2030 Claims Processing Jobs - Page 38

Responsibilities: Ensure timely claim settlements within policy limits. Manage health claims from intake to payment. Process mediclaim & TPA claims with accuracy. Collaborate with insurers on claim resolution. Health insurance Annual bonus

Dear Candidate, Greetings from NTT DATA. We are happy to take your profile for a wonderful career with NTT DATA. Job Title: HC & Insurance Senior Associate (Claims Adjudication/Processing) Experience: 3 - 5 Years of relevant experience in Claims adjudication Skillset: HIPAA. ICD, CPT Codes, Medicare, Medicaid, Copay & Coinsurance Shift: Night Shift Work Location: Chennai - DLF Cybercity Mode of Work: Work From Office Positions General Duties and Tasks: • Process Insurance Claims timely and qualitatively • Meet & Exceed Production, Productivity and Quality goals • Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities • Analyze customer queries to provide timely response that are detailed and ordered in logical sequencing • Cognitive Skills include language, basic math skills, reasoning ability with excellent written and verbal communication skills • Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing • Continuous learning to ramp up on the knowledge curve to be the SME and to be compliant with any certification as required to perform the job • Be a team player and work seamlessly with other team members on meeting customer goals • Developing and maintaining a solid working knowledge of the insurance industry and of all products, services and processes performed by Claims function • Handle reporting duties as identified by the team manager • Handle claims processing across multiple products/accounts as per the needs of the business Requirements for this role include: • Both Under Graduates and Post Graduates can apply. • Excellent communication (verbal and written) and customer service skills. • Able to work independently; strong analytic skills. • Detail-oriented; ability to organize and multi-task. • Ability to make decisions. • Required computer skills: must have experience with data entry and word processing, possess a working knowledge of MS Office applications, and understand how to navigate through web-based applications. • Demonstrate strong reading comprehension and writing skills. Cognitive Skills include language, basic math skills, reasoning ability and verbal communication skills. • Ability to work in a team environment. • Handling different Reports - IGO/NIGO and Production/Quality. • To be in a position to handle training for new hires • Work together with the team to come up with process improvements • Strictly monitor the performance of all team members and ensure to report in case of any defaulters. • Encourage the team to exceed their assigned targets. • Candidate should be flexible & support team during crisis period • Should be confident, highly committed and result oriented • Experience on working in an office environment set up utilizing Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools • Experience in a professional/office related role that required you to communicate (oral/written) effectively with internal team members and external customers • Experience in a role that required a focus on quality including attention to detail, accuracy, and accountability for your work product • Candidate should be flexible to work from home and office environment. Broadband connection is must while working from home. Preferences for this role include: • 5+ years of experience processing insurance claims in the health, life, or disability disciplines that required knowledge of CPT, HCPCS, ICD9/10, CDT. • 2+ year(s) of experience in role that required understanding and interpreting complex documents such as medical records and legal contracts. ***Required schedule availability for this position is Monday-Friday 6PM/4AM IST. The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekends basis business requirement.

Positions General Duties and Tasks: Process Insurance Claims timely and qualitatively Meet & Exceed Production, Productivity and Quality goals Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities Analyze customer queries to provide timely response that are detailed and ordered in logical sequencing Cognitive Skills include language, basic math skills, reasoning ability with excellent written and verbal communication skills Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing Continuous learning to ramp up on the knowledge curve to be the SME and to be compliant with any certification as required to perform the job Be a team player and work seamlessly with other team members on meeting customer goals Developing and maintaining a solid working knowledge of the insurance industry and of all products, services and processes performed by Claims function Handle reporting duties as identified by the team manager Handle claims processing across multiple products/accounts as per the needs of the business Requirements for this role include: Both Under Graduates and Postgraduates can apply. Excellent communication (verbal and written) and customer service skills. Able to work independently; strong analytic skills. Detail-oriented; ability to organize and multi-task. Ability to make decisions. Required computer skills: Must have experience with data entry and word processing, possess a working knowledge of MS Office applications, and understand how to navigate through web-based applications. Demonstrate strong reading comprehension and writing skills. Cognitive Skills include language, basic math skills, reasoning ability and verbal communication skills. Ability to work in a team environment. Handling different Reports - IGO/NIGO and Production/Quality. To be in a position to handle training for new hires Work together with the team to come up with process improvements Strictly monitor the performance of all team members and ensure to report in case of any defaulters. Encourage the team to exceed their assigned targets. Candidate should be flexible & support team during crisis period Should be confident, highly committed and result oriented Experience on working in an office environment set up utilizing Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools Experience in a professional/office related role that required you to communicate (oral/written) effectively with internal team members and external customers Experience in a role that required a focus on quality including attention to detail, accuracy, and accountability for your work product Candidate should be flexible to work from home and office environment. Broadband connection is must while working from home. Preferences for this role include: 3+ years of experience processing insurance claims in the health, life, or disability disciplines that required knowledge of CPT, HCPCS, ICD9/10, CDT. 2+ year(s) of experience in role that required understanding and interpreting complex documents such as medical records and legal contracts. ***Required schedule availability for this position is Monday-Friday 6PM/4AM IST . The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekends basis business requirement."

