11556 Health Insurance Jobs - Page 39

Claims Data Mining/Programmer JD Collect, clean and process large volumes of claims data using advance data mining tools. Perform data mining and identify trends, patterns and correlations within the claims data. Identify discrepancies and inconsistencies in claim payments by analyzing data in comparison to the historical claims data. Design and implement automated data extraction and reporting processes. Develop Python/VBA macros and applications to automate reporting. Reporting and presenting findings in a clear and actionable manner. Skills/Experience: Good experience with data mining and data analysis. Proficiency in data analysis tools such as Python, SQL, VBA. Knowledge of health insur...

Job Summary: We are seeking a skilled Specialist to design, develop, configure, and test Pricing Configuration. This role encompasses areas such as Practitioner, Provider, Fee Component, Fee Schedule, and Service Category for Supplier Contracts (Hospital/Physician/Ancillary). Responsibilities include testing Institutional, Professional, and Dental claims to ensure the configuration approach aligns with these contracts, as well as ensuring timely maintenance and updates of configurations. Strong analytical skills, attention to detail, and effective communication with both technical and non-technical audiences are essential for this role. Key Responsibilities: Expertise in provider configurati...

Must knowledge of the UK insurance industry ( London Market ) Gathering and updating the data into the client systems Evaluate incoming applications, interpret necessary information for completing assigned tasks Indexing and filing of documents electronically on Provided Systems Contact relevant parties to obtain missing information (as necessary)

Job Title : Reporting Analyst Location: Kochi Terms: Full Time Requirement : Need to work in nightshift and Weekend if applicable About the Role : Medical Underwriting is the process wherein underwriter decides whether or not to insure risks for which request has been submitted Underwriter s task is to evaluate a risk on the basis of his/her medical history by referring medical guidelines Responsibilities : Assign tasks need to finish within deadline Maintain the quality in each task Need to be flexible to work on Saturday during high volume

Desirable SkillsAbility to read and comprehend English language in clear and precise mannerReasoning SkillsProblem SolvingEye for detailTechnical SkillsGood computer navigation skillsTyping speed of 25 Words per Minute with 95% Accuracy Basic knowledge of Microsoft Office, Outlook and ExcelProcess Specific SkillsCandidate should preferably have knowledge of US Life and Annuity InsuranceKnowledge of processing claims transactionsAbility to navigate multiple systems and applications Ability to produce high quality outcomes in a highly productive environmentSoft skillsAbility to work independentlyAbility to understand and question established process guidelines for possible process improvements...

Job Description Repricing Analyst Job Name: Repricing Analyst Position Title: Senior Executive Band: A2 Domain : Healthcare Reporting to: Assistant Manager Location/Site: EXL India, Chennai Overview: The main objective of this position is to validate, calculate, and accurately report any overpaid amounts in the system. As a Repricing Analyst, you will be analyzing claims to determine the precise overpaid amount and recording the outcomes in the client/internal system. Your contribution to these tasks will help us maintain the accuracy and integrity of our clients financial records. Qualifications: Any Graduate/ Postgraduate Working Hours: 40 hours /week, Full Time Employee Telecommuter/Inter...

Must knowledge of the UK insurance industry ( London Market )Gathering and updating the data into the client systemsEvaluate incoming applications, interpret necessary information for completing assigned tasksIndexing and filing of documents electronically on Provided SystemsContact relevant parties to obtain missing information (as necessary)

Proficient with English language Resources having prior experience, preferably insurance US Shifts Back-office processing Basic computer and keyboard skills Numerical ability Good comprehension skill MS Office skills Team player Quick learner Should be able to read and comprehend request

Job Title: NLP Researcher/Engineer About EXL Health Payments Analytics Who are we: EXL Service is a NASDAQ listed global analytics and digital solutions company with $1Billion+ revenue serving industries including insurance, healthcare, banking and financial services, media, retail etc EXL Health contributes to $300M+ of which the Payment Integrity business contributes to $160M+ We are hiring for the EXL Health Payment Integritys Analytics Center of Excellence (ACOE) team in Chennai: We are passionate individuals with growth/startup mindset to experiment, fail fast, learn, and contribute to our 5-fold growth story of 100M to 500M in 5 years Our typical day: We are considered as a Digital ACO...

