2028 Claims Processing Jobs - Page 21

Job Role : Guidewire Architect Location : Gurgaon / Noida / Pune / Bangalore Experience : 15-20 Years Contact: 9045052074 Job Description : - Key Requirements: 15+ Years -20 Years of overall industry experience with at least 10+ years on Guidewire delivering large scale Insurance suite implementations is required. Strong technical leadership experience in Guidewire driving at least 2 end-to-end Insurance suite product implementations. Strong experience in the P&C insurance domain is required. Cloud Upgrade experience is required. Strong technical management experience managing onshore/offshore teams. Experience with scrum or agile methodologies is required. Guidewire cloud certification is highly preferred. Key Responsibilities: Responsible for the end-to-end architecture of the Guidewire Insurance Suite platform (Policy Center, Claim Center, Billing Center), with focus on integrating Guidewire with upstream/downstream applications and data services. Configure, build & develop Guidewire components using GOSU, Wizards, PCF, Data Model, Workflow, Activities, APD (Advanced Product Designer), Integration Gateway, App Events etc. Contribute to Presales activities, drive responses to RFPs/RFIs, own technical/platform level discussion with client(s).

Medi Assist TPA Health insurance Gautham budhnagar sector 3 Noida G M Tower, 1st Floor, D-7, Sector-3, Noida - 201301, Uttar Job description for CRM -Noida Resolving customer queries within TAT and ensuring smooth claim process Providing information to the customers and to respond to their claim related queries Coordinating with the customers/agents for cashless claim settlement Coordinating with internal stakeholders like enrolment, Account management, claims, investigation, support team to settle claims .Visiting client location weekly twice or thrice. Thanks Hariprasad Mob :+ 91 9731826983 Email id :hariprasad.m@mediassist.in

Job Descriptions: Check the medical admissibility of claims by confirming the diagnosis and treatment details. Verify the required documents for processing claims and raise an information. Request a case of an insufficiency. Approve or Deny claims as per T&C witihin TAT. Required Qualification : BAMS, BHMS, B.Sc. Nursing, Msc Nursing, Work from Office only Interested candidates can share there profiles to disha.raman@mediassist.in or WhatsApp to 8904968911.

Role: Voice Program Specialist - Benefit Verification US Healthcare Tenure: 6 Months Fixed Contract Extendable based on Performance (No Bond) Client: Top Clinical Research & Development Company Shift: 6PM-3AM Cabs: 2 Ways Provided Location: Bengaluru 56001 Work Model: Work From Home for initial 1 Month, then 5 Days Work From Office as per Requirement Graduation is Mandatory Total 1.5 Years Experience into Customer Service & 1 year relevant in International Voice Process and 1yr relevant into US Healthcare. Minimum 1 Year Relevant Experience is Mandatory into US or International Healthcare Process. HIPAA Compliance Knowledge Preferred If Only Suitable then share your Resume to ganreddy@astoncarter.com Contact: 7760406375 (Ganesh Reddy) Walk-in Location: Allegis Group 4th Floor, Commerce @Mantri, 12/1 & 12/2, Bannerghatta Rd, NS Palya, BTM 2nd Stage, BTM Layout, Bengaluru, Karnataka 560076 Role: Program Specialist (Voice Process) Minimum Requirement: Experience: The Program Specialist ideally should have two or more years of prior customer service, volunteering, or other customer-facing experience. Prior experience in the US healthcare industry is a must , and the Program Specialist must be a proven problem solver with the ability, drive, and initiative to learn the required healthcare, reimbursement, and customer service skills necessary to support the assigned program(s). Experience in handling sensitive data in US healthcare with high degree of proficiency. Must be familiar with HIPAA guidelines. Candidates should be flexible in working from home or in an office setting per business needs. About the Role: The Program Specialist is responsible for serving as the customers primary point of contact providing operational and reimbursement support to complex programs within Company , including but not limited to, marketing support, reimbursement hotlines, patient assistance programs, Hubs, foundations, safety surveillance programs, case management, and compliance programs. The focus of the Program Specialist is to own issues and remove obstacles that prevent patients or providers from accessing the therapies requested. The Program Specialist will be a self-starter who is comfortable taking initiative, identifying barriers, being on the phones and working with the appropriate parties to eliminate these obstructions for the customer. The Program Specialist is proficient and knowledgeable about all the services provided on an assigned program and may support multiple client products or programs. Key Responsibilities: Quickly and efficiently respond to incoming calls and faxes, identify how best to assist. Conduct outbound calls of insurance verifications to understand if patients prescribed therapy is eligible for coverage. Document results in appropriate tracking system. Document calls in appropriate tracking systems, and handle/escalate calls per established procedures. Process patient applications and follow the program's specifications to determine their eligibility. Document results in appropriate tracking system and manage follow-ups as appropriate. Place follow-up calls and respond to enquiries from patients and/or healthcare providers as necessary. Maintain a professional, calm and friendly demeanor. Express thoughts and instructions clearly in both verbal and written communication; i.e. uses grammatically correct and concise language. Coordinate the order and transfer of prescriptions based on their degrees of urgency to specialty pharmacies as appropriate. Be familiar with the market place and the insurance options available for patients. Educate patients on the available options as appropriate. Strict adherence to follow the process SOPs.

