710 Claims Processing Jobs - Page 21

Coordinating and communicating with the stakeholders, which may include suppliers, and internal teams members. Closely following up, monitoring, updating the progress of activities, and identifying the areas of improvement to take necessary steps in order to achieve the targets, in the defined timeline. Solving the various queries and/or doubts received from stakeholders (predominantly suppliers), and providing them all the necessary required supports. Working on internal necessary applications associated with the activities. Preparing accurate summary of the latest status of the activities on daily and/or weekly and/or monthly basis. Qualifications Bachelors degree (B.A., B.Sc. BCA etc.) from an accredited college or university or Equivalent Should have two or more years of experience in relevant or equivalent field. Having the knowledge of the apparel industry (experience in production or quality audits background will be a plus) Basic knowledge of Microsoft applications including Word, Excel, PowerPoint etc Additional Information Focused and self-driven personality. Delivers commitment towards work, department, and theorganization. Personality with Honesty & Integrity. Flexibility and ability to work closely on timelines. Excellent planner and Organizer. Effective Communicator in English with convincing abilities.

: Preferred Knowledge/ Skills: Demonstrates extensive abilities and/or a proven record of executing the following areas: Guidewire PolicyCenter, development experience; Knowledge of P&C Insurance domain (Policy, Claims, and Billing applications as per product requirements); Designing, developing, modifying, and deploying software, including object-oriented programming concepts with using design standards and best practices; Planning, designing, developing, modifying, testing, debugging, and maintaining GOSU language application code within Guidewire Policy Center Configuring screen layouts, including creation of new screens (PCFs); Configuring operational and administration related parameters such as roles and permissions, user attributes regions, and activity patterns; Resolving issues identified during testing of the configuration requirements; Handling the responsibility of organizing code merges and environment management tasks; Performing minor and major Guidewire software upgrades; Developing GUnit/Junit tests for testing business logic; Managing projects, programs, and teams of various sizes; Architecting and creating solution designs and effectively presenting solution architecture with various options and estimates; Assisting in GOSU code reviews, code cleanups and helping to perform sprint demos; 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 Technology: HTML. CSS,React.js, Guidewire Portal, Edge Framework, Jutro Framework, GOSU, API Certification(s) Preferred: Guidewire Certifications in PolicyCenter, Skills (competencies) Verbal Communication

Design, develop, and configure Policy Center, Claim Center, and Billing Center applications in Guidewire. Customize Guidewire applications to meet specific business needs, including creating and modifying workflows, rules, and integrations. Develop and maintain integrations between Guidewire applications and other systems using APIs and web services. Develop and execute test plans, perform unit testing, and ensure the quality of the solutions delivered. Provide ongoing support and troubleshooting for Guidewire applications, addressing any issues that arise in production. Create and maintain technical documentation, including design specifications, user guides, and process flows. Work closely with business analysts, project managers, and other stakeholders to gather requirements and ensure alignment with business objectives. 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 Extensive experience with configuring and improving Policy Center, including workflows, rules, and integration points. Proficiency in developing and configuring Claim Center, including claim processing and integration with external systems. Strong background in Billing Center configuration and customization, including payment processing and billing rules. Expertise in using Guidewire Studio for application development and debugging. Basic project management skills to manage tasks and deliverables effectively. Strong verbal and written communication skills for collaboration with team members and stakeholders. Excellent problem-solving skills with the ability to think critically and troubleshoot issues efficiently. Skills (competencies) Verbal Communication

Job description Team Executive - Payment Integrity Location : Bangalore Roles & Responsibilities: In-depth Knowledge and Experience in the US Health Care Payer System. 4 - 9 years of experience in Claims Adjudication(Payment Integrity,PrePay audit,Postpay audit) . With over 1 year of experience as a Team leader Proven track record in managing processes, streamlining workflows and excellent people management skills. Need to be a people centric manager who could articulate the employee challenges to the management as well as motivate the team towards desired project goals. Circulate quality dashboards at agreed periodic intervals to all relevant stake holders Adhering to various regulatory and compliance practices. Maintaining and Ownership of reports both internal as well as for the clients. Presenting the data and provide deep insights about the process to the clients as well as Internal Management. Managing and co - ordinating training programs. Excellent in Coaching and providing feedback to the team. Take necessary HR actions as part of the Performance Improvement Process Key Performance Indicators Ensuring that the key Service Level Agreements are met consistently without any exceptions. Leverage all Operational metrices to ensure that the Revenue and Profitability targets are met and exceeded . Work in tandem with all Business functions to ensure smooth business process. Retention of key team members Interested Candidates share your CV - deepalakshmi.rrr@firstsource.com / 8637451071 Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or deepalakshmi.rrr@firstsource.com