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

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.

Job description Hiring for US Healthcare- Claims and premium billing with experience between 2 to 3 years Mandatory Skills: US healthcare, Claims and Billing Education: BE/B.Tech/MCA/M.Tech/MSc./MS 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!

POSITION: MEDICAL OFFICER/CONSULTANT PA/RI APPROVER PURPOSE OF ROLE: To scrutinize and process the claims within the agreed TAT by having an understanding of the policy terms & conditions while applying their domain medical knowledge. Designation Function Medical Officer/Consultant Claims PA/RI Approver Reporting to Location Assistant Manager Claims Mumbai Educational Qualification Shift BHMS, , BAMS, MBBS(Indian registration Required) Rotational Shift (for female employee shift ends at 8:30 PM) 6 rotational week offs Provided per month Week offs Related courses attended None Management Level Junior Management Level Industry Type Hospital/TPA/Healthcare/Insurance Roles and 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. • • • Responsibilities 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. • • • • Error-free processing (100% Accuracy) Maintaining TAT Productivity (Achieve the daily targets) Key Results and Outcomes driven by this role: 0- 5 years Relevant Experience No of years of experience 0-5 years None Demonstrated abilities if any Technical Competencies • Analytical Skills • • Basic Computer knowledge Type writing skills • • Communication skills Decision Making Behavioral competencies

POSITION: MEDICAL OFFICER/CONSULTANT PA/RI APPROVER PURPOSE OF ROLE: To scrutinize and process the claims within the agreed TAT by having an understanding of the policy terms & conditions while applying their domain medical knowledge. Designation Function Medical Officer/Consultant Claims PA/RI Approver Reporting to Location Assistant Manager Claims Mumbai/Bangalore Educational Qualification Shift BHMS, , BAMS, MBBS(Indian registration Required) Rotational Shift (for female employee shift ends at 8:30 PM) 6 rotational week offs Provided per month Week offs Related courses attended None Management Level Junior Management Level Industry Type Hospital/TPA/Healthcare/Insurance Roles and 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. • • • Responsibilities 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. • • • • Error-free processing (100% Accuracy) Maintaining TAT Productivity (Achieve the daily targets) Key Results and Outcomes driven by this role: 0- 5 years Relevant Experience No of years of experience 0-5 years None Demonstrated abilities if any Technical Competencies • Analytical Skills • • Basic Computer knowledge Type writing skills • • Communication skills Decision Making Behavioral competencies

Davies is seeking a highly organised and self-motivated professional to join our Life & Health team as an Administrator Team Leader. In this role, you will provide leadership, guidance, and direction to a dedicated team, ensuring the achievement of key results and operational excellence. Your responsibilities will include overseeing document indexing, imaging, quality audits, data entry and the review of Proof of Loss (POL), as well as processing policy documents and claims. You will play a critical role in handling sensitive files and processing essential documents to support our US operations. This is an excellent opportunity for a proactive and detail-oriented individual looking to make an impact within a dynamic and collaborative environment.

Role & responsibilities: Outline the day-to-day responsibilities for this role. Preferred candidate profile: Specify required role expertise, previous job experience, or relevant certifications.

Role & responsibilities Outbound calls to insurances for claim status and eligibility verification Denial documentation and further action Calling the insurance carriers based on the appointment received by the clients. Working on the outstanding claims reports/account receivable reports received from the client or generated from the specific client software. Calling insurance companies to get the status of the unpaid claims. Willing to work in any process pertaining to voice based on the requirement (Insurance Follow UP, Patient calling, Provider outreach program etc. Maintain the individual daily logs. Performs assigned tasks/ completes targets with speed and accuracy as per client SLAs Work cohesively in a team setting. Assist team members to achieve shared goals. Compliance with Medusinds Information Security Policy, client/project guidelines, business rules and training provided, companys quality system and policies • Communication / Issue escalation to seniors if there is any in a timely manner Preferred candidate profile 0-3 months in any international call center. Minimum typing speed of 35 WPM • Basic knowledge of MS Office Preparing spreadsheets and documents • Good Communication skills – must be able to fluently converse in English. • Must have a neutral accent • No stammering and lisp Interested candidates can forward their resume on neha.prajapati@medusind.com

