11476 Health Insurance Jobs - Page 9

Medical Claims Review Senior Analyst/Medical Advisor The Medical Advisor is a member of the medical team which develops and manages health and wellness programs for Cigna customers. Together with a team of nurses and physicians she/he will ensure attainment of quality, production, timeliness, cost containment goals, and excellent customer satisfaction for both internal and external customers. Ability to review, investigate, and respond to external and internal inquires/complaints. Provides guidance and acts as a mentor or coach for the nurses and other non-clinical staff. He/she works with a multicultural population and is constantly aware of the cultural differences among that population an...

As a Operations Executive at SmartQ, your primary goal will be to take responsibility for managing and optimizing the day-to-day operations to ensure efficiency, quality, and alignment with the overall strategic goals of the organization. In addition, you must be adept at strategic planning, team leadership, and problem-solving to navigate the complexities of operational management. Do you possess all these skills and wish to make an impact in the world of food and technology? Join us now! By guiding associates and promoting the utilization of the digitized platform, communicate the benefits and convenience of the SmartQ ordering APP, including associated offers. Drive the adoption process b...

Quantify PPH burden and drivers across the insured population, implement a reproducible prospective data pipeline for routine monitoring, and track PHC performance under the new capitation model through validated KPIs and dashboards that support payment reconciliation, provider feedback, and policy decisions. Scope of Work Design and implement a monitoring framework to track PHC performance under the new capitation payment model, integrated with the PPH/ACSC study and prospective claims pipeline. Monitor financial flows (capitation payments, adjustments, bonuses/penalties), service utilization, quality, and outcomes (including PPHs) at facility and provider levels. Retrospective analysis of ...

WJCF is seeking a skilled and detail-oriented Data and Program Analyst to join the Program Management Unit (PMU) for the Malaria Mukt Gadchiroli Abhiyan, based at the district headquarters in Gadchiroli. The primary objective of this role is to strengthen evidence-based decision-making and monitoring by managing surveillance data, generating analytics, and developing real-time visualization tools. The analyst will be responsible for cleaning, analysing, and validating data from platforms such as IHIP, DVDMS, and LLIN tracking systems. Work closely with the project Manager and district team and develop interactive dashboards, prepare performance reports and scorecards, and support the design ...

Ensure that software functionality is implemented with a focus on code optimization and organization. Recommend improvements to existing software programs. Troubleshoot application issues and coordinate issue resolution with operations, functional, and technical teams Work with a software development team and Service providers in a geographically distributed structure Provide coaching to Junior Associates Works independently on complex projects Role Requirements 7+ years of software development experience Strong Knowledge on React. Strong knowledge of Core Java, J2EE, Hibernate, Spring Boot, Microservices, NextJS and GraphQL. Good knowledge of AWS cloud. Good Knowledge of PostgreSQL/MySQL Pr...

This position is with EAII Advisors, Evidence Actions technical partner in India. About EAII Advisors EAII Advisors, Evidence Action s technical partner in India, supports state governments in delivering evidence-based public health programs, including safe drinking water initiatives and school and Anganwadi-based National Deworming Day and iron and folic acid supplementation. Operating across 10 states, EAII Advisors provides technical assistance to ministries of health, education, water, and women and child development, reducing health burdens in impoverished communities and improving the long-term wellbeing of children and families. For more information, read about our work here: About Ev...

ROLES & RESPONSIBILITY: Process health insurance claims efficiently and accurately. Handle interactions with both corporate and retail clients. Ensure compliance with company and regulatory guidelines during claim processing. Coordinate with internal teams and external stakeholders for claim resolution. Maintain proper documentation and records of claims processed. Draft professional emails and prepare reports using MS Office tools. CANDIDATE BACKGROUND: 6 months to 5 years of experience, preferably with a TPA, insurance broker, or insurance company. Prior experience in health claim processing is essential. Familiarity with PSU insurance broker companies will be an added advantage. Basic pro...

Who are weOrbit & Skyline India Pvt. Ltd. is a leading semiconductor service provider with a robust and experienced... No of Jobs Supply Chain Executive Who are weOrbit & Skyline India Pvt. Ltd. is a leading semiconductor service provider with a robust and experienced team of professionals proficient in providing our customers with unique, feature-rich solutions that help them build environmentally friendly semiconductor manufacturing. At Orbit & Skyline, our synergistic cross functional team of Mechanical, Electrical, Electronics, Software, Equipment, and process engineering is delivering end to end solutions to our customers in semiconductor equipment manufacturing space. We are partnering...

