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6.0 - 9.0 years

8 - 11 Lacs

Chennai

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Naukri logo

Role Summary: This job provides expertise for standard to moderately complex problem solving and in-depth understanding of system functionality. The incumbent reviews significant amounts of information and analyzes processes to support business unit needs. May troubleshoot errors, conduct impact analyses, and/or solve data rejection. Performs business analyses in one or more operational areas. Identifies process gaps and recommends process improvements for efficiencies. May provide guidance to Associate level employees. Essential Responsibilities Analyze Claims Tickets - Research/analyzes provider/Claims issue at hand Determines if provider/claim specific or global issue Actions taken could be ticket submissions to HMHS, pricing updates, provider file updates, collaboration with various internal stakeholders or Provider Relations, communications sent to Operations on global issues Requests cleanup report once issue is corrected, if required Follows cleanup through completion and notifies Provider Relations Facilitate process improvement meetings and/or discussions. Analyze the functions and operations of a business area/function and identify problem areas. Create process mapping and document current and future state business processes. Recommend process efficiencies, strategies for improvement, and/or solutions to align technology with business strategies Assist in the development of desktop procedures and/or training material. Coordinate, monitor, and report on the progress of clean-up projects to ensure adherence to defined project schedule Communicate effectively with customers and colleagues. Successfully articulate issues, problems, and solutions. The experience we are looking to add to our team require: 6-8 years experience in Claims and Adjustments in Federal Employee Program (FEP) business Skills: Business Analysis skills Claims and Adjustment subject matter expertise Can adjudicate and adjust the claims Bluecard Home and Host knowledge Strong claims research skills are a must High level of systems and business knowledge Knowledge of INSINQ, Oscar, OCWA, CPBRE (Oscar Benefits), FEP Direct Business Process Improvement Collaborative Problem Solving Excellent analytical and problem-solving skills Bachelors or masters degree in any discipline Good verbal and written skills Good analytical and interpersonal skills Exceptional people management Good to have: AHM or any equivalent certification Additional quality/operational certifications Business acumen on Adjustments and Offset/Recovery

Posted 6 days ago

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3 - 7 years

5 - 9 Lacs

Bengaluru

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Role based in BSv organisation. Leveraging deepening knowledge of one or more R2A processes (record, report, analyze etc), Record to Analyze Process Experts participate of in or lead the achievement of service levels, key measurement targets of the team and delivers a high quality and cost-effective service that drive compelling business outcomes. They support the delivery of a customer focused and compliant services through the adoption of frictionless finance, practice processes, technologies, methodologies which drive innovation and process improvements. Their domain expertise means they are responsible for processing non complext to complex transactions, resolving the standard process related issues, preparation and finalization of the period and close activities and reporting (including the interactions with Clients Financial Controllers) and performing the reconciliations. Job Description - Grade Specific Responsible for processing complex transactions, resolving the standard process related issues, preparation and finalization of the period and close activities and reporting (including the interactions with Clients Financial Controllers) and performing the reconciliations. The responsibilities will include, but will not be limited to:Preparation (calculation) and processing of complex General Ledger Journals, Accruals, Provisions, allocations and other entries according to the schedule and agreed Client Desktop ProceduresInitiation of accounting entries based on the non standard events and accounting rules not directly described in the Desktop Procedures, but resulting from other Policies and Accounting ManualsProcessing of fixed asset related entries, based on the requests and according to schedule and agreed Client Desktop ProceduresMonitoring of fixed assets related transactions and budgets and contacting the fixed asset owners to initiate the fixed asset capitalizationProcessing of bank statements on daily basis and reconciliation of bank related accounts, as well as clearing and monitoring the sub bank accountsReconciliation of intercompany transactions and agreement of Intercompany balances with counterpartiesInitiation and execution of Intercompany netting / settlementsPreparation and execution of Period End Close related activities according to agreed time table and procedures Monitoring of Period End Close progress, interacting (and escalating if required) with Clients Finance Controllers or Process Owners to ensure timely closure and reportingReconciliation of low/medium risk balance sheet accounts and review and approval of low risk reconciliationsPreparation of operational reports from the area of expertiseInitiation and monitoring of automated transactions, i.e. FX valuation or depreciationPreparation of data for financial, management and treasury reporting moving the data from source systems (ERP) to reporting and consolidation systemsReview and finalization of financial, management and treasury reportingPreparation of tax and statutory reportingExecution, monitoring and testing of financial controls, as per Client Controls Framework

Posted 3 months ago

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7 - 9 years

9 - 11 Lacs

Bengaluru

Work from Office

Naukri logo

Reviewing and approving of General Ledger Journals, Accruals, Provisions, allocations and other entries according to the schedule and agreed Client Desktop Procedures Initiation of accounting entries based on the non standard events and accounting rules not directly described in the Desktop Procedures, but resulting from other Policies and Accounting Manuals Reviewing of fixed asset related entries, based on the requests and according to schedule and agreed Client Desktop Procedures Monitoring of fixed assets related transactions and budgets and contacting the fixed asset owners to initiate the fixed asset capitalization Reviewing of bank statements reconciliations, as well as balances on the sub bank accounts Primary Skills: Monitoring the status of Intercompany netting / settlements Preparation and execution of Period End Close related activities according to agreed time table and procedures Monitoring of Period End Close progress, interacting (and escalating if required) with Clients Finance Controllers or Process Owners to ensure timely closure and reporting Secondary Skills: Preparation of Period End Reporting packs (i.e. Trial Balance review) and its review and sign off with Clients Financial Controllers Reconciliation of medium / high risk balance sheet accounts and review of low/medium risk reconciliationsial controls, as per Client Controls Framework

Posted 3 months ago

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