Grow Your Career With AR Caller In US Healthcare (KPO) NO SALES ! NOTARGET ! #Shift: US Shift #5days working #Salary: UPTO30K CTC #Location: Ahmedabad, Gujarat #Cab facilities available #Apply-Fresher & Experience >> Fluent English Required <

Job Description: Medical Record Retrieval and Release of Information Specialist Position Overview: We are seeking dedicated and detail-oriented Medical Record Retrieval and Release of Information (ROI) Specialists to join our healthcare team. The position is responsible for efficiently and accurately retrieving, processing, and releasing medical records in accordance with healthcare regulations and policies. This is a hybrid role with both calling and non-calling responsibilities. Key Responsibilities: Retrieve medical records from healthcare facilities, ensuring accuracy and completeness of records. Ensure compliance with HIPAA and other regulatory standards regarding the privacy and security of medical records. Process release of information requests for authorized parties such as patients, legal entities, insurance companies, and other healthcare providers. Organize and maintain medical records in both paper and electronic formats, ensuring they are accessible and easily retrievable. Coordinate with other departments (e.g., billing, insurance) to provide requested information while safeguarding patient confidentiality. Review and verify records for completeness and accuracy before releasing them. Perform audits of medical records to ensure accuracy and compliance with regulatory standards. Skills & Qualifications: Experience in healthcare administration or medical records management (preferred). Knowledge of HIPAA regulations and patient confidentiality. Strong communication skills (for calling positions). Excellent attention to detail and organizational skills. Ability to work efficiently and accurately in a fast-paced environment. Experience with medical records systems and software (e.g., Epic, Cerner, etc.) preferred. Ability to handle sensitive information with professionalism and discretion. Comfortable with night shift. Salary & Benefits: Competitive salary based on experience Health and Accidental insurance ( Call or Whatsapp -9650506346) Sufiya

Introduction A career in IBM Consulting embraces long-term relationships and close collaboration with clients across the globe. In this role, you will work for IBM BPO, part of Consulting that, accelerates digital transformation using agile methodologies, process mining, and AI-powered workflows. Youll work with visionaries across multiple industries to improve the hybrid cloud and AI journey for the most innovative and valuable companies in the world. Your ability to accelerate impact and make meaningful change for your clients is enabled by our strategic partner ecosystem and our robust technology platforms across the IBM portfolio, including IBM Software and Red Hat. Curiosity and a constant quest for knowledge serve as the foundation to success in IBM Consulting. In your role, youll be supported by mentors and coaches who will encourage you to challenge the norm, investigate ideas outside of your role, and come up with creative solutions resulting in groundbreaking impact for a wide network of clients. Our culture of evolution and empathy centers on long-term career growth and learning opportunities in an environment that embraces your unique skills and experience. About Business Unit: Spartan Technology Services and Solutions Private Limited, a subsidiary of IBM, operates globally across 170 countries. Its a crucial part of IBM Business Process Operations, offering end-to-end services for policy renewal and query resolution in the insurance industry, with a strong commitment to data security and quality. Your role and responsibilities As a Process Associate - Insurance (Claims), you will be involved in the Processing of Life and Annuity Insurance, Claims processing. You should be flexible to work in shifts. Your primary responsibilities include: Handling claims investigation, processing, and payments Claims document validation, calculating benefit amount, and releasing same to the beneficiary Meet productivity and quality targets on a daily, weekly, and monthly basis Required education Bachelors Degree Preferred education Masters Degree Required technical and professional expertise Graduate (except B.Tech/Technical Graduation/Law) with a minimum of 1.5 years of experience in Life/Annuities products in Claims Good Communication skills - English (both written & verbal) Proactive and high analytical skills should foresee issues and suggest solutions, with impactful data Basic Computer knowledge along with typing speed of 35 words/minute Preferred technical and professional experience Proficient in MS Office applications Self-directed and ambitious achiever Meeting targets effectively Demonstrated ability to analyze complex data, complemented by strong interpersonal and organizational skills