Working closely with product owners, other backend (Java Python) engineers, data scientist and other business members to translate requirements into we'll-engineered solutions Architect, design, test, implement, deploy, monitor and maintain end-to-end backend services. You build it, you own it mentality. Integrate already trained ML models in some of the services you develop. Work with people from other teams and departments on a day to day basis to ensure efficient project execution with a focus on delivering value to our members. Regularly aligning your team s vision and roadmap with the target architecture within your domain and to ensure the success of complex multi domain initiatives WH...

As the Lead Product Manager for Support Experiences , you will own the end-to-end vision, strategy, and execution for what truly best-in-class member support looks like at Tide. This is a pivotal role that requires a keen design eye, the ability to build a compelling target state, and the hands-on drive to make that vision a reality across all our markets. Key Responsibilities: Define and Drive the Vision: Create a compelling, ambitious, and member-centric product vision for Tide s support experience. You will be the internal champion for how support can be a key driver of member satisfaction and retention. Strategy and Roadmap: Develop a comprehensive product strategy and maintain a clear, ...

Candidate Should Have Good Communication Skills Candidate Must Be Graduate Candidate Should Have 6 Months Of Sales Experience Candidate Should Have 2 Wheeler Interested Candidate Can Call & Whatsaap- HR Kavita 9318460257

TATA AIG General Insurance Company Limited is looking for Relationship Manager - Key Partnership Group to join our dynamic team and embark on a rewarding career journey Maintaining a deep knowledge of company products and services. Building and maintaining strong relationships with prospective and existing clients. Researching and pursuing new business opportunities. Identifying clients' needs and requirements and proposing suitable solutions. Providing clients with comprehensive product/service consultations and guiding their decision-making process. Upselling and cross-selling products/services to clients. Resolving complaints and issues efficiently and in a timely manner. Meeting sales/re...

Project Planning and Execution: Assist in developing detailed project plans, timelines, and budgets. Track project progress and identify potential risks and issues. Coordinate with various teams, including training delivery, logistics, and finance. Ensure timely completion of project deliverables. Logistics and Coordination: Manage participant registrations and communications. Handle all logistical aspects of training programs, including travel arrangements and accommodation. Post-Program Evaluation: Collect and analyze participant feedback. Prepare post-program reports and identify areas for improvement. Administrative Tasks: Maintain accurate project documentation and records. Prepare repo...

We are looking for a Content Writer Intern who is passionate about creating clear, user-friendly content. As an intern, you will gain hands-on experience in developing technical documentation that helps users understand and use products effectively. You will collaborate with developers, product managers, and other teams to learn how to transform complex concepts into simple, engaging content. Responsibilities: Assist in creating and maintaining user manuals, product guides, FAQs, and online help content . Support the team in drafting API documentation and updating product features. Work with developers and product managers to understand technical details . Simplify complex information into e...

Experience - 3+ years in B2B sales Role Responsibilities: Developing and executing sales plans to meet and exceed monthly and quarterly sales goals. Growing business through the development of new leads and new contacts. Procuring new clients through direct contact, word-of-mouth, and collaboration with the marketing department. Provide end to end business development support to the brand. Negotiating with clients to secure the most attractive prices. To identify new business opportunities and set up meetings Building business relationships with potential clients. Directly oversee the growth of assigned markets and clients. Demonstrate outstanding planning and time management abilities. Main...

The Manager - Resource Management will closely work with the Senior Leadership to consolidate the demand from various projects (including skillsets and duration) and would be responsible for staffing the resources as per the demand and ensuring the assigned team size is maintained across projects. What You will do: Guide the Resource Management team to consolidate the demand for resources from various projects teams along with skillset requirements by leveraging the staffing tool and work closely with the Senior Management team. Ensure the project and resource information on the staffing tool is up to date and accurate real- time. Leverage the internal staffing tool to setup staffing process...