General Information Job Title: Head of Operations India Location: Bangalore (Onsite / Hybrid) Job Type: Full-Time Reports To: CEO, Fulfillment IQ About Fulfillment IQ (FIQ) At Fulfillment IQ, we re disruptors in the supply chain and logistics sector. As an award-winning supply chain tech company, we design and deliver cutting-edge solutions for D2C brands, retailers, and 3PLs. Our teams thrive on solving complex logistics challenges, from developing custom software and advising on tech stack selection to implementing advanced supply chain technology. If you re passionate about problem-solving, thrive in dynamic environments, and want to make an impact, we d love to have you on board. Role Ov...

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...

General Information Job Title: Project Controls Analyst/PMO Location: Bangalore, India Job Type: Full-Time (Hybrid) About Fulfillment IQ (FIQ) At Fulfillment IQ, we are transforming the future of logistics technology. As an award-winning consultancy and technology partner, we work with brands, retailers, and 3PLs to solve their most complex challenges - whether it s designing strategy, selecting the right tech stack, building custom software, or implementing enterprise platforms. Our team includes logistics experts, engineers, and strategists who bring both technical depth and practical experience to every engagement. We value clear thinking, strong execution, and real results. If you re a b...

Hey, At Saleshandy, we re building the sales engagement platform of the future. Our goal is to help teams send better outreach, get more replies, and book more meetings without manual effort. Since 2016, we ve grown into a profitable remote-first team of 65+ people who enjoy building products our customers value. Are you interested in paid acquisition and hands-on campaign work We want to be clear about what you will be doing, so you can decide if this role matches your interest and style of working. As a Performance Marketer, you ll run paid campaigns across channels, study performance numbers, and work closely with the growth, design, and content teams. Your work will directly shape how ne...

Location: Remote (India) Work Hours: Night Shift (aligned with US/Canada time zones) Experience: Minimum 3 years in sales Preferred Start Date: Immediate About Company: Superfans.io is a SaaS startup revolutionizing how modern e-commerce brands connect with their customers through mobile-first experiences. We empower thousands of e-commerce brands worldwide with our app builder, enhanced by cutting-edge social commerce, customer retention analytics, and community engagement tools that transform mobile presence from afterthought to loyalty driver. We create a comprehensive ecosystem where brands dont just build mobile apps, they build relationships with their customers. About the Opportunity:...

At Securonix, we re on a mission to secure the world by staying ahead of cyber threats, reinforcing all layers of our platform with AI capabilities. Our Securonix Unified Defense SIEM provides organizations with the first and only AI-Reinforced solution built with a cybersecurity mesh architecture on a highly scalable data cloud. Enhanced by Securonix EON s AI capabilities, our innovative cloud-native solution delivers a seamless CyberOps experience, empowering organizations to scale their security operations and keep up with evolving threats. Recognized as a five-time leader in the Gartner Magic Quadrant for SIEM and highly rated on Gartner Peer Insights , our award-winning Unified Defense ...

Verify and validate patient insurance coverage and eligibility before services are provided, ensuring there are no billing surprises later. Coordinate with healthcare providers to ensure accurate submission of claims in line with insurance requirements. Work with insurance companies to resolve discrepancies or denials related to patient coverage and claims. Educate patients about their insurance benefits, co-pays, deductibles, and any potential out-of-pocket costs. Maintain detailed records of insurance communications, including coverage verification and claim submission details. Assist patients and the healthcare team in resolving insurance-related issues and ensuring smooth processing. Req...

We are looking for a skilled Microsoft Power Apps Developer to design, build, and maintain custom applications that streamline business processes and enhance productivity. The ideal candidate will have hands-on experience with Power Apps, Power Automate, and the broader Microsoft 365 ecosystem, and will be able to translate business requirements into scalable solutions. Key Responsibilities Design and develop custom applications using Power Apps (Canvas and Model-driven apps). Automate workflows and integrate services using Power Automate (Flow). Collaborate with business stakeholders to gather, analyze, and validate requirements. Create and customize data models using Dataverse or SharePoin...