EDUCATIONAL QUALIFICATION: MBBS graduate (No experience required) BHMS/BAMS graduate (Minimum 2 years of experience with Claims Processing in the Insurance sector). Role & responsibilities Analyzing and summarizing medical records for pre and postsettlement projects. Interpreting clinical data in terms of medical terminology and diagnosis. Adhering to company policies/ARCHER principles and hence taking good care of Archer culture. Adhere to Health Insurance Portability and Accountability Act (HIPPA) all the time. Daily reporting to Medical team lead for productivity & quality Preferred candidate profile Technical Skills: Knowledge of basic level of health care data analysis and clinical review. Sound knowledge of medical terminology, assessments, patient evaluation, and clinical medicine. Ability to work proficiently with Microsoft Word, Adobe, and Excel. Interpersonal Skills: Ability to perform well in a team environment, with staff at all levels, to achieve business goals. Ability to function under pressure and with deadline-oriented project demands as well as manage multiple initiatives. Team player and motivated self-starter. Detail-oriented, organized, able to multi-task. Effective communication skills.

Claims Executive- EB website Link: www.dishainsurance.com Job Summary: We are seeking a qualified Claims executive to help our clients in claims and any other query solution through their own skills. Our ideal Claims executive has to have in-depth knowledge of and experience with the Claim process, Policy terms and conditions, relationship building and MIS management. We are seeking a quick learner with strong communication skills, and someone with a track record of success who can inspire the same in others Roles & Responsibilities: One stop solution for all client queries and requirements Represent our company, with a comprehensive understanding of our services in the area of claim process and policy terms and conditions. Providing the timely help to clients in claim settlements in both cashless and reimbursements claims. Co-ordinating with Insurance Company in updating endorsements, CD Balance and claims reports. Co-ordinating with TPA in claim settlements, in solving the issues due to any calculation error and any data error with the MIS reports. Co-ordinating with clients, HR Head and Finance Head in resolving any issues. Maintaining MIS reports. Co-ordinating with the Retention team. Visiting clients to understand if they have any concerns and help them in fixing the issues. Visiting the TPA and Insurance Company to maintain good relationship with the customer relation team. Desired Profile/ Who should join: Should have 3 to 6 years of experience in a general insurance company/ insurance broker / surveyor Proficient in Microsoft Excel and MS office Fair knowledge about the Insurance processes Good communication skills Problem solving attitude Flexibility with calls and mails

We are hiring for "CREDENTIALING SPECIALIST ROLE" for an MNC for CHENNAI Location. Salary : Upto 6 LPA (In Hand) Shift : Any 5 Days working WORK FROM OFFICE Need Good/Excellent English Comm. skills Must have good knowledge of RCM Required Candidate profile Candidates must have at least 2 to 3 Yr of exp. in same profile. Types of NPI numbers in the credentials process. Application submitted for individual medicare enrolment. Call : 9335-906-101

Hiring TPA Incharge/Officer for a hospital in Gurgaon. Min 4 yrs exp in TPA desk. Must handle claims, pre-auths, billing, discharges & patient queries. Strong communication & TPA workflow knowledge required. Send cv on-82808 33507

Hiring Clinical Investigator for Mohali location ! Eligibility Criteria: Education BHMS,BAMS,MBBS,BPT Candidates with prior US Healthcare or Clinical experience will be preferred. Noncertified Physicians can apply however should be ready to complete the same within specified timeline. (CPC/CIC) Good communication skills. Candidates with corporate experience will be preferred. Immediate joiners preferred. Should be ready to work from office. Should be ready to work in night shift. Job Location - Mohali Interested candidates can share resume - Jitendra.pandey@cotiviti.com Regards, Jitendra 7350534498

Hiring Clinical Doctors for Medical coding role in Mohali !! Eligibility Criteria: Education BHMS,BAMS,MBBS,BPT Candidates with prior US Healthcare or Clinical experience will be preferred. Fresher Physicians can also apply with good clinical knowledge. Noncertified Physicians can apply however should be ready to complete the same within specified timeline. (CPC/CIC) Good communication skills. Candidates with corporate experience will be preferred. Immediate joiners preferred. Should be ready to work from office. Should be ready to work in night shift. Job Location - Mohali Interested candidates can share resume - Jitendra.pandey@cotiviti.com Regards, Jitendra 7350534498

