123 Healthcare Insurance Jobs - Page 2

Designation - Assistant Vice President Job Location - Bangalore Skill - Claims Operations Leading Service Delivery Practitioner who can help design and articulate the Claims Operations to the Gold Standard. Ideal candidature would be 18-20+ YEARS OVERALL EXPERIENCE WITH MIN 10- 12 YEARS IN US HEALTHCARE CLAIMS OPERATIONS in a Senior Service Delivery Leadership Role. 18-20+ Years experience in healthcare BPO/BPM organisation Team Management with preferable span of control of 800+ FTE ( multi location) Experience & Competencies expected from the Role: 18-20+ years of overall experience as a Strong and capable leader that is self-motivated and driven to win the confidence and trust of her/his prospects, clients, global operations, and pursuit teams alike - establishing winning strategies, and exerting influence both internally and externally to win new business. 10-12+ years experience in U.S healthcare BPO operations/solutions and preferably from the Payor operations background. Possess commercial acumen, drive commercial impact (sales, cost reduction projects) Acts as a Subject Matter Expert for the sales and client services teams, attends sales calls, demonstrates the products, helps to answer deep questions about the product and works to convince the client we have the best solution. Lead and front-end projects (internal with Ops/IT/BE, external selling and supporting sales) and lead work through influence to manage stakeholders (internal matrix, client, partner) Strong communicator who can take complex ideas and communicate them effectively internally, externally and using Project Management tools Strong and capable leader that is self-motivated and driven to win the confidence and trust of her/his peers, clients, global operations, and pursuit teams alike - establishing winning strategies, and exerting influence both internally and externally to win new business. Innovative team player with the energy, creativity, and an entrepreneurial spirit to achieve success. A professional who earns respect for his/her leadership, intelligence, and expertise.

