine authority and process and/or refer to underwriter per established guidelines.Gather a wide variety of rating elements from applications/UW instructions/WC rating bureaus/NCCI/ /Reference Connect and company guidance to rate new or renewal business.Input information and rating elements into the policy rating system with a high degree of accuracy. Review output to ensure proper rating elements were applied.Maintain rating documentation using paperless policy environment per established guidelines.Provide endorsement quotes on demandDevelop relationships and work within team and across departments to ensure customer tasks are completed and customer response expectations are achieved.Initiate and facilitate renewal process in collaboration with underwriter and timely, professional communication with producer.Resolve customer service issues.Ensure proper initiation and completion of incoming requests for policy issuance, quote requests, Endorsement and policy administration.Identify areas for improvement, with recommendations for process, procedure, or system changes. Qualifications Qualifications, Skillset and Experience:Minimum 6+ months experience in P&C Insurance background within Underwriting Support experience (Issuance, Endorsements) required for AssociateMinimum 12+ months experience in P&C Insurance background within Underwriting Support experience (Issuance, Endorsements) required for Sr. AssociateOrganizational and interpersonal skills to set priorities, manage time, and be responsive to assigned customers.Demonstrated ability to professionally communicate and collaborate with internal staff and external customers.Solutions mind-set, passion for the customer serviceExcellent Communication skills verbal and written. Fluent proficiency & comprehension in English is required.Strong ability to multi-task while effectively communicating with the customersEfficient in internet, computer usage and web-based application skills. Typing speed of 30+Eye for DetailEducational Qualification :Attended at least 2 years in CollegeGraduate / Under GraduateOthers :Ability to perform work from Office Willingness to work in shifts. Work may extend beyond normal business hours as per business requirements NoteThis job description in no way states or implies that these are the only duties performed by this employee. Employees may be requested to perform job-related tasks other than those specifically presented in this job description. The employer reserves the right to change or assign other duties to this position. Job Location

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1.0 - 4.0 years

4 - 8 Lacs

Bengaluru

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At Allstate, great things happen when our people work together to protect families and their belongings from lifes uncertainties. And for more than 90 years our innovative drive has kept us a step ahead of our customers evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection. This job is responsible for reviewing property claims tasks as per defined peril types basis from images/documentation received from the vendors. Damage details are shared virtually with the team and the primary responsibility for the team member is to accurately update the details into the tools and systems and maintain high levels of accuracy when updating data fields. This would require the resource to have a good understanding of the types of the homes and the material(s) used in the exterior and interior of the home & surrounding dwellings. Key Responsibilities Review virtual images and documentation received from vendor Accurately identify relevant data fields and inputs which are needed to be updated into the system and tools relative to the claim Able to differentiate between different aspects of the information shared and accordingly update relevant details in the system (.e.g. structures / materials) Do a thorough review of the documentation and capture relevant details to help create a pre-filled template for downstream teams to review Ensure the accuracy of the pre-fill are at set standards to reduce re-work increase straight through processing Return any claims for additional information in case of insufficient data Primary Skill- Voice, Semi Voice process, Excellent communication skill, Property Insurance, Claims Process. Education Bachelors degree or equivalent experience Experience 0-1.5 years experience (Preferred) Supervisory Responsibilities This job does not have supervisory duties. Primary Skills Claims Processing, Consumer Protection, Customer Data Management, Insurance Claims Processing, Performance Management (PM), Property & Casualty Insurance, Property Insurance, Relationship Building, Stakeholder Relationship Management Shift Time Recruiter Info Hiral Parag Rughanihparb@allstate.com About Allstate The Allstate Corporation is one of the largest publicly held insurance providers in the United States. Ranked No. 84 in the 2023 Fortune 500 list of the largest United States corporations by total revenue, The Allstate Corporation owns and operates 18 companies in the United States, Canada, Northern Ireland, and India. Allstate India Private Limited, also known as Allstate India, is a subsidiary of The Allstate Corporation. The India talent center was set up in 2012 and operates under the corporations Good Hands promise. As it innovates operations and technology, Allstate India has evolved beyond its technology functions to be the critical strategic business services arm of the corporation. With offices in Bengaluru and Pune, the company offers expertise to the parent organizations business areas including technology and innovation, accounting and imaging services, policy administration, transformation solution design and support services, transformation of property liability service design, global operations and integration, and training and transition. Learn more about Allstate India here.