We re seeking a passionate and creative Graphic Designer to lead and execute high-impact design projects across digital and print platforms. You ll transform ideas into compelling visuals that define and elevate our brand s visual identity. This role is perfect for someone who blends strategic thinking with bold creativity and thrives in a collaborative environment. Key Responsibilities Lead and execute design projects from concept to final delivery. Develop engaging visuals for web, social media, print, and brand campaigns. Collaborate closely with marketing, product, and content teams to align creative output with business objectives. Maintain brand consistency and continuously raise the b...

Job title: - Relationship Manager - Bancassurance. Location: Thiruvankulam, Tripunitura, Kochi, North paravur, Kalamassery, Ernakulam town, Kakkanad Job Description: -: Managing the life insurance sales through assigned Bank branches. Coordinating between Bank and company from lead generation to policy conversion. Deal with walking customers sale them Life insurance policies. Channel Partner: - - Federal Bank. Salary: Open for perfect candidate. Key Responsibilities: - Generate leads from in-branch lead generators, bank customer database & walk in customers. Make appointments, explore the customers financial needs in life-related investment and insurance needs areas, select appropriate produ...

Key Roles & Responsibilities • To drive the Agency premium in the location for Travel business • To monitor and drive Agency business of locations through: • Agency Recruitment • Agent Activation • Agent Productivity • Agent Engagement Matrix • To drive the key agency matrix and uniformed practices • Achieve the top line and bottom line as per defined matrix • Provide strategic inputs from geographical perspective and periodically review, design and • implement plans • Driving renewals as per target

SBI Renewal - Voice Process -Need versant 4 ( Good communication) -SALARY : 22k CTC, 20k take home -Need mandatory 1 year of any Sales Exp -shift time- 9:30 to 6:30 -rotational week off UNLIMITED INCENTIVES EASY SELECTION Required Candidate profile Qualification: Min HSC Location:kapurbavadi junction, Majiwada Thane (w)- 400607 To schedule your interview Call or send your CV through WhatsApp HR Akshay - 9822146578 Perks and benefits Benefits: Rotational Week off & Pick Up/Drop

Lead, mentor, and grow multiple cross-functional quality engineering teams (backend, frontend). Develop strategic direction, coach, and lead teams specializing in manual testing. Stay actively hands-on with test automation frameworks and pipelines (Java, .NET, API, UI, mobile). Define and implement quality strategies aligned with business needs (fintech-grade reliability, security). Drive an automation-first approach reduce manual regression, expand test coverage. Partner with development, product management, and design to embed quality throughout the SDLC . Implement metrics & dashboards (defect leakage, automation coverage, cycle time) to measure and continuously improve quality outcomes. ...

Skill required: Property & Casualty- Underwriting - Insurance Underwriting Designation: Underwriting New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. We e...

As a Sales Advisor at HM, you ll play a key role in creating an outstanding customer experience. You ll welcome customers, guide them through your store, and support them in finding what they need while showcasing our products. Acting in line with our values, you ll contribute to both your own success and the success of the company. You will: Share your fashion and product knowledge to help customers make informed choices. Collaborate with your team to deliver exceptional service at every step of the customer journey. Ensure the sales floor and back of house are well-stocked, organized, and inviting. Support with opening and closing of the store. Represent yourself and the brand positively d...

Define and communicate the big picture and Vision of the Technology Operations Center Help to ensure that the Technology Operations Center operates in accordance with the established procedures and practices. Publish Technology Operations Center Metrics and SLAs Publish incident and problem documentation and works with team to share best practices and/or recommend incident handling improvements. Measures and actions incident trends in support of Support Demand Reduction initiatives Enforce company IT standards and IT policies, including SOX-related IT controls. Create a culture of continuous improvement by researching internal- and industry-based best practices for Support. " Performs other ...

Assist in managing the technical aspects of our marketing technology stack Provide guidance on tools stack and where we have gaps and overlaps Work with teams to ensure that we have a comprehensive tools strategy and that we optimize how our tools work together Liaise with the IT team on integrations, enhancements and upgrades Provide accurate timelines and level of effort during all project phases Collaborate across marketing to understand needs and develop smart recommendations Other projects and responsibilities may be added at the manager s discretion. Bachelor s degree desired; or equivalent education and/or related work experience. Performs other duties as assigned Complies with all po...