Customer Support Services - Health Insurance Processor Role Job Responsibilities and Expectations Handle inbound and outbound customer service calls related to policy inquiries, claims status, and benefit clarifications. Service and resolve inquiries from customers, members, beneficiaries, and others regarding Health Care products and benefits across multiple product lines Ability to communicate effectively across multiple channels, including phone, e-mail, chat, and text Ability to succinctly collect information from a customer to set up a new claim Ability to gather information from multiple source systems to understand and articulate the status of a claim and what information may be needed, next steps in processing, etc. Respond to customer emails and chat queries in a timely and professional manner. Provide accurate information on health insurance products, policy terms, and coverage details. Assist customers with policy servicing requests such as address changes, ID card reissuance, and premium payment queries. Log all customer interactions in the CRM system with appropriate categorization and follow-up actions. Escalate unresolved or complex issues to the appropriate internal teams while ensuring customer satisfaction. Maintain up-to-date knowledge of company products, services, and regulatory changes in Hong Kongs health insurance market. Ensure compliance with the Personal Data (Privacy) Ordinance (PDPO) and Insurance Authority (IA) guidelines during all interactions. Support customer onboarding and orientation for new policyholders. Participate in training sessions and quality audits to improve service delivery. Academic and Additional Qualifications Needed Associate Degree in Business Administration, Insurance, or related field. 13 years of experience in customer service, preferably in the healthcare insurance sector. Proficiency in CRM systems and Microsoft Office applications. Strong communication, empathy, and problem-solving skills. Quality Review Role Job Responsibilities and Expectations Monitor and evaluate customer service interactions to ensure adherence to quality standards and regulatory compliance. Conduct call audits and review written correspondence for accuracy, tone, and completeness. Identify service gaps and provide constructive feedback to processors for performance improvement. Develop and maintain quality scorecards and reporting dashboards. Collaborate with training teams to address recurring service issues and knowledge gaps. Ensure compliance with Hong Kongs Insurance Authority (IA) regulations and internal service protocols. Support internal audits and regulatory inspections by providing documentation and quality metrics. Assist in updating standard operating procedures (SOPs) based on audit findings and regulatory updates. Participate in calibration sessions to align quality expectations across teams. Mentor junior staff on best practices in customer service delivery. Academic and Additional Qualifications Needed Bachelors degree in Insurance, Business, or Healthcare Administration. 47 years of experience in customer service or quality assurance in the health insurance industry. Familiarity with IA regulations, PDPO, and customer service KPIs. Analytical mindset with attention to detail and strong documentation skills. Supervisor Role Job Responsibilities and Expectations Supervise a team of customer service representatives and ensure daily service level targets are met. Manage workforce scheduling, attendance, and performance tracking. Resolve escalated customer issues and coordinate with internal departments for resolution. Conduct regular team meetings, coaching sessions, and performance reviews. Analyze service metrics and implement process improvements to enhance customer satisfaction. Ensure team compliance with Hong Kongs Insurance Authority (IA) regulations and internal policies. Support implementation of new systems, tools, and service workflows. Collaborate with training and quality teams to upskill staff and maintain service excellence. Prepare reports for management on team performance, customer feedback, and service trends. Foster a customer-centric culture and promote continuous improvement. Academic and Additional Qualifications Needed Bachelors degree in Business, Insurance, or Healthcare Management. 810 years of experience in customer service with at least 2 years in a supervisory role in the insurance sector. Strong leadership, conflict resolution, and team management skills. Knowledge of CRM systems, IA regulations, and service quality frameworks. Manager Role Job Responsibilities and Expectations Lead the strategic planning and execution of customer support services for the health insurance division. Define service delivery goals, KPIs, and customer experience benchmarks. Oversee budgeting, staffing, and resource allocation for the customer service department. Ensure compliance with all regulatory requirements from the Insurance Authority (IA) and PDPO. Drive digital transformation initiatives to enhance customer engagement and operational efficiency. Represent the customer service function in cross-functional leadership meetings and regulatory reviews. Develop and implement customer retention and satisfaction strategies. Monitor industry trends and regulatory changes to adapt service models accordingly. Manage vendor relationships for outsourced service functions, if applicable. Mentor and develop leadership talent within the customer service team. Academic and Additional Qualifications Needed Bachelors or Masters degree in Business Administration, Insurance, or Healthcare Management. 10+ years of experience in customer service with at least 3 years in a managerial role in the health insurance domain. Proven track record in strategic planning, regulatory compliance, and customer experience management. Strong leadership, stakeholder management, and change management capabilities. Valid PAN Number - _____________________(Why PAN Required > Mandatory to Process Candidature & Find Duplicity in Internal PAN Validation Process and also to initiate a screening call. Please reach out in case of any queries. Sonali Chattopadhyay I Associate People Success Orcapod Consulting Services Pvt Ltd. Email I sonali.chattopadhyay@orcapod.work www.orcapodservices.com 9548431649

US Voice Process Location: Ahmedabad Eligibility: Experience in AR Calling Skills: Excellent English communication required Salary: upto 28K( Base on your Experience) Benefits: 2-way cab facility Working Days: 5 days

As a Health Insurance Advisor, you will be responsible for helping clients navigate the complexities of health insurance. You will educate clients about different health insurance policies, answer their questions, and assist them in selection. Required Candidate profile Prior experience in insurance sales or customer service. Knowledge of health insurance policies and regulations. Excellent communication and interpersonal skills. Strong problem-solving abilities. Perks and benefits Annual bonous Foreign Tour monthly Reward

About Client Hiring for One of the Top most Prestigious Multinational Corporations!!! Job Title : Senior Process Analyst / Health care Qualification : Any Graduate Experience : 1+ years Skills Required : Good communication skills Healthcare AR Calling Denial Management Provider Side RCM Physician Billing / Ambulance Billing / Hospital Billing - Medical billing Roles and Responsibilities : 1. Act as the primary point of contact for the branch (US onshore), providing comprehensive support. 2. Understand and implement US Health Insurance regulatory standards, guidelines, policies, and procedures. 3. Ensure end-to-end support of the policy lifecycle services. 4. Assume the role of Client Associate (~35 accounts) at the branch. 5 . Conduct end-to-end renewal activities as a US Health Insurance domain expert. 6. Coordinate with internal operations teams to complete renewal activities on time. 7. Handle queries effectively to minimize rework at the service center. 8. Identify risks and issues and navigate them to successful resolution. 9. Maintain strong time management and organizational skills. 10. Foster a positive relationship with onshore branch staff to enhance the overall customer experience. 11. Understand and complete renewal activities documentation, including Census, SBC, SPD, Carrier Proposals, Enrollment Materials, Contracts, Certificates, and Policies. Location : Bangalore Notice period : Immediate to 30 days Shift Timings : US Shift Mode of Interview : Walkin (Just 2 rounds - easy selects ) Mode of Work : Hybrid -- Thanks & Regards, Amulya HR Analyst Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 08067432437 | Whatsapp : 63669 79339 @blackwhite.in | www.blackwhite.in ************************PLEASE REFER YOUR FRIENDS***********************