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2.0 - 5.0 years

3 - 7 Lacs

Pune

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At Allstate, great things happen when our people work together to protect families and their belongings from lifes uncertainties. And for more than 90 years our innovative drive has kept us a step ahead of our customers evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection. This job involved leading a team of Property claims processing specialists whose primary role involved in supporting the data entry updates with regards to pre-fill activity. As part of the role the teams review images and documentation received with regards on the claims and as per guidelines update the information into the relevant fields with the systems. Details are shared virtually with the team and the primary resposibility for the speciaist is to accurately review the documenation and accordingy update details into the necessary tools and systems. The role would require the lead to aptly scale up towards assessing inputs on the pre-fill template as per Allstate guidelines. Managing tasks and workflows inaccordance to set standards and ensuring necessary claims processing guidelines and authourity limits are being adhered to through the process. Handling new hire training and transitions for the scope of services. Will need to have a high interest in driving domain certification and effectively collaborate with our Learning and Development partners to execute on industry certifications and training programs. Monitoring the KPI health of the business and ensuring claims severity and quality of reviwes meet agreed standards. Interact with stateside partners and provide necessary reporting across people and process KPIs. Lead teams of high performing individuals, execute on actions and initiatives in line with organization culture. Collaborate across multiple cross functional teams (not limited to Technology, Hiring, Training, Quality). Develop talent and create an environment of trust and motivation in which team can thrive and drive results. Key Responsibilities Ensure knowledge upkeep of the property specialists and adherence to standards and KPIs Proactively identify challenges from a delivery/operational perspective and build out recovery action plans Accuracy of line items and Quality of pre-fill meet set standard and increase STP of Claims to downstream teams Drive Transformation outcomes through digital and operational levers Fair practices to manage tasks and have a Claims ownership mindset Continually focusing on enhancing Customer Experience and influencing strategic goals and objectives Ensure specialists are adhering to processing guidelines and effectively updating any inputs with regards to the claims with necessary accuracy Build expertise within the property claims teams and be able to perform pre-fill tasks with necessary accuracy and efficiency Retention of talent is key and ensure all EWS procedures and stability reporting is in place Participate in Transition related calls and share relevant updates with regards to the team (Knowledge Transfer/Training Progress Updates/Health review of team) Review Inspire and Barometer survey outcomes and build actionable plans to sustain targets Optimum resource utilization across the team and actively manage the demand/capacity basis volume inflow Conduct process trainings / refresher trainings / Feedback sessions across the team Walk the Talk by leading the way with Continuous improvement best practices- rigor with daily huddles, performance/ knowledge management, build resiliency through training etc. Initiate Ideation sessions and identify problem areas across the process lifecycle Deliver operational efficiencies through defined levers Arrange and attend business meetings (in-person/virtually) Monthly/Quarterly/Annual Performance tracking and management for people and business with necessary metric/health reporting Interact with leadership teams and raise flags on any business/financial risk that is observed in the process Mentor and guide team members through our shared purpose behaviors and leadership practices Self-grooming from a leadership and domain perspective to drive capability expansion and growth Define learning pathways for the team and effectively identify leadership/skilling needs in collaboration with HR and training partners Have strong reporting and review in place to effectively escalate issues to stakeholders/leadership Adherence to employee engagement processes (1-0-1s, Development plan building) Education 4 year Bachelors Degree (Preferred) Experience Bachelors Degree or equivalent experience 7 - 9 years of related experience Managed a team with at least 15+ FTE Exposure to handling voice / Backoffice / digital support channels will be an added advantage Operational experience handling Claims Insurance processing will be preferred Supervisory Responsibilities This job has supervisory duties. Education & Experience (in lieu) In lieu of the above education requirements, an equivalent combination of education and experience may be considered. Primary Skills Auto Insurance, Auto Insurance Claims, Call Center Management, Casualty Insurance, Claims Adjustments, Coaching, Customer Experience Management, Motor Insurance, Performance Management (PM), Property Claims, Property Claims Management, Property Damage Claims, Property Insurance, Property Insurance Claims, Relationship Building Shift Time Recruiter Info Dipti Murudkardsudh@allstate.com About Allstate Joining our team isnt just a job "” its an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. And one where you can impact the future for the greater good. Youll do all this in a flexible environment that embraces connection and belonging. And with the recognition of several inclusivity and diversity awards, weve proven that Allstate empowers everyone to lead, drive change and give back where they work and live. Good Hands. Greater Together. The Allstate Corporation is one of the largest publicly held insurance providers in the United States. Ranked No. 84 in the 2023 Fortune 500 list of the largest United States corporations by total revenue, The Allstate Corporation owns and operates 18 companies in the United States, Canada, Northern Ireland, and India. Allstate India Private Limited, also known as Allstate India, is a subsidiary of The Allstate Corporation. The India talent center was set up in 2012 and operates under the corporations Good Hands promise. As it innovates operations and technology, Allstate India has evolved beyond its technology functions to be the critical strategic business services arm of the corporation. With offices in Bengaluru and Pune, the company offers expertise to the parent organizations business areas including technology and innovation, accounting and imaging services, policy administration, transformation solution design and support services, transformation of property liability service design, global operations and integration, and training and transition. Learn more about Allstate India here.