Bpo Hiring For Health Care Domain Voice Process 6.5 LPA Location Gurugram Only Graduates. No B.E./Btech/UG''s Minimum 1 Year of Voice Experience With International BpO MUST Pls Cal Dipankar @ 9650094552 Email CV @ jobsatsmartsource@gmail.com

Role & responsibilities We are hiring for the position of Trainee Process Consultant for our International Voice Process in the US Healthcare sector. As a Trainee Process Consultant, you will be responsible for processing claims, handling customer inquiries, and ensuring customer satisfaction through timely and accurate resolutions. BTECH NOT ALLOWED REACH OUT TO HR SUSMITA - 9903486610 Preferred candidate profile - Process claims according to established guidelines and procedures. - Maintain customer satisfaction ratings by adhering to client SLAs. - Utilize company policies to resolve customer issues efficiently. - Input and update customer records in the company platform. - Ensure quick and accurate decision-making to resolve customer queries. Perks and benefits Skills Required: Excellent Communication Candidate should be willing to work in US shift. Eligibility Criteria: - Must have completed 10+2/Intermediate schooling from an English medium school. (pass out year Only 2019 to 2022) - Candidates should not be pursuing any higher education. - Freshers or with a maximum of 1 year of experience in a BPO are eligible. - Graduates only REACH OUT TO HR SUSMITA - 9903486610 - Pursuing Graduation or Graduation Backlog holders are not eligible. Shifts: Candidate should be flexible with any given shifts. Working Days: Five days working (Saturday & Sunday fixed week off) Transportation: Two Way Cab provided

As a Claims Specialist at Quantanite, you will play a crucial role in reviewing, processing, and following up on insurance claims to ensure timely and accurate reimbursement. Your attention to detail and proactive approach will be essential in collaborating with internal teams, insurance companies, healthcare providers, and patients to resolve billing discrepancies and maintain compliance with all relevant regulations. Your key responsibilities will include reviewing claims for assigned offices, performing quality control checks on patient accounts, and analysing denial queues to identify outstanding claims. You will be responsible for following up on denied, underpaid, or rejected claims with insurance companies, investigating and resolving claim rejections or denials, and collaborating with the Insurance Verification team to confirm eligibility and coverage for patients. To excel in this role, you should have a solid understanding of claims management processes, exceptional organisational skills, and the ability to thrive in a fast-paced environment. Additionally, you should possess a high school diploma or equivalent education, with certification in medical billing or coding preferred. A minimum of 2 years of experience in claims processing, medical billing, or a related role is required. Proficiency in claims management systems and the Microsoft Office Suite is essential, along with a strong knowledge of insurance claim procedures, denial management, and reimbursement processes. Your strong analytical skills, attention to detail, excellent communication abilities, and the capacity to work independently or in a team environment will be key attributes for success in this role. At Quantanite, we offer comprehensive training, career growth opportunities, and a collaborative culture that values diversity, inclusion, and teamwork. Join us in making a global impact by partnering with leading brands to deliver exceptional results. Quantanite is an equal opportunity employer, committed to creating an inclusive environment for all employees.,