Company is in US Healthcare Revenue Cycle Management (RCM) There are 2 openings - 1) AR Exe - Followup with US Insurance company for claim realization 2) AR Team Coach - Will handle team of AR Exe 5 DAY Work Policy In Query, Call at 8000044060 Required Candidate profile Only 2 Year+ Experienced Candidate in AR (Accounts Receivable) In any US Healthcare RCM C can apply. Candidate must have knowledge of follow up with US Insurance co, analyze n resolve Claim Denial. Perks and benefits All Saturday and Sunday Holiday

Job Title: Medical Billing and Insurance Claims Specialist Job Description: Our client, a leading AI platform specializing in medical billing operations, is seeking dedicated and detail-oriented Medical Billing and Insurance Claims Specialists to join our team. The ideal candidates will have at least 1 year of experience in medical billing, insurance claims, or a related field and possess strong English proficiency. As part of our client-facing team, you will be providing vital support to client operations by ensuring accurate and compliant medical billing operations through outbound calling, data categorization, and transcript analysis. Key Responsibilities: 1. Outbound Calling: Make outbound calls to insurance companies and payors to collect essential information, including claim statuses, denial reasons, and any additional relevant details. Conduct all calls in full compliance with the Client's guidelines and applicable healthcare regulations. Maintain professionalism and ensure clear communication during each call. 2. Data Categorization and Labeling: Accurately record, categorize, and label calls or information gathered using the taxonomy and definitions provided by the client. Ensure all claim statuses and call outcomes are properly labeled for consistency in reporting and easy analysis. Deliver categorized data in periodic reports or through the portal developed by client, following the requested format and frequency. 3. Call Transcript Analysis: Analyze recorded call transcripts to extract actionable insights, identifying trends, recurring denial reasons, and other patterns. Compile findings into periodic reports, providing valuable information to the Client to support process improvements and optimize workflows. Qualifications: Minimum of 1 year of experience in medical billing, insurance claims, or a related field. Strong English proficiency, both verbal and written. Familiarity with healthcare regulations and industry guidelines. Excellent communication skills with the ability to make outbound calls to insurance companies and payors. Detail-oriented and able to maintain accurate records. Ability to work independently while adhering to internal guidelines and procedures. Proficiency in Microsoft Office Suite or similar software; experience with medical billing software is a plus.

Role & responsibilities Minimum 5-12 yrs. of experience in multiple Guidewire core applications (PolicyCenter and/or BillingCenter and/or ClaimCenter) with strong understanding of the end to end insurance lifecycle. Integration Testing, API Testing Strong experience in P&C/General Insurance, Specialty Insurance and Re-insurance. Minimum 5-12 years of working experience in Agile projects Experience working on various test management /lifecycle management tools like ALM, JIRA, ADO. Experience in various phases of testing like test requirement analysis, test case design, test execution, defect lifecycle Good experience in estimation. Good experience in understand the domain impact for the projects and developing test plans, strategies and other reports. Good experience in creation of multiple management reports. Experience handling customers directly. Exposure to various test metrics. Able to understand the application technology landscape like UI, API and DB layers Should be good in communication. Preferred candidate profile

R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work Fo2023 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. Responsibilities: Follow up with the payer to check on claim status. Responsible for calling insurance companies in USA on behalf of doctors/physicians and follow up on outstanding accounts receivables. Identify denial reason and work on resolution. Save claim from getting written off by timely following up. Candidates must be comfortable with calling on denied claims. Interview Details: Interview Mode: Face-to-Face Interview Hiring Location : Noida / Gurugram Both Walk-in Day : Monday to Friday Walk in Timings :12 PM to 3 PM Walk in Address: Tower 1, 2nd Floor Candor tech space, sector 48 Tikri, Gurugram HR : Abhishek Tanwar 9971338456 / atanwar712@r1rcm.com Qualifications: Graduate in any discipline a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal) Benefits and Amenities: 5 days working. Both Side Transport Facility and Meal. Apart from development, and engagement programs, R1 offers transportation facility to all its employees. There is specific focus on female security who work round-the-clock, be it in office premises or transport/ cab services. There is 24x7 medical support available at all office locations and R1 provides Mediclaim insurance for you and your dependents. All R1 employees are covered under term-life insurance and personal accidental insurance.