Warm Greetings from RIVERA MANPOWER SERVICES!!!! Kindly Note : We are looking @ Minimum 4 Years of an experience into International Voice Process(Health Care/ US Insurance) Excellent Communication Skills. We are looking @ only Immediate Joiners! CHETHANA @ 7829336034 rivera.chethana@gmail.com Primary Responsibilities Act as the primary point of contact for the branch (US onshore), providing comprehensive support Understanding and implementation of US Health Insurance regulatory standards, guidelines, policies and procedures Ensure end-to-end support of the policy lifecycle services. Conduct end-to-end renewal activities as a US Health Insurance domain expert. Coordinate with internal operations teams to complete renewal activities on time. Handle queries effectively to minimize rework at the service center. Identify risks and issues and navigate them to successful resolution. Maintain strong time management and organizational skills. Foster a positive relationship with onshore branch staff to enhance the overall customer experience. Strong time management and organizational skills; ability to work independently and effectively managing multiple tasks at once Preferred candidate profile : Skills and Competencies • Excellent Written and Oral communication skills • Advanced computer skills (Outlook, Word, Excel, PowerPoint). • Interpersonal skills to foster strong relationships. • Insurance domain knowledge. • Proactive and self-reliant approach to problem-solving. • Strong organizational and time-management skills Perks and benefits :Night Shift Allowance 2 ways cabs

Key Responsibilities: Analyze and document existing healthcare processes across international healthcare facilities and systems. Identify opportunities for process improvement and optimization to enhance patient care and operational efficiency. Collaborate with cross-functional teams including clinical, administrative, and IT to implement process changes. Ensure compliance with international healthcare regulations, standards, and best practices. Develop and maintain process documentation, workflows, and training materials for global teams. Monitor key performance indicators (KPIs) and prepare reports to track process improvements. Support implementation of healthcare technologies and digital tools aligned with process improvements. Facilitate communication and knowledge sharing between international healthcare teams. Participate in audits and quality assurance initiatives. Qualifications: Bachelors degree in Healthcare Administration, Nursing, Public Health, or related field; Master’s preferred. Minimum 1-3 years of experience in healthcare process management, preferably within international healthcare settings. Strong understanding of healthcare regulations, accreditation standards (e.g., JCI, ISO), and compliance requirements across different countries. WRITE HR "MANSI" ON THE CV BEFORE SUBMITTING

Role & responsibilities MOL and Live Chat Process The process involves addressing end to end inquiries related to Members (Health insurance) pre authorization, policy servicing, claim assessment, complaints, and any other policy and claims related queries through Voice. These professionals are required to have a complete understanding of all the products/services portfolio to aid in responding to queries. Job Description • Seeking bright, articulate, detail-oriented candidates with a desire to help us exceed our customers expectations. Our Member Online and Live Chat team plays a critical role in delighting our customers through delivering timely, accurate, and professional service via email and Live Chat. • Need to a have deep understanding of health insurance policies, procedures, and claim processing to provide accurate and timely assistance to members. • Understanding of the life cycle of the AXA Health insurance claims life cycle from Policy Servicing, Underwriting, Pre-authorization, Assessment, Complaints. Provider sourcing etc., • Collaboration with internal teams will be essential to resolve complex member issues and will be expected to escalate cases when necessary to ensure timely resolution. • Require accurately documenting member interactions and information for tracking and reporting purposes. • Create a Complaint log where the member expresses dissatisfaction regarding the services. • Handle customer complaints, provide appropriate solutions and alternatives within the time limits; follow up to ensure resolution. • Ensure compliance with company policies, procedures, and regulatory requirements while assisting members with their inquiries. • Stay always updated with companys new product/services and policies. • Meeting individual and team-based productivity targets, including the handling of a minimum of 2 concurrent chats while maintaining high-quality service. • Achieving and maintaining a customer satisfaction rating of 95+ • Meeting response time targets for live chat and email inquiries, with an average response time of 2 mins or less for live chat and less than 24 hours for emails. • Demonstrate a customer-centric approach by maintaining a positive and professional demeanor during all customer interactions. Preferred candidate profile Graduate / post-graduate degree. • Typing Proficiency: 40-60 wpm. • Excellent communication skills with a strong command of written language as this process requires interaction with UK Customers (Communicate professionally, use proper grammar, punctuation, and spelling in complete) • Competent in MS office and web browser environments. • Work in rotational shifts between 07:30 AM to 1:30 AM (IST), Monday to Sunday. • Weekly off - 2 days