Role and Responsibilities - Claims : 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. Role and Responsibilities - Policy Admin : Processing of Life and Annuity Insurance Policy administration tasks (e.g. change of communication address, change in beneficiary, Issuance/Reinstatement of policy certificate etc.) accurately and within specified turnaround time window according to standard work & SOPs Handling of policy administration requests, review of requests, processing and request for additional documents if required. Work well with Onshore /Offshore and customer in an encouraging and professional manner via email and on calls. Meet productivity and quality targets on a daily, weekly, and monthly basis. Render overtime whenever requested by the Supervisor including rest day. Use expertise to evaluate the work of others and assist in process calibration. Complete certification on identified process and developmental training. Participate in functional and company-wide activities. Link for Registration: https://ibmglobal.avature.net/en_US/careers/JobDetail?jobId=52390&source=WEB_Search_INDIA Required Professional and Technical 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 Professional and Technical Expertise : 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.

About Us: Medi Assist is India's leading Health Tech and Insure Tech company focused on administering health benefits across employers, retail members, and public health schemes. We consistently strive to drive innovation and participate in such initiatives, to lower health care costs. Our Health Benefits: Administration model is designed to deliver the tools necessary for a health plan to succeed, whether its our modular claims management system, our technology that unveils data to make important decisions, or our service solutions built around the voice of the customer. In short, our goal is to link our success to that of our members Roles and Responsibilities: Check the medical admissibility of a claim by confirming the diagnosis and treatment details. Scrutinize the claims, as per the terms and conditions of the insurance policy. Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc. Understand the process difference between PA and an RI claim and verify the necessary details accordingly. Verify the required documents for processing claims and raise an IR in case of an insufficiency. Coordinate with the LCM team in case of higher billing and with the provider team in case of non-availability of tariff. Approve or deny the claims as per the terms and conditions within the TAT. Handle escalations and responding to mails accordingly. Interested candidates can share their CVs to WhatsApp number varsha.kumari@mediassist.in

Job Summary: We are seeking a skilled and experienced Guidewire ClaimCenter/Billing/Policy Centre Developer to join our team. The ideal candidate will have a deep understanding of the Guidewire ClaimCenter platform, hands-on experience with configuration and integration, and a solid background in insurance claims processes. Key Responsibilities: Design, develop, and maintain solutions within the Guidewire Claim Center platform. Configure ClaimCenter applications using Guidewire Studio. Develop and maintain integrations with external systems using web services (SOAP/REST), messaging, and batch processing. Collaborate with business analysts and QA teams to understand and refine requirements and ensure solutions meet business needs. Participate in code reviews and adhere to best practices in coding and testing. Troubleshoot and resolve technical issues across development, testing, and production environments. Assist in planning, estimation, and technical design sessions for ClaimCenter implementations or enhancements. Stay updated with new features and capabilities in Guidewire releases. Develop and maintain Guidewire Billing Center applications Design and implement Guidewire integrations with other systems Collaborate with cross functional teams to gather and analyze requirements Provide technical expertise and support during the implementation and maintenance phases Ensure the quality and performance of the Guidewire applications Work directly with customers to understand their needs and provide effective solutions Troubleshoot and resolve issues related to Guidewire applications Stay updated with the latest industry trends and best practices Design, develop, configure, and implement Guidewire PolicyCenter modules , including Rating. Develop and maintain Guidewire integrations and configurations using Guidewire Studio and associated tools. Collaborate with business analysts and stakeholders to translate functional requirements into technical designs. Customize Rating Engine logic , data model extensions, and UI configurations as per client requirements. Utilize Java, Spring, Maven , and related technologies for backend and integration development. Troubleshoot complex application issues across the application stack. Work effectively in a distributed team environment , participating in onsite-offshore coordination. Contribute to technical documentation, design diagrams, and code version control practices. Experience working on Guidewire PolicyCenter modules. Strong domain knowledge in Property and Casualty (P&C) insurance . Hands-on experience with Guidewire Configuration and/or Integration , especially in the Rating Engine . Proficiency with the Guidewire Rating Platform : UI, Data Model, and Guidewire Studio. Strong grasp of Object-Oriented Programming (OOP) , UML , and Design Patterns . Proficiency with application design frameworks/tools such as Spring, Maven, Eclipse . Excellent problem-solving and troubleshooting skills in complex technical environments. Strong communication and interpersonal skills, capable of direct customer interaction