Openings for SME/TL/Quality/Trainer roles Need candidates with exp in US health care claims adjudication -payment integrity process 5 days working/rotational shifts Chennai/Bangalore location Interested Candidates do call Sadiq @ 8904378561 Required Candidate profile Openings for SME/TL/Quality/Trainer roles Need candidates with exp in US health care claims adjudication -payment integrity process Interested Candidates do call Sadiq @ 8904378561

We are hiring!! HR Recruiter: Arun Kumar Industry: ITES/BPO Category: International Non-Voice Division: Healthcare International Business We are looking for enthusiastic candidates with excellent communication to join our team as Customer Support Associates in the International Non-Voice Process for Healthcare. Job Title: CSA and Senior CSA Grade: H1/H2 Function/Department: Operations Reporting to: Team Lead Role Description: Roles & Responsibilities (Indicative not exhaustive) A claims examiner needs to analyse multiple documents / contracts and decide to pay / deny the claim submitted by member or providers with respect to client specifications. The claims examiner should also route the claim to different department or provider / member for any missing information that required for claims adjudication. The claims needs to be completed adhering to required TAT and quality SLA. Key Results Production, Quality Shift and Schedule adherence Process Knowledge Minimum Eligibility: Candidates should have minimum 1 year Experience in Claims Adjudication & Claims Adjustment or Claims Adjudication with Appeals & Grievances. Shift Details: Night shift / Flexible to work in any shift and timing Cab Boundary Limit: Up to 30 km (One way drop cab) Job Location: Firstsource Solution Limited, 5th floor ETA Techno Park, Block 4, 33 OMR Navallur, Chennai, Tamil Nadu 603103. Landmark near Vivira Mall. Contact: Arun HR Phone: 6374232238 Email: arun.kumar9@firstsource.com If you are interested please share your updated CV to the arun.kumar9@firstsource.com or 6374232238. Join us to be part of a dynamic team with career growth opportunities. We look forward to seeing you at the interview! You can refer your friends as well! Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or arun.kumar9@firstsource.com

Department - Claims Auto Role & responsibilities Closing Ratio/Minimize cost : Negotiate with dealers ; Avoid cost wastage in workshops; Regular training of claims policies ; Faster settlements Re-open ratio/Segmentation of vehicles: Separating the Claims according to Vehicles and minimizing the expenses Repair claims: Timely follow up with agent; visit the workshop within 48hrs of receiving the claim and follow up within 2days. Maintain the Hygiene/TAT(Total Around Time) : Proper evaluation on customer claims ; Claims should be closed within defined TAT (i.e.; Approval or rejection) Sort out claims related issues according to Regulations. Policy Compliance : Ensure that the claims process adheres to the insurance company's policies and guidelines. Customer Service : Communicate with policyholders, repair shops, and other relevant stakeholders to provide updates, explain assessment findings, and address any queries or concerns. Compliance with Regulations : Ensure compliance with local, state, and national regulations regarding motor vehicle assessments, repairs, and insurance claim processes. Negotiation Skills : Engage in negotiations with repair shops, policyholders, and other involved parties to reach mutually agreeable settlements. Fraud Detection : Detect and report any suspected cases of fraud or misrepresentation during the assessment process and work closely with the investigation team to gather evidence if necessary. Preferred candidate profile - Diploma in Automobile/Mechanical (10+2+3) or BE in Automobile/Mechanical - 2-4 years experince in any of the automobile workshop specially in body shop or in an insurance company in motor claims dept.