Key Responsibilities: Review and process incoming healthcare or insurance claims accurately and efficiently. Verify patient, provider, and policy details to ensure claims meet all requirements. Investigate discrepancies, missing information, or potential fraud indicators. Coordinate with internal departments or external providers for claim clarification. Maintain accurate records and ensure compliance with regulatory and company standards. Meet daily productivity and quality targets while maintaining confidentiality. B.TECH ,B.E, B.Sc, Any Post Graduation fresher are not eligible. Anyone who attended interview before 30 days are not eligible to attend walk-in. Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or @firstsource.com email addresses.

Job Summary: We are seeking an experienced and highly skilled Accounts Receivable (AR) Team Lead/Assistant Manager to support a healthcare Revenue Cycle Management (RCM) client. Hands-on experience with Advanced MD EHR and Lab Billing will be a significant advantage. The ideal candidate will have a deep understanding of healthcare medical billing and collections, expertise in process automation, and strong leadership capabilities to oversee RCM functions, mentor junior staff, and ensure effective, compliant receivables management. This role is crucial for ensuring accurate billing, timely claims processing, efficient collections, and strengthened client relationships to maximize cash flow. Key Responsibilities: Revenue Cycle Management: Oversee all aspects of the revenue cycle, including patient registration, eligibility verification, claim submission, payment posting, denials management, AR follow-up, and patient billing. Team Leadership: Supervise, train, mentor, and evaluate RCM team members; allocate work and resolve issues to drive performance. Process Improvement: Develop, implement, and refine operational policies and procedures to enhance efficiency and service quality. Data Analysis: Analyze billing and claims data to identify trends, improve performance, and reduce denials. Regulatory Compliance: Ensure strict adherence to HIPAA regulations and other healthcare billing standards. Reporting & Communication: Prepare periodic performance reports, lead client meetings, and collaborate with internal departments to ensure process alignment. Issue Resolution: Take ownership of discrepancies in billing, claims, payment posting, or denials to ensure prompt and compliant resolution. Financial Impact: Support the organization's financial goals by maximizing revenue capture and minimizing operational costs. Training & Development: Provide training and ongoing support for Advanced MD software usage, fostering professional development in billing processes. Process Optimization: Continuously seek and implement improvements to billing and collections processes to enhance speed, accuracy, and efficiency. Stakeholder Engagement: Act as the primary contact for billing-related queries from patients, insurance companies, and internal teams, ensuring swift and professional resolutions. Requirements: Minimum of 8 years of experience in healthcare billing and collections, including at least 3 years in a managerial role overseeing teams of 40 to 50 FTEs. Proven track record in team management and development, with a focus on high performance and quality standards. Hands-on expertise with Advanced MD software for AR operations. Strong knowledge of healthcare billing, insurance claims, reimbursements, and regulatory compliance standards. Excellent analytical and problem-solving skills, with a sharp eye for detail and accuracy. Ability to work independently and collaboratively in a dynamic, fast-paced environment. Outstanding verbal and written communication skills to interact effectively with all stakeholders. Certifications in Data Science or Artificial Intelligence are considered a strong plus.