Firstsource Solutions Ltd is looking for Senior Analyst - Underwriting to join our dynamic team and embark on a rewarding career journey Analyze and assess insurance applications and risks. Develop and implement underwriting policies and guidelines. Monitor and analyze underwriting performance and make improvements. Collaborate with sales and claims teams to ensure underwriting alignment. Prepare and present underwriting reports to management. Provide training and support to junior underwriters. Ensure compliance with regulatory requirements and industry standards.

Job Summary The TL-Ins Claims role requires a seasoned professional with 5 to 8 years of experience in the Data & Analytics Business. The candidate should have strong experience in claim adjudication claim manager role or medical coding - Healthcare/Insurance. Associate should have 2+ years experience in handling 20 -30 members teams This office-based position operates during night shifts requiring proficiency in English for effective communication. Responsibilities Oversee the claim investigation process to ensure thorough validation and accurate adjudication. Utilize advanced Excel skills to analyze data and generate insightful reports for claim assessments. Collaborate with cross-functional teams to streamline claim processing and improve efficiency. Ensure compliance with industry regulations and company policies during claim evaluations. Provide detailed analysis and feedback on claim trends and patterns to support business decisions. Develop strategies to enhance the accuracy and speed of claim adjudication processes. Monitor claim processing metrics to identify areas for improvement and implement corrective actions. Facilitate training sessions for team members to enhance their skills in data analytics and claim validation. Maintain up-to-date knowledge of industry standards and best practices in claim investigation. Communicate effectively with stakeholders to provide updates on claim status and resolution timelines. Implement innovative solutions to optimize the use of data analytics in claim management. Support the development of automated systems for efficient claim processing and reporting. Ensure high-quality service delivery by adhering to established protocols and procedures. Qualifications Possess strong analytical skills with proficiency in advanced Excel for data manipulation and reporting. Demonstrate expertise in claim investigation and validation processes ensuring accurate adjudication. Exhibit excellent communication skills in English both written and spoken for effective stakeholder engagement. Have a solid understanding of industry regulations and compliance requirements related to claims. Show ability to work effectively in night shifts within an office-based environment. Display experience in collaborating with cross-functional teams to achieve business objectives. Present a proactive approach to problem-solving and process improvement initiatives.

Eurofins is a leading provider of assurance and inspection services, covering a broad spectrum of sustainable supply chain practices, including the circular economy. Eurofins helps the customers to identify and mitigate risks in their supply chain and to ensure the benchmarking performance with operations, processes, systems, people, or capabilities. We hold accreditations for various industry standards and memberships, ensuring comprehensive service throughout the supply chain. Whether you are in the food, consumer products, healthcare, or cosmetics industries, we offer a full range of services including product inspection, auditing, certification, training, and consultation. Eurofins Assurance helps you mitigate compliance risks, enhance quality, and prevent safety failures early on, safeguarding your business from brand damage, product recalls, and other potential issues in the future. Sustain your business growth and commitment with Eurofins Assurance, a global network of assurance experts that you can trust. About The Role Responsible for achieving targeted revenue for Sales for India as defined by Eurofins Management. Prepare and present sales quotations and proposals to current and prospective clients. Reviewing contracts for existing clients. Maintain accurate customer and sales information in CRM. Provide Monthly Sales reports to National Sales Head- India. Ensure implementation & meeting of companys objective & policies. To proactively identify customers at risk of leaving and work to retain them. Assist in payment collection Assist in Scheduling of Audits Customer visit as per business requirement Ensure implementation & meeting of companys objective & policies. Commitment to providing a consistently high standard of customer service. Qualifications Bachelors degree in appropriate discipline. Minimum 2 year of experience in inside sales preferably from a CB company/Consultancy/Retail Additional Information Good at operating Microsoft Office. Proficiency in English. Customer Relationship management system (CRM) Professional Behaviour.