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2.0 - 5.0 years

3 - 7 Lacs

Pune

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At Allstate, great things happen when our people work together to protect families and their belongings from lifes uncertainties. And for more than 90 years our innovative drive has kept us a step ahead of our customers evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection. This job involved leading a team of estimating and pre-fill claims specialists / Property claims processing specialists responsible for property damage assessments from defined peril types / payments and adjuster task support. The teams evaluate the extent of the damage basis images and documentation received from the vendors/insured. Damage details are shared virtually with the team and the primary resposibility for the speciaist is to accurately identify the damage and accordingy create a sketch of the damage an update details into the necessary tools and systems. The role would require the lead to aptly scale up towards estimating and assessing damage as per Allstate guidelines. Managing tasks and workflows inaccordance to set standards and ensuring necessary claims processing guidelines and authourity limits are being adhered to through the process. Handling new hire training and transitions for the scope of services. Will need to have a high interest in driving domain certification and effectively collaborate with our Learning and Development partners to execute on industry certifications and training programs. Monitoring the LPI health of the business and ensuring claims severity and quality of estimating reviwes meet afreed standards. Interact with stateside partners and provide necessary reporting across people and process KPIs. Lead teams of high performing individuals, execute on actions and initiatives in line with organization culture. Collaborate across multiple cross functional teams (not limited to Technology, Hiring, Training, Quality). Develop talent and create an environment of trust and motivation in which team can thrive and drive results. Key Responsibilities Primary responsible to manage Property Pre-fill / property technical support teams Conduct Technical reviews / Audits for the teams & provide coaching accordingly Might have to Investigate claim, gather evidences, determine liability, negotiating settlements, and communicate with all parties involved in the claims process- If required Identifying / accomplishing cross skilling opportunities withing the teams on various tasks & perils Work/collaborate with Onshore adjusters to close /conclude claims virtually Develop teams Estimation Accuracy by collaborating with the onshore SMEs Establish technical criteria on Claims, collaborate with technical teams to promote best in class quality of estimate and service Ensure knowledge preservation of the estimating specialists and adherence to estimating standards and KPIs Estimate Accuracy and Quality of technical estimate and pre-fill meet set standard and increase STP for estimates to adjusters Ensure specialists are adhering to estimation guidelines and effectively identifying damage with necessary accuracy (scripting, Material identification, missed damages) Build expertise within the property claims teams and be able to perform estimating tasks with necessary accuracy and efficiency Retention of talent is key and ensure all EWS procedures and stability reporting is in place Participate in Transition related calls and share relevant updates with regards to the team (Knowledge Transfer/Training Progress Updates/Health review of team) Review Inspire and Barometer survey outcomes and build actionable plans to sustain targets Optimum resource utilization across the team and actively manage the demand/capacity basis volume inflow Conduct process trainings / refresher trainings / Feedback sessions across the team Walk the Talk by leading the way with Continuous improvement best practices- rigor with daily huddles, performance/ knowledge management, build resiliency through training etc. Initiate Ideation sessions and identify problem areas across the process lifecycle Deliver operational efficiencies through defined levers Arrange and attend business meetings (in-person/virtually) Monthly/Quarterly/Annual Performance tracking and management for people and business with necessary metric/health reporting Interact with leadership teams and raise flags on any business/financial risk that is observed in the process Mentor and guide team members through our shared purpose behaviors and leadership practices Self-grooming from a leadership and domain perspective to drive capability expansion and growth Define learning pathways for the team and effectively identify leadership/skilling needs in collaboration with HR and training partners Have strong reporting and review in place to effectively escalate issues to stakeholders/leadership Adherence to employee engagement processes (1-0-1s, Development plan building) Education & Experience Bachelors Degree or equivalent experience 7 - 9 years of related experience Managed a team with at least 15+ FTE Managed / Worked in Underwriting / Adjudication processes Exposure to handling voice / Backoffice / digital support channels will be an added advantage Operational experience handling Claims Insurance processing will be preferred AIC, Chartered Property Casualty Underwriter (CPCU), or equivalent preferred Supervisory Responsibilities This job has supervisory duties. Primary Skills Call Center Management, Coaching, Customer Experience Management, Performance Management (PM), Relationship Building Shift Time Recruiter Info Dipti Murudkardsudh@allstate.com About Allstate Joining our team isnt just a job "” its an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. And one where you can impact the future for the greater good. Youll do all this in a flexible environment that embraces connection and belonging. And with the recognition of several inclusivity and diversity awards, weve proven that Allstate empowers everyone to lead, drive change and give back where they work and live. Good Hands. Greater Together. The Allstate Corporation is one of the largest publicly held insurance providers in the United States. Ranked No. 84 in the 2023 Fortune 500 list of the largest United States corporations by total revenue, The Allstate Corporation owns and operates 18 companies in the United States, Canada, Northern Ireland, and India. Allstate India Private Limited, also known as Allstate India, is a subsidiary of The Allstate Corporation. The India talent center was set up in 2012 and operates under the corporations Good Hands promise. As it innovates operations and technology, Allstate India has evolved beyond its technology functions to be the critical strategic business services arm of the corporation. With offices in Bengaluru and Pune, the company offers expertise to the parent organizations business areas including technology and innovation, accounting and imaging services, policy administration, transformation solution design and support services, transformation of property liability service design, global operations and integration, and training and transition. Learn more about Allstate India here.

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1.0 - 3.0 years

2 - 4 Lacs

Noida

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Skill required: Group Core Benefits - Group Disability Insurance Designation: Insurance Operations Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years About Accenture Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. Visit us at www.accenture.com What would you do We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating model that can meet the unique needs of each market segment.The benefits of having a strong core include injury prevention, reduction of back pain, improved lifting mechanics, balance, stability, and posture, as well as improved athletic performance.Group disability coverage is tied to employment. If change or loss of job, the coverage is not portable. The cost of group coverage can also change from year to year. It is a sort of insurance that pays out if a policyholder is unable to work and earn an income due to a disability. What are we looking for Ability to establish strong client relationshipAbility to handle disputesAbility to manage multiple stakeholdersAbility to meet deadlinesAbility to perform under pressureTower:Group InsuranceLevel 1:Employee BenefitLevel 2:Claims ProcessingMust have/ minimum requirement2+ years of experience in Insurance Disability Claims Processing.Knowledge of MS Office Tools and good computer knowledge. Roles & Responsibilities:Processing Disability insurance claims, calculating overpayments and Underpayments.Review and assess complex Disability claims to determine benefits and eligibility for payment.Research and verify claims information including policy details, claims document validation, calculating benefit amount and other relevant documentation.Identify the correct payee or beneficiary to release the claims payment.Complies with all regulatory requirements, procedures, and Federal/State/Local regulations.Research on any queries/ requests sent by the Business Partners/Client Support Teams and replying the same with minimum response time.Taking active participation in process improvements and automation.Ensure Quality Control standards that have been set are adhered to.Excellent organizational skills with ability to identify and prioritize high value transactions.Completing assigned responsibilities and projects within timelines apart from managing daily BAU.S Roles and Responsibilities: In this role you are required to solve routine problems, largely through precedent and referral to general guidelines Your expected interactions are within your own team and direct supervisor You will be provided detailed to moderate level of instruction on daily work tasks and detailed instruction on new assignments The decisions that you make would impact your own work You will be an individual contributor as a part of a team, with a predetermined, focused scope of work Please note that this role may require you to work in rotational shifts Qualification Any Graduation