To support our extraordinary teams who build great products and contribute to our growth, we're looking to add an Technician SMT in Chennai, India. What a typical day looks like: Initiate implement actions for continuous monitoring and improvement of SMT process in accordance with customer requirements, technical specifications of equipment and internal procedures; Provide testing and inspection activities, reports to customers. Manage development projects that are designed to meet customer product specifications. Develop, test and implement new materials and processes for improved performance and/or lower cost and lead cost reduction efforts in assigned process areas. Lead initiatives to in...

Process invoices as per the standard operating procedures and meet the targets. Resolve discrepant invoices as per the standard operating procedures. Reporting activities - Generate and update the AP. Passing rectification entries for the errors identified by internal QC team Perform quality Check Select Invoices for payment and release as per the standard operating procedures . Create / Update Vendor Master records based on Standard operation procedures. Must provide Innovative ideas to improve process The experience we're looking to add to our team: B.com / BBA(Finance) / M.Com / MBA(Finance). Good understanding on MS applications. 0-1 Year Exp in Accounting /AP Domain Good knowledge of ac...

To support our extraordinary teams who build great products and contribute to our growth, we're looking to add a Sr. Subject Matter Expert Procurement position will be based in Chennai Location: A purchasing professional who can quickly and accurately process purchase orders in a fast paced environment. Has excellent stake holders service skills and works we'll in a team to consistently meet challenging performance targets. What a typical day it looks like : Timely issuance of POs to Vendors, follow-up for order confirmation and co-ordination for on time payment to suppliers. Coordinating with vendors for actual delivery status of material On time completion of Open Purchase Order Report and...

Maintaining relations with the suppliers. Placing orders for necessary raw materials and purchased parts according to the requirements of the production. Receiving and handling the confirmations. Checking the purchase orders and modifying them according to the changes in the production plan with the help of the Shortage List and the Open Purchase Order List. Tracking shipments, urging them if needed. Regular, weekly check of the stocks, avoiding overstock. Minimizing the risk of obsolescence with the help of the weekly check of the obsolete report. Correspondence with the freight forwarders, warehouses, and in case organizing the transportation. Dealing with claims, settling debit and credit...

Responsibilities Architect and build end-to-end backend services and APIs. Integrate with external systems such as insurers, payment gateways, and other partners. Ensure high observability, performance, and reliability across systems. Write clean, reusable, and maintainable code with a focus on scalability. Implement comprehensive test coverage and maintain code quality. Manage database design, migrations, scripting, and administration. Experience & Skills 3+ years of experience in backend development. Hands-on experience with low-level & high-level system design . Proven experience building scalable, secure backend systems (APIs, middleware, caching). Proficiency in Python, Django, Django R...

Agency Channel Position: Sales Manager Exp- Minimum 1 years in Life insurance Work Locations - Delhi /Gurgaon CTC : 3 to 6 Lac Profile- Recruit and team handling of Agents and sell life insurance

Associate Allied Chemicals (India) Pvt. Ltd. (AACIPL) is a leading distributor of aroma chemicals, essential oils, and specialty ingredients, catering to the fragrance, flavor, personal care, and home care industries. We are actively expanding our footprint and are seeking a passionate and organized Sales Manager to lead our sales initiatives across India. Tasks Role Overview We are looking for a results-driven Sales Manager with extensive experience in aroma chemical sales to join our team. This role involves building and maintaining strong B2B relationships, identifying new business opportunities, and managing accounts across India. Key Responsibilities Manage and grow existing customer ac...

Position : Scrum Master Immediate joiner Location : Hyderabad Mode: Hybrid Exp : 10 years Act as a servant leader and Agile coach to one or more Scrum teams. Facilitate Scrum ceremonies: Sprint Planning, Daily Stand-ups, Sprint Reviews, and Retrospectives. Guide the team on Agile/Scrum principles, and help them become self-organizing and high-performing. Identify, track, and help remove impediments and blockers. Collaborate with Product Owners to ensure a healthy, prioritized backlog. Monitor sprint progress using metrics like velocity, burndown charts, and cumulative flow diagrams. Shield the team from external disruptions and distractions. Foster a culture of continuous improvement by cond...