About The Role 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. About The Role - 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.

Skill required: Supply Chain - Automotive Supply Chain Designation: Business Advisory Associate Qualifications: BE/Diploma in Automobile Years of Experience: 1 to 3 years What would you do? To maintain quality and service standards of the Warranty Claims processing team in support of the contracted Service Level AgreementInvestigate and Verify warranty claims based on available external support resources (Parts catalog, Dealer Assist & Standard labor time) & take appropriate decisionImplement practices to improve operational efficienciesTo maintain quality and service standards of the Warranty Claims processing team in support of the contracted Service Level AgreementInvestigate and Verify warranty claims based on available external support resources (Parts catalog, Dealer Assist & Standard labor time) & take appropriate decisionImplement practices to improve operational efficiencies What are we looking for? BE Automobile Graduate/Diploma with or without Automotive experienceBE Mechanical Graduate/Diploma with Automotive experienceExperience in WarrantyExperience with Auto componentsInterpersonal skills to deal with dealers, warranty engineers, etcData processing accuracy, detail oriented, and ability to evaluate/research a warranty claimExpert level capability in use of desktop software (MS Office Suite, with focus on Excel)Organized, timely, pro-active and highly productiveStrong written communication in EnglishAttention to detail and ability to multi-taskExperience in Warranty /Auto Dealership Roles and Responsibilities: Mechanical knowledge of machinery/auto-componentInvestigate and Verify warranty claims based on available external support resources (Parts catalog, Dealer Assist & Standard labor time) & take appropriate decision Qualification BE,Diploma in Automobile

Skill required: Membership - Life Sciences Regulatory Operations Designation: Health Operations New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years What would you do? Embedding digital transformation in healthcare operations end-to-end, driving superior outcomes and value realization today, and enabling streamlined operations to serve the emerging health care market of tomorrowYou will be a part of the Healthcare Management team which is responsible for the administration of hospitals, outpatient clinics, hospices, and other healthcare facilities. This includes day to day operations, department activities, medical and health services, budgeting and rating, research and education, policies and procedures, quality assurance, patient services, and public relationsCoordinate the essential documentation and resources required for the filing of global applications. Understand, manage & process electronic submissions that include original application filings, Life Cycle Management submissions such as CMC, Ad-promos, amendments, annual reports, SPL submissions, etc. What are we looking for? Flexible to work in PST Shiftto work from officePreferrably health care domainHealth Membership enrollment Roles and Responsibilities: In this role you are required to solve routine problems, largely through precedent and referral to general guidelines Your primary interaction is within your own team and your direct supervisor In this role you will be given detailed instructions on all tasks The decisions that you make impact your own work and are closely supervised You will be an individual contributor as a part of a team with a predetermined, narrow scope of work Please note that this role may require you to work in rotational shifts Qualification Any Graduation