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3.0 - 6.0 years

2 - 6 Lacs

Hyderabad

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DesignationAssistant Operations ManagerReports to (level of category)Manager - Operations Role ObjectiveFollow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cashposting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company.Essential Duties and Responsibilities: Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. Manages people and drives retention Analysis data to identify process gaps, prepare reports Performance management First level of escalation Work in all shifts on a rotational basis Need to be cost efficient with regards to processes, resource utilization and overall constant cost management Must operate utilizing aggressive operating metrics.Qualifications:Graduate in any discipline from a recognized educational institute (Except B.Pharma, M.Pharma, Regular MBA, MCA B.Tech Freshers')Good analytical skills and proficiency with MS Word, Excel and Powerpoint (Typing speed of 30 WPM)Good communication Skills (both written & verbal) Skill Set:Candidate should be good in Denial ManagementCandidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on DenialsAbility to interact positively with team members, peer group and seniors.Subject matter expert in AR follow upDemonstrated ability to exceed performance targetsAbility to effectively prioritize individual and team responsibilitiesCommunicates well in front of groups, both large and small. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook

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3.0 - 6.0 years

2 - 6 Lacs

Noida

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R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work For TM 2023 by Great Place To Work Institute. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare simpler and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. DesignationAssistant Manager Reports to (level of category)DM/Manager - Operations Role Objective Cash Posing is the most essential part in the RCM cycle. It is usually the last step in the cycle after cashposting. After Denial management (Cash Posting), again the cycle starts till the payment is made by the insurance company. Essential Duties and Responsibilities Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. Manages people and drives retention Analysis data to identify process gaps, prepare reports Performance management First level of escalation Work in all shifts on a rotational basis No Planned leaves for next 6 months Need to be cost efficient with regards to processes, resource utilization and overall constant cost management Must operate utilizing aggressive operating metrics. Qualifications Graduate in any discipline from a recognized educational institute (Except B.Pharma, M.Pharma, Regular MBA, MCA B.Tech Freshers') Good analytical skills and proficiency with MS Word, Excel and Powerpoint (Typing speed of 30 WPM) Good communication Skills (both written & verbal) Skill Set Candidate should be good in Denial Management Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials Ability to interact positively with team members, peer group and seniors. Subject matter expert in Cash Posing Demonstrated ability to exceed performance targets Ability to effectively prioritize individual and team responsibilities Communicates well in front of groups, both large and small Company Profile (for recruiting purposes only) Short paragraph describing the company R1 RCM (NYSEAH) is a leading provider of services and technology to healthcare providers.Our mission is to help our healthcare clients strengthen their financial stability and deliver better care at a more affordable cost to the communities they serve, increasing healthcare access for all.Our distinctive operating model that includes people, process, and sophisticated integrated technology helps our customers realize sustainable improvements in their operating margins and improve the satisfaction of their patients, physicians, and staff. Our customers typically are multi-hospital systems, including faith-based or community healthcare systems, academic medical centers and independent ambulatory clinics, and their affiliated physician practice groups. R1 RCM offers a continuum of offerings to service our clients' needs. These offerings includeProvider Business Solutions (PBS), which improves the entire revenue cycle of our provider clients, unlike competing services that address only a portion of the revenue cycle or focus solely on cost reductions; Physician Advisory Services ("PAS"), which works closely with the hospital medical staff, case management, and senior leadership to strengthen compliance, limit denials, improve revenue integrity, and improve efficiency; and Population Health Solutions (PHS), which spans the entire healthcare delivery continuum and enables providers to manage the health of their patient populations by delivering higher-quality care while reducing aggregate cost of care. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook

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3.0 - 6.0 years

2 - 6 Lacs

Gurugram

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DesignationAssistant Operations ManagerReports to (level of category)Manager - Operations Role ObjectiveFollow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cashposting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company.Essential Duties and Responsibilities: Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. Manages people and drives retention Analysis data to identify process gaps, prepare reports Performance management First level of escalation Work in all shifts on a rotational basis Need to be cost efficient with regards to processes, resource utilization and overall constant cost management Must operate utilizing aggressive operating metrics.Qualifications:Graduate in any discipline from a recognized educational institute (Except B.Pharma, M.Pharma, Regular MBA, MCA B.Tech Freshers')Good analytical skills and proficiency with MS Word, Excel and Powerpoint (Typing speed of 30 WPM)Good communication Skills (both written & verbal) Skill Set:Candidate should be good in Denial ManagementCandidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on DenialsAbility to interact positively with team members, peer group and seniors.Subject matter expert in AR follow upDemonstrated ability to exceed performance targetsAbility to effectively prioritize individual and team responsibilitiesCommunicates well in front of groups, both large and small. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook

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3.0 - 6.0 years

2 - 6 Lacs

Chennai

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DesignationAssistant Operations ManagerReports to (level of category)Manager - Operations Role ObjectiveFollow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cashposting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company.Essential Duties and Responsibilities: Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. Manages people and drives retention Analysis data to identify process gaps, prepare reports Performance management First level of escalation Work in all shifts on a rotational basis Need to be cost efficient with regards to processes, resource utilization and overall constant cost management Must operate utilizing aggressive operating metrics.Qualifications:Graduate in any discipline from a recognized educational institute (Except B.Pharma, M.Pharma, Regular MBA, MCA B.Tech Freshers')Good analytical skills and proficiency with MS Word, Excel and Powerpoint (Typing speed of 30 WPM)Good communication Skills (both written & verbal) Skill Set:Candidate should be good in Denial ManagementCandidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on DenialsAbility to interact positively with team members, peer group and seniors.Subject matter expert in AR follow upDemonstrated ability to exceed performance targetsAbility to effectively prioritize individual and team responsibilitiesCommunicates well in front of groups, both large and small. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook

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2.0 - 5.0 years

3 - 7 Lacs

Gurugram

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Role Objective:To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers.Essential Duties and Responsibilities: Process Accounts accurately basis US medical billing within defined TAT Able to process payer rejection with accuracy within defined TAT. 24*7 Environment, Open for night shifts Good analytical skills and proficiency with MS Word, Excel, and PowerPointQualifications: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal)Skill Set: Candidate should have good healthcare knowledge. Candidate should have knowledge of Medicare and Medicaid. Ability to interact positively with team members, peer group and seniors. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook

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2.0 - 5.0 years

3 - 7 Lacs

Hyderabad

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Role Objective:To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers.Essential Duties and ResponsibilitiesProcess Accounts accurately basis US medical billing within defined TAT Able to process payer rejection with accuracy within defined TAT. 24*7 Environment, Open for night shifts Good analytical skills and proficiency with MS Word, Excel, and PowerPointQualificationsGraduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal)Skill SetCandidate should have good healthcare knowledge. Candidate should have knowledge of Medicare and Medicaid. Ability to interact positively with team members, peer group and seniors. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook

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2.0 - 5.0 years

3 - 7 Lacs

Noida

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Role Objective:To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers.Essential Duties and Responsibilities: Process Accounts accurately basis US medical billing within defined TAT Able to process payer rejection with accuracy within defined TAT. 24*7 Environment, Open for night shifts Good analytical skills and proficiency with MS Word, Excel, and PowerPointQualifications: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal)Skill Set: Candidate should have good healthcare knowledge. Candidate should have knowledge of Medicare and Medicaid. Ability to interact positively with team members, peer group and seniors. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook

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2.0 - 5.0 years

3 - 7 Lacs

Gurugram

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Role Objective:To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers.Essential Duties and Responsibilities: Process Accounts accurately basis US medical billing within defined TAT Able to process payer rejection with accuracy within defined TAT. 24*7 Environment, Open for night shifts Good analytical skills and proficiency with MS Word, Excel, and PowerPointQualifications: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal)Skill Set: Candidate should have good healthcare knowledge. Candidate should have knowledge of Medicare and Medicaid. Ability to interact positively with team members, peer group and seniors. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook

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2.0 - 5.0 years

5 - 9 Lacs

Gurugram

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R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work For TM 2023 by Great Place To Work Institute. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare simpler and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices in Delhi NCR, Hyderabad, Bangalore , and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities . Designation S r. Analyst /Lead Associate Reports to (level of category) Individual COA( Performance Management) Role Objective Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash - posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company. Essential Duties and Responsibilities Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. Analysis data to identify process gaps, prepare reports and share findings for Metrics improvement. Able to interact independently with counterparts. Performance management First level of escalation Work in all shifts on a rotational basis WFO only Need to be cost efficient with regards to processes, resource utilization and overall constant cost management Must operate utilizing aggressive operating metrics. Qualifications Graduate in any discipline from a recognized educational institute (Except B.Pharma , M.Pharma , Regular MBA, MCA B.Tech Freshers') Good analytical skills and proficiency with MS Word, Excel and Powerpoint Good communication Skills (both written & verbal) Skill Set Candidate should be good in Denial Management Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials Ability to interact positively with team members, peer group and seniors. Subject matter expert in AR follow up Demonstrated ability to exceed performance targets Ability to effectively prioritize individual and team responsibilities Communicates well in front of groups, both large and smal l. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook

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2.0 - 7.0 years

4 - 9 Lacs

Hyderabad

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R1 RCM India is proud to be a Great Place To Work Certified organization. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare simpler and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. We are looking for Analyst / Senior Analyst (Medical Transcriptionist Direct Upload) Technical Skills Proficient on escription, eS O ne/ Em dat & Fluency for Transcription (FFT) Platform. Eligibility criteria Any Undergraduate, Graduate or Post-graduate Should be trained, preferably certified and a relevant work experience with minimum 2 years as a Medical Transcriptionist/ Editor . Must be able to coordinate with managers and team. Members to ensure adequate client/customer support coverage. Must have excellent time management skills. Must be able to maintain multiple site information and must be able to multitask. Must be ready to work in a 24/7 environment with majority of time working in evening/night shifts. Must be ready to work with week off(s) other than weekends . Work experience as a medical transcriptionist/editor on a variety of medical specialties and work types. Experience and knowledge of other transcription platforms would be an added advantage. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visit Visit us on

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3.0 - 5.0 years

1 - 5 Lacs

Noida

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Skill required: Group Core Benefits - Group Disability Insurance Designation: Insurance Operations Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years About Accenture Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. Visit us at www.accenture.com What would you do We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating model that can meet the unique needs of each market segment.The benefits of having a strong core include injury prevention, reduction of back pain, improved lifting mechanics, balance, stability, and posture, as well as improved athletic performance.Group disability coverage is tied to employment. If change or loss of job, the coverage is not portable. The cost of group coverage can also change from year to year. It is a sort of insurance that pays out if a policyholder is unable to work and earn an income due to a disability. What are we looking for Ability to establish strong client relationshipAbility to handle disputesAbility to manage multiple stakeholdersAbility to meet deadlinesAbility to perform under pressureTower:Group InsuranceLevel 1:Employee BenefitLevel 2:Claims ProcessingMust have/ minimum requirement2+ years of experience in Insurance Disability Claims Processing.Knowledge of MS Office Tools and good computer knowledge. Roles & Responsibilities:Processing Disability insurance claims, calculating overpayments and Underpayments.Review and assess complex Disability claims to determine benefits and eligibility for payment.Research and verify claims information including policy details, claims document validation, calculating benefit amount and other relevant documentation.Identify the correct payee or beneficiary to release the claims payment.Complies with all regulatory requirements, procedures, and Federal/State/Local regulations.Research on any queries/ requests sent by the Business Partners/Client Support Teams and replying the same with minimum response time.Taking active participation in process improvements and automation.Ensure Quality Control standards that have been set are adhered to.Excellent organizational skills with ability to identify and prioritize high value transactions.Completing assigned responsibilities and projects within timelines apart from managing daily BAU.S Roles and Responsibilities: In this role you are required to do analysis and solving of lower-complexity problems Your day to day interaction is with peers within Accenture before updating supervisors In this role you may have limited exposure with clients and/or Accenture management You will be given moderate level instruction on daily work tasks and detailed instructions on new assignments The decisions you make impact your own work and may impact the work of others You will be an individual contributor as a part of a team, with a focused scope of work Please note that this role may require you to work in rotational shifts Qualification Any Graduation

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2.0 - 3.0 years

6 - 10 Lacs

Bengaluru

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Educational Bachelor of Engineering,BCA,BSc,MTech,MCA,MSc Service Line Enterprise Package Application Services Responsibilities A day in the life of an Infoscion As part of the Infosys consulting team, your primary role would be to actively aid the consulting team in different phases of the project including problem definition, effort estimation, diagnosis, solution generation and design and deployment You will explore the alternatives to the recommended solutions based on research that includes literature surveys, information available in public domains, vendor evaluation information, etc. and build POCs You will create requirement specifications from the business needs, define the to-be-processes and detailed functional designs based on requirements. You will support configuring solution requirements on the products; understand if any issues, diagnose the root-cause of such issues, seek clarifications, and then identify and shortlist solution alternatives You will also contribute to unit-level and organizational initiatives with an objective of providing high quality value adding solutions to customers. If you think you fit right in to help our clients navigate their next in their digital transformation journey, this is the place for you! Additional Responsibilities: Ability to work with clients to identify business challenges and contribute to client deliverables by refining, analyzing, and structuring relevant data Awareness of latest technologies and trends Logical thinking and problem solving skills along with an ability to collaborate Ability to assess the current processes, identify improvement areas and suggest the technology solutions One or two industry domain knowledge Technical and Professional : Primary skills:Domain-Banking-Products Preferred Skills: Domain-Banking-Products-FICO(SAP)

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5.0 - 7.0 years

9 - 13 Lacs

Hyderabad

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Educational Bachelor of Engineering Service Line Enterprise Package Application Services Responsibilities A day in the life of an Infoscion As part of the Infosys consulting team, your primary role would be to get to the heart of customer issues, diagnose problem areas, design innovative solutions and facilitate deployment resulting in client delight. You will develop a proposal by owning parts of the proposal document and by giving inputs in solution design based on areas of expertise. You will plan the activities of configuration, configure the product as per the design, conduct conference room pilots and will assist in resolving any queries related to requirements and solution design You will conduct solution/product demonstrations, POC/Proof of Technology workshops and prepare effort estimates which suit the customer budgetary requirements and are in line with organization’s financial guidelines Actively lead small projects and contribute to unit-level and organizational initiatives with an objective of providing high quality value adding solutions to customers. If you think you fit right in to help our clients navigate their next in their digital transformation journey, this is the place for you! Additional Responsibilities: Ability to develop value-creating strategies and models that enable clients to innovate, drive growth and increase their business profitability Good knowledge on software configuration management systems Awareness of latest technologies and Industry trends Logical thinking and problem solving skills along with an ability to collaborate Understanding of the financial processes for various types of projects and the various pricing models available Ability to assess the current processes, identify improvement areas and suggest the technology solutions One or two industry domain knowledge Client Interfacing skills Project and Team management Technical and Professional : 5+ Years of SAP Insurance with multi-module expertise 3+ years of SAP Claims Management with excellent understanding of Key processes of claim handling and standards in insurance industries is must. 5+ Years of ABAP development with focus on ABAP OOPS Should have in depth knowledge of master data and different claims process like notification, processing, payments, closure and reserves Should have in depth knowledge of ABAP, ABAP OOPS, BRF+, BDTs, ODATA and workflow. Should be familiar with integration of FS-CM with key SAP insurance modules (FS-CD, FS-PM, FS-RI and FS-ICM) Experience with ECC GL and any finance Sub ledger experience relating to SAP insurance / banking products is added advantage 1 full lifecycle implementation of SAP Claims Management as a lead will be added advantage Preferred Skills: Technology-SAP Functional-SAP FSCM