About Client Hiring for One of the Top most Prestigious Multinational Corporations!!! Job Title : Senior Process Analyst / Health care Qualification : Any Graduate Experience : 4 to 8 years Skills Required : Good communication skills Healthcare AR Calling Denial Management Provider Side RCM Physician Billing / Ambulance Billing / Hospital Billing - Medical billing Roles and Responsibilities : 1. Act as the primary point of contact for the branch (US onshore), providing comprehensive support. 2. Understand and implement US Health Insurance regulatory standards, guidelines, policies, and procedures. 3. Ensure end-to-end support of the policy lifecycle services. 4. Assume the role of Client Associate (~35 accounts) at the branch. 5 . Conduct end-to-end renewal activities as a US Health Insurance domain expert. 6. Coordinate with internal operations teams to complete renewal activities on time. 7. Handle queries effectively to minimize rework at the service center. 8. Identify risks and issues and navigate them to successful resolution. 9. Maintain strong time management and organizational skills. 10. Foster a positive relationship with onshore branch staff to enhance the overall customer experience. 11. Understand and complete renewal activities documentation, including Census, SBC, SPD, Carrier Proposals, Enrollment Materials, Contracts, Certificates, and Policies. Location : Bangalore CTC Range : Upto 10 LPA (Note : based on the candidate's last drawn salary the hike will be given ) Notice period : Immediate to 30 days Shift Timings : US Shift Mode of Interview : Walkin (Just 2 rounds - easy selects ) Mode of Work : Hybrid -- Thanks & Regards, Lakshmi HR Analyst Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 08067432469| Whatsapp : 7892150019 @blackwhite.in | www.blackwhite.in ************************PLEASE REFER YOUR FRIENDS***********************

About Client Hiring for One of the Top most Prestigious Multinational Corporations!!! Job Title : Senior Process Analyst / Health care Qualification : Any Graduate Experience : 4 to 8 years Skills Required : Good communication skills Healthcare AR Calling Denial Management Provider Side RCM Physician Billing / Ambulance Billing / Hospital Billing - Medical billing Roles and Responsibilities : 1. Act as the primary point of contact for the branch (US onshore), providing comprehensive support. 2. Understand and implement US Health Insurance regulatory standards, guidelines, policies, and procedures. 3. Ensure end-to-end support of the policy lifecycle services. 4. Assume the role of Client Associate (~35 accounts) at the branch. 5 . Conduct end-to-end renewal activities as a US Health Insurance domain expert. 6. Coordinate with internal operations teams to complete renewal activities on time. 7. Handle queries effectively to minimize rework at the service center. 8. Identify risks and issues and navigate them to successful resolution. 9. Maintain strong time management and organizational skills. 10. Foster a positive relationship with onshore branch staff to enhance the overall customer experience. 11. Understand and complete renewal activities documentation, including Census, SBC, SPD, Carrier Proposals, Enrollment Materials, Contracts, Certificates, and Policies. Location : Mumbai / Bangalore CTC Range : Upto 10 LPA (Note : based on the candidate's last drawn salary the hike will be given ) Notice period : Immediate to 30 days Shift Timings : US Shift Mode of Interview : Virtual Mode of Work : Hybrid -- Thanks & Regards, Niveditha HR Analyst Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 08067432471| Whatsapp : 9901039852 Niveditha.b@blackwhite.in | www.blackwhite.in ************************PLEASE REFER YOUR FRIENDS***********************

About Client Hiring for One of the Top most Prestigious Multinational Corporations!!! Job Title : Senior Process Analyst / Health care Qualification : Any Graduate Experience : 4 to 8 years Skills Required : Good communication skills Healthcare AR Calling Denial Management Provider Side RCM Physician Billing / Ambulance Billing / Hospital Billing - Medical billing Roles and Responsibilities : 1. Act as the primary point of contact for the branch (US onshore), providing comprehensive support. 2. Understand and implement US Health Insurance regulatory standards, guidelines, policies, and procedures. 3. Ensure end-to-end support of the policy lifecycle services. 4. Assume the role of Client Associate (~35 accounts) at the branch. 5 . Conduct end-to-end renewal activities as a US Health Insurance domain expert. 6. Coordinate with internal operations teams to complete renewal activities on time. 7. Handle queries effectively to minimize rework at the service center. 8. Identify risks and issues and navigate them to successful resolution. 9. Maintain strong time management and organizational skills. 10. Foster a positive relationship with onshore branch staff to enhance the overall customer experience. 11. Understand and complete renewal activities documentation, including Census, SBC, SPD, Carrier Proposals, Enrollment Materials, Contracts, Certificates, and Policies. Location : Mumbai / Bangalore CTC Range : Upto 10 LPA (lakh per annum) Notice period : Immediate to 30 days Shift Timings : US Shift Mode of Interview : Virtual Mode of Work : Hybrid -- Thanks & Regards, Manasa HR Analyst Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 08067432421| Whatsapp : 9535352972 manasa.s@blackwhite.in | www.blackwhite.in ************************PLEASE REFER YOUR FRIENDS***********************