Skill required: Business Reporting & Governance - Reporting Analytics Designation: Measurement and Reporting Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years What would you do? Business Advisory Associate is responsible for generation and managing pre-defined, and strictly documented, regularly scheduled reports, and production of any ad hoc reports in accordance with the Business Unit needs.Coordinate operational metrics and reporting of the client; coordinate data necessary for management reporting and to support business decisions. Leading reporting projects and initiative.Candidate who is good in excel and MIS reports are looked at for these skillsPrepare management reports and analysis, both recurring and ad-hoc. It focuses on tracking business performance through trusted data and insights while actively managing employee behaviors. What are we looking for? 3+ years experience in developing interactive dashboards using Business Intelligence and Reporting tools (e.g., Cognos, Power BI, Tableau, Qlikview).2+ years experience in processing large data sets + VBA/macros experience.Proficient knowledge in MS Office applications (Excel, PowerPoint, Access), MS Outlook.Advanced knowledge in MS SQL Management Studio for data extraction and manipulation, Query writing and Data analysis.Basic knowledge of Power AutomateInsurance Expertise:Leverage industry knowledge to enhance the relevance and effectiveness of reports.Deep expert business knowledge in Claims, Underwriting, Multinational and Contact Center processes:-Expert knowledge in Claims to conduct data analysis and proactively to raise attention flags on the KPIs across EMEA region.-Expert knowledge of the KPIs in Claims, i.e. Lifecycle, Closing ratio, Reopen ratio, New Setups, Created features, Final Closures, Financials, etc.-Expert knowledge of Claims processes FNOL, Express/Complex/Major Loss, Recoveries, Payments, Salvage, Subrogation, etc.-Advanced knowledge of Underwriting, Multinational and Contact Center processes.-Advanced knowledge of E2E Policy lifecycleStay informed about industry trendProven excellent analytical, communication, report writing, and developer skills.Excellent listening, interpersonal, written, and oral communication skills;Excellent presentation and facilitation skills;Logical and efficient, with keen attention to detail;Highly self-motivated and directed;Ability to effectively prioritize and execute tasks while under pressure;Excellent customer service skills;Ability to perform functions as required in the nature and scope of position;Willingness to travel internationally;Ability to be a team player yet work independently when required.Good reputation in society and lack of any connections in the public space with illegal activities such as terrorism, drug trafficking, arms trafficking or human trafficking.Lack of entries in the lists kept by governments and/or international organizations and providing information about persons with whom for the financial institutions it is forbidden to have commercial (business) relationships (such as terrorists, drug traffickers, arms traffickers). Roles and Responsibilities: Manage all aspects of accessing, manipulating, and analyzing data for the client. Develop, maintain, and enhance interactive dashboards using Business Intelligence and Reporting tools (e.g., Cognos, Power BI, Tableau, Qlikview).Execute standard reports as per documentation on schedule and maintain the documentation.Record bugs in a database to track issues and to be used for improving test plans and future report solutions.Plan/prepare/execute for formal production release of software modules as per client standards.Communicate real-time and closely work with the customers in clarifying questions, troubleshooting problems, and recommending solutions to problems.Maintain code versioning.Track all user requests scheduled or ad-hoc to provide status of each request and utilization of resources.Document source to report mappings, data dictionary, process flows, special situations of the various data sources. Provide impact analysis for changes to data fields.Obtain user acceptance by sharing reports; respond to user questions/concerns.Design, develop and implement critical reporting and automation solutions.Interface with peer systems, groups, IT, Operations as needed to obtain data/feeds.Establish relationships with Business Leadership and create mutual understanding of overall parameters and goals for common process. Communicate frequently and effectively with local and global stakeholders to ensure analytics and reporting needs are met; generate ideas for using data to enhance decision making. Establish and monitor acceptable metrics. Recommend, develop, and implement changes to workflow for greater efficiencies in meeting goals. Coordinate with local functional leads to track, maintain, report, and improve operational metrics. Ensure accuracy and appropriateness of data.Serve across geographic and organizational boundaries to implement best practices; seek and achieve consensus and buy-in on key initiatives. Present complex analytics results to management (verbal, written, or charts formally and informally) in a clear fashion.Understand the available data sources and uses/limitations/required improvements of this data so that required analytics are performed as efficiently/accurately as possible. Qualification Any Graduation

Responsibilities: * Manage AR through calls with healthcare providers. Venue: Osprosys Software Pvt Ltd Ramagondanahalli, Whitefield, Bangalore Ph: 9845701484, 9859409409 share resume : anitha@osprosys.com