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5.0 - 10.0 years

10 - 14 Lacs

Pune

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Educational Bachelor Of Computer Science,Bachelor Of Technology (Integrated),Master Of Technology,Intergrated course BCA+MCA,Bachelor of Engineering Service Line Application Development and Maintenance Responsibilities 2 - 10 years (with 3- 5 years of experience in Guidewire Configuration / Integration) Exposure and Awareness of Property and Casualty Insurance Business Working and delivering in the Agile/Scum practice is highly desirable Guidewire Certifications highly preferred Java/J2EE resource with Guidewire Experience (Policy Center/Billing Center/Claim Center) Should be able to design and develop Guidewire Integration Components/ Configure PC or BC or CC Should have Guidewire Platform Upgrade Experience (Upgrade and Cloud experience would be preferred) Hands-on experience with GOSU, Web Services and XML Experience on any database Oracle / SQL Server and well versed in SQL Implementation proficiency and hands-on experience in GW Integration viz. Integration with ESB, Legacy application, and/or Third party Vendor Applications Experience with common integration mechanisms including Service Oriented architecture, web services (SOAP), Messaging (JMS,MQ) Experienced in GOSU, Rules Engine, Data Model and workflows Should have Unit test(gunits) and Technical Design Documentation experience Good experience in Incident management, Problem management, Request Handling for Guidewire PC/BC/CC configurations, customizations and third party integrations Hands on exposure to GIT, Jenkins, JIRA, Rally, SVN, JMS messaging queues Must have estimation, team leading, code review and mentoring skills Additional Responsibilities: Ability to develop value-creating strategies and models that enable clients to innovate, drive growth and increase their business profitability Good knowledge on software configuration management systems Awareness of latest technologies and Industry trends Logical thinking and problem solving skills along with an ability to collaborate Understanding of the financial processes for various types of projects and the various pricing models available Ability to assess the current processes, identify improvement areas and suggest the technology solutions One or two industry domain knowledge Client Interfacing skills Project and Team management Technical and Professional : Primary skillsAgile Coach-Agile (Agile), Business Analyst , Insurance-Guidewire Preferred Skills: Domain-Insurance-Insurance - ALL

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2.0 - 7.0 years

5 - 8 Lacs

Bengaluru

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Educational Bachelor of Engineering,BCA,BTech,MTech,MBA,MCA Service Line Application Development and Maintenance Responsibilities A day in the life of an Infoscion As part of the Infosys delivery team, your primary role would be to interface with the client for quality assurance, issue resolution and ensuring high customer satisfaction. You will understand requirements, create and review designs, validate the architecture and ensure high levels of service offerings to clients in the technology domain. You will participate in project estimation, provide inputs for solution delivery, conduct technical risk planning, perform code reviews and unit test plan reviews. You will lead and guide your teams towards developing optimized high quality code deliverables, continual knowledge management and adherence to the organizational guidelines and processes. You would be a key contributor to building efficient programs/ systems and if you think you fit right in to help our clients navigate their next in their digital transformation journey, this is the place for you!If you think you fit right in to help our clients navigate their next in their digital transformation journey, this is the place for you! Technical and Professional : Domain experiencePayer core – claims/Membership/provider mgmt. Domain experienceProvider clinical/RCM, Pharmacy benefit management Healthcare Business Analysts - with Agile/Safe-Agile Business analysis experience Medicaid, Medicaid experienced Business Analysts FHIR, HL7 data analyst and interoperability consulting Healthcare digital transformation consultants with skills/experience of cloud data solutions design, Data analysis/analytics, RPA solution design KeywordsClaims, Provider, utilization management experience, Pricing,Agile, BA Preferred Skills: Domain-Healthcare-Healthcare - ALL Technology-Analytics - Functional-Business Analyst