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. Work From Office only Interested candidates can share their CVs to Dona- 9632777628

I am hiring for this position for one of our Life Insurance clients. Role & responsibilities Prudent claim Assessment and management of end-to-end claim settlement /repudiations, including Life, Group claims Coordinate with Reinsurers /sales/customers for closure of claims within the regulatory framework and timelines Direct and oversee the maintenance of complete and accurate claim management records. Managing the claim teams on day-to-day claims transactions, guidance on claims philosophy, regulatory, and audit procedures Ensuring daily claim deliverables are met and claims decisions within prescribed SLA with quality Ensure customer centric approach while delivering sensitive area of death claims. Accuracy and Speed in delivery Customer satisfaction Quality in claims assessment/approvals Preferred candidate profile Graduate with required communication skills, A minimum of five to seven years progressively responsible previous insurance industry experience. Life Insurance domain knowledge Decision-making skills. MIS, MS Excel, Workflows , Group Asia and Life Asia system knowledge

Finance Analyst Accounts Receivable Client Finance - JLL Business Service (Gurugram) What this job involves: Analysing cash/amount received in the bank deposits and making the application against the tenant accounts Analyse and research tenant ledgers history against the over/short payments. Query handling working on all queries received and keeping a close tab on any pending queries that could be resolved and following up on the rest. Contact accountants and Property teams whenever necessary to determine the proper payment application. Research and analyse duplicate and erroneous payments. Escalate unresolved issues/concerns. Assist in training new employees as needed. Working on different process-related and ad-hoc reports Keeping all the process-related documents intact on a real-time basis Sounds like you To apply, you need to have the following: Employee Specifications Strong Finance background, Commerce graduate or Post Graduate is preferred. Minimum 0-2 years of experience in Order to Cash, specifically Cash Application role is preferable. Strong analytical skills with attention to detail and logical thinking and carry a positive attitude to develop solutions quickly Strong interpersonal skills Demonstrated consistency in values, principles, and work ethics Working knowledge of MS Office (MS Word, Excel, PowerPoint, Outlook) required Performance Objectives Works within established procedures with a moderate degree of supervision Identifies the problem and all relevant issues in straightforward situations, assesses each using standard procedures, and makes sound decisions

About The Role As a Life and Annuity Insurance Specialist, you will be responsible for managing and overseeing life and annuity insurance policies for clients. You will work closely with clients to assess their insurance needs, provide recommendations, and ensure they have the appropriate coverage in place. This role requires a strong understanding of life and annuity insurance products and regulations. Responsibility Evaluate clients" insurance needs and recommend suitable life and annuity insurance products Manage and maintain existing insurance policies, including processing claims and policy changes Stay up-to-date on industry trends, regulations, and best practices in life and annuity insurance Provide excellent customer service by addressing client inquiries and concerns in a timely and professional manner Collaborate with underwriters and other insurance professionals to ensure accurate policy issuance and coverage Qualifications Bachelor's degree in Finance, Business, or related field 4-8 years of experience in life and annuity insurance Strong knowledge of life and annuity insurance products and regulations Excellent communication and interpersonal skills Detail-oriented with strong analytical abilities,

Understand the US P&C Insurance / Claims function end to end. FNOL Pre-Adjudication like Coverage Verification, Indexing Subrogation and Salvage Document Management Loss Run Should have a basic understanding of the insurance policy and Claim life cycle. Good to have knowledge of end-to-end Claims function/Insurance life cycle Must have good knowledge of insurance terms premium, deductibles, claim etc Good written and verbal communication, and a team player Strong analytical skills Analyses and synthesizes information/makes decisions based on policies. Responsible and dedicated to meet the clients expectations. Prioritizes tasks in order of importance. Key Responsibilities: › Review requests of FNOL thoroughly of different LOB’s receives from client › Verify coverage and other details from policy document if the received claims is a legitimate one › Highlighting data concerns like missing/incomplete data to the claim examiners › Record claim information in system and generate unique claim no. for future related communication › Process the claim payments › Do a deep quality check of team members’ work › Knowledge of detailed end to end claim lifecycle › Create loss run report as requested by UW, insured & brokers etc. › Closing claims as requested by claim examiners › Work on client ad-hoc request › Support on MIS/data reporting activities Qualifications: Graduates Any P&C Insurance certificate from reputed institute is an added advantage Proficiency in Microsoft Office (Word, Excel, and Outlook) Role & responsibilities Preferred candidate profile