Risk Assessment and UW Implementation and monitoring of various underwriting guidelines related to Commercial products. Main accountability includes Risk analysis, Risk acceptance, Risk selection, Policy coverage (Policy wording, Add-on covers, Exclusions / Inclusions etc.), Renewal business, etc. within the purview of set Underwriting Guideline to achieve the desired business outcomes Maintain TAT and compliance as per UW authority matrix. Reviewing proposals and providing Inputs in terms of local market dynamics, nature of business, quality of risk and recommendations thereof. Strong market intelligence i.e. a broader view of the market we operate in /competitors’ details for formulating internal strategies. Work in close coordination with the sales team on the available profitable business opportunities falling with the underwriting guidelines of the company. Review the risk based on the market intelligence and based on the third-party risk inspection reports Relationship management Interacting with internal stakeholders (Operations, Marketing, Finance, Claims etc.) to meet the smooth proceedings of the business requirements at various stages Develop the key relationship with major clients and Intermediaries along with marketing team to develop long term sustainable business growth Analytics & MIS Reporting Analyzing the risk and identifying business that can be picked up in declined risk category and seek necessary approvals from seniors/HO for the same Roles and Responsibilities 2

Job Summary: The Business Analyst will play a key role in supporting finance and management information (MI) systems for an insurance company. The individual will bridge the gap between business operations, finance, and IT, ensuring the successful implementation and optimization of finance-related systems and management reporting tools. The role involves gathering business requirements, facilitating communication between stakeholders, and analyzing data to improve decision-making processes within the insurance domain. Key Responsibilities: Requirements Gathering: Collaborate with stakeholders (finance teams, insurance operations, and IT) to gather, document, and translate business requirements into functional specifications. Process Improvement: Identify inefficiencies in finance and reporting processes, recommending and implementing improvements to streamline workflows in the current system Data Analysis: Analyze finance and MI data of the current state systems System Implementation & Support: Support the implementation, integration, and optimization of finance and reporting systems, ensuring alignment with business processes for the new system. Reporting & MI Development: Design & Develop financial reports and dashboards using MI tools, providing detailed analysis and insights into key performance indicators (KPIs) on the new system Stakeholder Communication: Act as a liaison between finance, insurance operations, and IT teams, ensuring clear communication and alignment on project goals and timelines. Documentation: Create detailed documentation including business requirements, process flows, and functional specifications. Compliance & Risk Management: Ensure that finance and MI systems adhere to regulatory and compliance standards within the insurance industry. Required Qualifications: Bachelors degree in Finance, Accounting, Business, or a related field. Proven experience as a Business Analyst in the insurance domain, with a focus on finance and MI. Strong understanding of insurance products, underwriting, claims processes, and financial reporting. Proficiency in data analysis tools (e.g., Excel, Power BI, Tableau) Experience with Agile methodologies and familiarity with project management tools (e.g., JIRA, Confluence). Excellent problem-solving skills and the ability to analyze complex data sets. Strong communication skills to work with cross-functional teams and present findings to stakeholders. Preferred Qualifications: Experience with regulatory reporting (e.g., Solvency II, IFRS 17) in the insurance industry. Knowledge of management information systems and their role in insurance operations. Familiarity with financial modeling and forecasting techniques. Key Competencies: Analytical thinking and attention to detail. Strong business acumen with the ability to understand the financial implications of insurance operations. Ability to work in a fast-paced environment and manage multiple priorities. Collaborative mindset with the ability to influence and negotiate with stakeholders. Mandatory Key Skills Data Analysis,Risk Management,Power BI,Tableau,JIRA,Confluence,MI Development,Business Analysis* Mandatory Key Skills Risk Management,Power BI,Tableau,JIRA,Confluence,MI Development,Business Analysis,Data Analysis*

Role Description This is a full-time on-site role for an Underwriter at Policybazaar.com, located in Gurugram. The Underwriter will be responsible for assessing and evaluating insurance applications, analyzing risk factors, determining policy terms, and reviewing insurance contracts. They will also collaborate with insurance agents and brokers to review applications and provide expert advice on underwriting policies. Qualifications Strong analytical and problem-solving skills Ability to evaluate risk factors and make informed decisions Excellent attention to detail and accuracy Effective communication and negotiation skills - Education: Bachelors degree in Finance, Business Administration, Insurance, or a related field. - Experience: Minimum of 1-2 years of experience in insurance underwriting, with a focus on KYC and AML compliance. - Skills: - Integrity and Ethics - Problem-Solving - Customer Focus - Teamwork - Punctual Salary - 3 LPA - 4.5 LPA + (Incentives) Interview Location - Gurugram (sector 44) Job Location - Gurugram If you interested in applying, kindly share your CV at- simranbagga@policybazaar.com or DM Resume on 9311501270