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9.0 - 14.0 years

10 - 14 Lacs

Bengaluru

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Educational Bachelor of Engineering,BTech,BCA,MBA,MTech,MCA Service Line Application Development and Maintenance Responsibilities As a ‘Senior Product Manager’ you will be pivotal to creating roadmap, owning release plan for multiple capabilities that is futuristic and meets industry and client needs. You will be responsible for continuous backlog management, prioritizing the backlog considering the needs and objectives of every stakeholder. As a thought leader in your business domain, bring in industry best practices, learnings from client demos and interactions into designing. You will anchor business pursuit initiatives, sales demo. You will have the opportunity to shape the Infosys platform that enables payers and providers to deliver better care. Additional Responsibilities: Experience in market leading healthcare products (key emphasis). Proven track record of at least 8 years in software product management roles. Capability/Feature planning and design, manage the specifications of their development, and monitor their on-going operation to better understand customer experiences. Clearly communicating progress towards delivery, technical challenges that may occur. Act as a thought leader and subject matter expert in the assigned product area, develop essential product documentation including business case, business requirements and use cases. Own product backlog and collaborate closely with the platform engineering team. Create Journey Maps that re-imagine/re-define the healthcare problematic process areas. Understanding of trends affecting customer adoption. Experience of working with enterprise customers, both technical and business, and at all levels. Influence leaders in diverse functional areas Strong business acumen including experience in estimation and pricing, market research. Demonstrated ability to navigate ambiguity and adapt quickly to modern technology and processes. Strong analytical ability with exposure to data science and automation Teaming/Collaboration - Demonstrates exceptional leadership and team management skills, with a collaborative and empowering approach to achieve results through influence. Excellent communication, presentation, and interpersonal skills to develop lasting relationships with senior business or technical leaders with the highest levels of business acumen and technical expertise. Technical and Professional : Payer/ Provider/ PBM organizations Product Management/Product Engineering /Healthcare Operations Experience working with industry leading Enrollment, Claims, Billing or EHR systems. Managing product lifecycle in whole – from ideation, exploration, approval, development, implementation, measurement, and ongoing development. Expertise in US Government Program Line of Business - Medicare, Medicaid, Duals, Marketplace Plan Sponsor & Product, Enrollment & Billing, Provider Data Management, Provider Network Management, Claims, Encounters, Medicare, and Marketplace Risk Adjustment. Developing results-oriented strategies to solve complex and open-ended business problems. Market Analysis and Product fitment Communicating and facilitating architecture design discussions/decisions and impacts to key stakeholders. Customer success on managing customer engagements and requirements. Leading business pursuits and product demonstrations. Agile Product Development Methodology Preferred Skills: Domain-Healthcare-Healthcare - ALL

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Exploring Claims Processing Jobs in India

India has a growing market for claims processing jobs, with numerous opportunities available for job seekers in this field. Claims processing professionals play a crucial role in the insurance, healthcare, and financial sectors by reviewing and processing claims submitted by customers. If you are considering a career in claims processing in India, this guide will provide you with valuable information to help you navigate the job market effectively.

Top Hiring Locations in India

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

These cities are known for their strong presence in industries such as insurance, healthcare, and finance, making them hotspots for claims processing job opportunities.

Average Salary Range

The average salary range for claims processing professionals in India varies based on experience levels. Entry-level positions typically start at around INR 2.5-3.5 lakhs per annum, while experienced professionals can earn upwards of INR 8-10 lakhs per annum.

Career Path

In the claims processing field, career progression often follows a trajectory from Junior Claims Processor to Senior Claims Processor, and then to Claims Processing Team Lead or Manager. With experience and additional training, professionals can advance to roles such as Claims Processing Supervisor or Claims Processing Analyst.

Related Skills

Besides claims processing expertise, professionals in this field are often expected to have skills such as: - Attention to detail - Analytical thinking - Communication skills - Knowledge of relevant software and tools - Problem-solving abilities

Interview Questions

  • What is claims processing, and why is it important in the insurance industry? (basic)
  • How do you ensure accuracy and efficiency in processing claims? (medium)
  • Can you describe a challenging claims processing situation you have faced and how you resolved it? (medium)
  • What steps do you take to verify the authenticity of submitted claims? (advanced)
  • How do you stay updated on industry regulations and changes that may impact claims processing? (advanced)
  • How do you handle discrepancies or inconsistencies in claim documentation? (medium)
  • Can you walk me through your process for prioritizing and managing a high volume of claims? (medium)
  • How do you handle difficult or upset customers during the claims processing process? (basic)
  • What software or tools have you used for claims processing, and which do you find most effective? (medium)
  • How do you ensure compliance with data protection regulations when processing claims? (advanced)
  • Describe a time when you had to collaborate with other departments or teams to resolve a claims processing issue. (medium)
  • How do you handle confidential information in the claims processing context? (basic)
  • Can you explain the difference between medical claims processing and insurance claims processing? (medium)
  • How do you prioritize accuracy over speed when processing time-sensitive claims? (medium)
  • What strategies do you use to minimize errors in claims processing? (medium)
  • How do you adapt to changes in policies or procedures related to claims processing? (medium)
  • Can you provide an example of a successful claim resolution you facilitated? (medium)
  • What do you consider the most challenging aspect of claims processing, and how do you overcome it? (medium)
  • How do you maintain customer satisfaction throughout the claims processing journey? (basic)
  • Describe a situation where you had to escalate a claim for further investigation. (medium)
  • How do you handle disputes or disagreements related to claim decisions? (medium)
  • Can you discuss a time when you identified fraudulent activity in a claim submission? (advanced)
  • How do you manage your time and prioritize tasks when dealing with multiple claims simultaneously? (medium)
  • What motivates you to work in the claims processing field, and how do you stay engaged in your role? (basic)

Closing Remark

As you explore opportunities in the claims processing job market in India, remember to showcase your skills, experience, and passion for the field during the interview process. With preparation and confidence, you can position yourself as a strong candidate for exciting career opportunities in this dynamic industry. Best of luck in your job search!

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