The candidate must have completed BHMS, BAMS, or BUMS from a reputed university." Experience : 0 to 2 years Locations : Bangalore, Chennai and Mumbai / Pune Role & responsibilities To give Claims & Cashless/preauthorization, and scrutiny Medical Reimbursement Claims, and to Process Claims Third Party Administration (Health) services (TPA) Claims and Preauthorization Processing HealthCare Assistance Services High Ratio Claims Management in coordination with Networking and Empanelment Department Monitoring the overall operations of Claims and Preauthorization. Responsible for ensuring efficient response at the level of Preauthorization to maintain TAT. Ensure adherence to processes and controls. Creating the process for claim processing (Cashless and Reimbursement). Co-ordination between Network Hospitals/Preauthorization/Claims. Ensuring a high-quality patient care at customized/optimized cost. Creating the process for claim processing (Cashless and Reimbursement). Preferred candidate profile • Good Excellent oral and written communication, negotiation, and decision-making skills. • Good customer service/relationship skills and ability to work effectively in a fast-paced environment with shifting priorities . Must be willing to work in non - clinic

Designation/ Role: Trainee Department: Accounts Receivable Work Timing: Night Shift Qualifications: Minimum HSC/10+2 Equivalent (Any Graduate Preferred) Skills: Good verbal and written communication Skills. Able to build rapport over the phone. Strong analytical and problem-solving skills. Be a team player with positive approach. Good keyboard skills and well versed with MS-Office. Able to work under pressure and deliver expected daily productivity targets. Ability to work with speed and accuracy. Medical billing AR or Claims adjudication experience will be an added advantage. Experience 01-year experience US calling process will be an added advantage. Job Description The job involves an analysis of receivables due from healthcare insurance companies and initiation of necessary follow-up actions to get reimbursed. This will include a combination of voice and non-voice follow-up along with undertaking appropriate denial and appeal management protocol. Job Responsibilities 1) Analyses outstanding claims and initiates collection efforts as per aging report. So that claims get reimbursed. 2) Undertakes denial follow-up and appeals work wherever required. 3) Documents and takes appropriate action of all claims which has been analyzed and followed-up in the clients software. 4) Build good rapport with the insurance carrier representative. 5) Focuses on improving the collection percentage. Desired Qualities Behavior: Discipline, Positive Attitude & Punctuality

About The Role Project Role : Business Analyst Project Role Description : Analyze an organization and design its processes and systems, assessing the business model and its integration with technology. Assess current state, identify customer requirements, and define the future state and/or business solution. Research, gather and synthesize information. Must have skills : GuideWire Integration Good to have skills : NAMinimum 2 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As a Business Analyst, you will engage in a variety of tasks that involve analyzing organizational processes and systems. Your typical day will include assessing the current state of business models, identifying customer requirements, and defining future states or business solutions. You will conduct research, gather data, and synthesize information to support decision-making and improve integration with technology, ensuring that the organization meets its strategic goals effectively. Roles & Responsibilities:- Expected to perform independently and become an SME.- Required active participation/contribution in team discussions.- Contribute in providing solutions to work related problems.- Facilitate workshops and meetings to gather requirements and feedback from stakeholders.- Document business processes and create detailed specifications for system enhancements. Professional & Technical Skills: - Must To Have Skills: Proficiency in GuideWire Integration.- Strong analytical skills to assess business processes and identify areas for improvement.- Experience with process mapping and documentation tools.- Ability to communicate effectively with both technical and non-technical stakeholders.- Familiarity with project management methodologies. Additional Information:- The candidate should have minimum 2 years of experience in GuideWire Integration.- This position is based at our Gurugram office.- A 15 years full time education is required. Qualification 15 years full time education

Manage the company's Accounts Payable approval workflow to ensure invoices are properly coded, routed to approvers, and timely paid Responsibilities Direct Responsibilities 1. Process expense claims or invoices as per given process & policies 2 Process invoices with high accuracy & TAT. 4 Should be able to identify process risk & provide desire solutions to mitigate the risk. 5 Able to manage clients query & provide them solutions to their issues 6. Have the ability to think creatively on process improvements. 7. Knowledge of India accounting & SAP will be advantage. Contributing Responsibilities Willingness to take initiatives and take ownership of work Have the ability to think creatively on process improvements Flexible to work in shift Technical & Behavioral Competencies 1) Eye for details 2) Email Communication is mandatory 3) Ability to work under pressure 4) Comfortable with basic office tools (MS Word, Outlook) Specific Qualifications (if required) - B.Com Skills Referential Behavioural Skills : Communication skills - oral & written Ability to synthetize / simplify Choose an item. Decision Making Transversal Skills: Ability to anticipate business / strategic evolution Ability to understand, explain and support change Ability to develop and adapt a process Choose an item. Choose an item. Education Level: Bachelor Degree or equivalent Experience Level At least 1 year