Role & responsibilities Generate revenue by making payment arrangements, collecting accounts and monitoring and pursuing delinquent accounts Collect delinquent accounts by establishing payment arrangements with patients, monitoring payments and following up with patients when payment lapses occur Utilize collection agencies and small claims courts to collect accounts by evaluating and selecting collection agencies, determining the appropriateness of pursuing legal remedies and testifies in court cases, when necessary Maintain Medicare bad-debt cost report

POSITION : - OFFICER DEPARTMENT : - BILLING REORTING TO : - HEAD - FINANCE & ACCOUNTS QUALIFICATION : - GRADUATE /B.COM PREFFERED EXPERIENCE : - MINIMUM 4 YEARS OF EXPERIENCE IN HOSPITAL BILLING JOB REPOSIBILITIES : - The person of this designation will be responsible for auditing/entering/modifying services in order to generate accurate patient bill as per the policies and protocols of the hospital in the TAT as described by the Billing Incharge /Manager/CFO. JOB DUITIES & RESPONSIBILITY : To ensure that bills are generated as per SOP. To ensure that outstanding follow-up is done regularly and any discrepancies in outstanding amounts, as described in policy, are immediately reported to the Billing Incharge / Manager / CFO. To ensure accurate billing as per the policies of the hospital. To ensure accurate credit billing as per the approved MOUs. To give estimates to the patient for Planned and Unplanned Cases. To track all offshoots in estimates and report to the Billing Manager. Giving OT clearance for Surgeries to be performed one day prior to the CFO. Rounds in the Night - Checking the files with reports for the patients and ensuring that all entries are been done. Ensure that all the entries are made in the billing and the rates are according to the ACI rates manual. Check list for Discharges and Check List for Night rounds to be done. Handling the queries of the relatives. If not available to solve the same informing to Billing In charge/Manager to solve the same. To assist the reporting head in different activities, as and when directed from time to time. Skill Sets: Verbal Ability Ability to comprehend verbal instructions given by the supervisor or head of the department. Other Skills Have an affinity for teamwork. Able to work accurately and with minimal supervision. Technical skills required for using and maintaining the various equipments and the computer. Ability to plan & organize ones work schedule effectively. Speaking and listening are essential requirements to understand and carry out the instructions given by the supervisors and other related departmental personnel. Contact Details : 022-62771143 / 9152104051 - Ms. NAUSHEEN & Mr. NISHANT Please email your credentials & CV on, hr@acicancer.com / hrchh@acihospitals.com

Bpo Hiring For Health Care Domain Voice Process 6.5 LPA Location Gurugram Only Graduates. No B.E./Btech/UG''s Minimum 1 Year of Voice Experience With International BpO MUST Pls Cal Dipankar @ 9650094552 Email CV @ jobsatsmartsource@gmail.com

We are hiring for International Healthcare Customer Support. Role & responsibilities : Handle outbound calls related to healthcare services within the US healthcare system. Proactively reach out to members to provide support, resolve issues, and ensure a positive experience. Identify and address varying levels of member complexity and communicate effectively. Ensure strict compliance with HIPAA regulations and other healthcare-related guidelines. Resolve member inquiries efficiently and professionally, escalating complex cases as required. Preferred candidate profile Proven experience in outbound voice processes, preferably in the US healthcare sector. Strong verbal and written communication skills with a focus on empathy and professionalism. International Customer support experience is a must. Should be comfortable to work from office Should be comfortable working in US shift. To apply share your cv at pragati.priya@careernet.in or Call/ Whatsapp @ Pragati on-9611595418