Dear Candidate, Greetings from AGS Health! Job Title: Process Associate/Sr Process Associate Job Role: Responsible for calling US Insurance companies on behalf of doctors/physicians and following up on outstanding Accounts Receivable. Should have basic knowledge of the entire RCM (Revenue Cycle Management) Perform analysis of accounts receivable data and understand the reasons for pending claims in AR and the top denial reasons Process : International Voice process - AR Calling Interview Process: Rounds off interviews: 1. HR screening 2. Online Assessment Test 3. Operational/Technical Round Transport: Two-way transport is available based on boundary limits. Location: Western Pearl, Kondapur, Kothaguda, Hyderabad - 5000884 Job Type: Full-time, Regular / Permanent Benefits: 5 days work Work from the Office PF ESI Health insurance Performance bonus Required Skills: Minimum 1 year of experience in AR calling Calling experience on Denial Management - Physician Billing/Hospital Billing Should be comfortable working with Night shifts Good Communication skills Looking for an aspirant who can join us immediately. Interested candidates can WhatsApp their resume to 9150092587 Regards, Shashank Rao HR- Talent Acquisition AGS Health

Job Track Description Requires formal education and relevant expertise in a professional, sales, or technical area. Performs technical-based activities. Contributes to and manages projects. Uses deductive reasoning to solve problems and make recommendations. Interfaces with and influences key stakeholders. Leverages previous knowledge and expertise to achieve results. Ability to complete work self-guided. A college or university degree required. General Profile Requires knowledge and experience in own field. Will acquire higher-level knowledge and skills while on the job. Develops an understanding of the company, processes, and customers. Uses existing procedures to solve standard problems. Requires moderate guidance and direction from others. Functional Knowledge Requires expanded conceptual understanding of theories, practices, and procedures. Business Expertise Uses an understanding of key business drivers to accomplish work. Impact Impacts a team, by example, through the quality service and information provided. Follows standardized practices and procedures to achieve objectives and meet deadlines. Leadership No supervisory responsibilities. Provides guidance to new team members. Problem Solving Uses existing procedures and technical experience to solve problems. Interpersonal Skills Exchanges complex information and ideas effectively. Responsibility Statements Partners with 1 client depending on scale and scope. Serves as liaison between end-users and product development teams. Works closely with end-users to analyze, define, model, and document project requirements and communicates to development teams. Analyzes requirements and defines technology solutions. Leverages a blend of proven domain knowledge system understanding to define a go-to approach for system construction. Mentors a small team of business analysts for a client portfolio. Produces detailed component specifications and translates these into detailed designs for implementation. Partners with the development team to identify solutions. Ensures designs follow regulatory requirements. Works without supervision with extensive latitude for decision making. Performs other duties as assigned. Complies with all policies and standards. Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law. People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded:click here to access or download the form. Complete the form and then email it as an attachment toFTADAAA@conduent.com.You may alsoclick here to access Conduent's ADAAA Accommodation Policy. At Conduent we value the health and safety of our associates, their families and our community. For US applicants while we DO NOT require vaccination for most of our jobs, we DO require that you provide us with your vaccination status, where legally permissible. Providing this information is a requirement of your employment at Conduent.

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

More than 6 years of experience in Business Analysis or related experience in IT Demonstrates good learning agility to understand the Product components Responsible for analyzing and understanding of business and functional requirements Translating complex business needs and requirements in detail and be able to translate them into functional and technical specifications . Work closely with developers and end users to ensure technical and functional compatibility Conducting detailed gap analysis of a product versus the requirements and doing Impact Analysis Creates project specific planning and scope documentation and secures stakeholder sign off Perform System Testing toensure the delivery of quality product and UAT support from a functional perspective Prepare release notes for new changes/enhancement done in the system Creates end-user documentation (e.g., user guides, process flow charts, training materials) Presents complex data and analysis in an easily understood format so it is suitable across diverse groups with varying abilities Facilitates cross functional communication and recognizes need to engage other stakeholders and SME's in a project Acts as a liaison between commercial and technical functions Strong problem-solving and analytical skills Understanding of Project Life Cycle and STLC Strong team player Work in TFS/Azure DevOps, tracking user stories and managing sprints Ability to work with a sense of urgency and attention to detail Excellent oral and written communication skills Preferred Experience in SQL queries Experience in ETL/EDI processes and Reports Experience of US Healthcare payer domain Knowledge of health insurance industry - Claims processing, ICD 9/10, Medicare, or Medicaid Experience in UML Modeling Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law. People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded:click here to access or download the form. Complete the form and then email it as an attachment toFTADAAA@conduent.com.You may alsoclick here to access Conduent's ADAAA Accommodation Policy. At Conduent we value the health and safety of our associates, their families and our community. For US applicants while we DO NOT require vaccination for most of our jobs, we DO require that you provide us with your vaccination status, where legally permissible. Providing this information is a requirement of your employment at Conduent.

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