Experience in BPO Industry- International Voice only Team Leader - Healthcare process voice Excellent Comms

What this job involves: Responsibilities: Daily Cash Application. Handle mailbox for request and query management Perform daily transactions as per standard operating procedures Allocating work to the team and ensuring service delivery as agreed norms and SLAs Creation of Statement of Accounts and Refund Packets Update process documents and capture the exceptions while processing as and when required Provide support during internal/ external audits Provide new hire orientation and process training Ability to multi-task and work in a dynamic and fast paced environment Team player and yet able to work independently Perform other duties assigned as and when required i.e. process improvement initiatives, system implementation and ad-hoc projects Sounds like you To apply, you need to have: Requirements: Ability Degree in Accounting or relevant professional accountancy qualification. Open to all shift timings. Minimum 18 months of experience at current role within JLL. Preferably, 0-3 years of working experience in AR in MNC. Good knowledge of Accounts Receivable is an added advantage. Ability to multi-task and work in a dynamic and fast paced environment Team player and yet able to work independently.

Manager Membership Location-Noida Designation-Membership Manager Experience-6- 12 Years Job Details/ Criteria Basic Functions/ Job Responsibility: Will be responsible for a portfolio of key members, building strong relationships and acting as a single point of contact for their requirements. Proactively manage and nurture member relationships, understanding their specific requirements and challenges to deliver exceptional service and engagement. Develop trusted relationship with senior leaders and CXOs of the organizations. Develop and implement strategies to drive member engagement with nasscom initiatives, events, and programs. And execute planned initiatives. Track and analyse key member engagement metrics, generating reports and insights to inform strategic decision-making. Help new companies to set up work in India by providing them details about the industry, talent, landscape etc. and connect them to relevant key stakeholders. Actively participate in and support various initiatives, ensuring seamless execution and member satisfaction. Work on acquiring new members in the region, who align with nasscom and members ecosystem. Continuously learn to build an understanding of the technology and services industry, digital transformation, emerging technologies and growth path going ahead. Knowledge, Skills, Qualifications, Experience: Minimum 7 years of experience in sales or consulting or technology. Good understanding of account management and relationship management. Excellent communication, interpersonal, and presentation skills. Ability to research, identify new prospects, market intelligence capabilities. Preferably an MBA/Masters degree in technology and/or business management. Good understanding of Tech Ecosystem preferred. Ability to work independently and as part of a team.

Holy Spirit Hospital,Andheri is looking for Nursing Lecturer/Tutor to join our dynamic team and embark on a rewarding career journey Deliver lectures, seminars, and tutorials in assigned subjects, ensuring clarity, engagement, and alignment with academic standards Prepare course materials, lesson plans, assignments, and assessments based on the curriculum and learning outcomes Evaluate student progress through exams, projects, presentations, and participation, providing timely feedback and guidance Conduct academic research and contribute to publications, conferences, or institutional projects as required Provide academic mentoring and career guidance to students, supporting their intellectual and professional development Collaborate with faculty members on curriculum development, interdisciplinary teaching, and quality enhancement initiatives

About the role : We are looking for a Dedicated Claims Specialist with a strong background in medical and health insurance, particularly in group medical corporate policies . The ideal candidate should have 2-4 years of experience in claims processing or CRM roles. Key Responsibilities: Handle end-to-end processing of reimbursement claims for group medical corporate policies. Provide excellent customer service by addressing claims-related queries via Freshchat, Ozontel, and Freshdesk. Analyze medical documentation, policy terms, and conditions to ensure accurate claim assessment and processing. Liaise with internal teams, insurers, TPA s, and hospitals to ensure seamless claims settlement and timely resolutions. Manage claims escalations, ensuring prompt resolution while maintaining a customer-centric approach. Required Skills: In-depth knowledge of corporate group medical insurance policies and claims processing. Ability to understand medical terminology, treatment procedures, and health-related documentation. Proficient in Ozontel, Freshdesk, or similar customer support and claims management tools. Strong communication and problem-solving skills to manage customer relationships and resolve issues effectively. Attention to detail to ensure accuracy in claim processing and documentation review. Ability to collaborate effectively with cross-functional teams, including insurance partners and hospital networks. Qualifications: Bachelor s degree in healthcare, insurance, or related field preferred. 2-4 years of experience in claims processing, CRM role preferably within group medical corporate policies.