About Client Hiring for One of the Top most Prestigious Multinational Corporations!!! Job Title : Senior Process Analyst / Health care Qualification : Any Graduate Experience : 4 to 8 years Skills Required : Good communication skills Healthcare AR Calling Denial Management Provider Side RCM Physician Billing / Ambulance Billing / Hospital Billing - Medical billing Roles and Responsibilities : 1. Act as the primary point of contact for the branch (US onshore), providing comprehensive support. 2. Understand and implement US Health Insurance regulatory standards, guidelines, policies, and procedures. 3. Ensure end-to-end support of the policy lifecycle services. 4. Assume the role of Client Associate (~35 accounts) at the branch. 5 . Conduct end-to-end renewal activities as a US Health Insurance domain expert. 6. Coordinate with internal operations teams to complete renewal activities on time. 7. Handle queries effectively to minimize rework at the service center. 8. Identify risks and issues and navigate them to successful resolution. 9. Maintain strong time management and organizational skills. 10. Foster a positive relationship with onshore branch staff to enhance the overall customer experience. 11. Understand and complete renewal activities documentation, including Census, SBC, SPD, Carrier Proposals, Enrollment Materials, Contracts, Certificates, and Policies. Location : Mumbai CTC Range : Upto 10 LPA (lakh per annum) Notice period : Immediate to 30 days Shift Timings : US Shift Mode of Interview : Virtual Mode of Work : Hybrid -- Thanks & Regards, Lakshmi HR Analyst Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 08067432469| Whatsapp : 7892150019 lakshmi.p@blackwhite.in | www.blackwhite.in ************************PLEASE REFER YOUR FRIENDS***********************

The ETL Tester role involves validating and verifying data extraction, transformation, and loading processes to ensure data accuracy and integrity. You will be responsible for designing and executing test cases, identifying data quality issues, and collaborating with data engineers to resolve discrepancies. Developing automated testing frameworks to enhance testing efficiency and coverage is also a key aspect of this role. A strong understanding of ETL processes and data warehousing concepts is essential for success in this position. You should have at least 6 years of IT experience, with a minimum of 4 years specifically in ETL testing. Proficiency in SQL, including the ability to write complex queries in big data ecosystems, is required. Experience with AWS Cloud, extensive data analysis skills, and knowledge in scripting to optimize data testing are also necessary. Knowledge in Healthcare Insurance is considered a plus. Experience working in Agile teams and excellent business communication skills to interact with Business teams and cross-functional teams are important for this role. Responsibilities: - Review requirements specifications and technical design documents to understand and derive test scenarios. - Develop and implement test strategies for complex initiatives. - Design, develop, and execute automation scripts. - Identify, record, document thoroughly, and track bugs. - Utilize strong problem-solving, troubleshooting, and root cause analysis skills. - Perform thorough regression testing when bugs are resolved. - Develop and apply testing processes for new and existing features to meet client needs. - Liaise with cross-functional teams to understand system requirements. About Virtusa: Virtusa embodies values such as teamwork, quality of life, and professional and personal development. Joining Virtusa means becoming part of a team of 27,000 people globally who care about your growth and seek to provide you with exciting projects, opportunities, and work with state-of-the-art technologies throughout your career with the company. Virtusa values collaboration, the team environment, and seeks to provide a dynamic place for great minds to nurture new ideas and foster excellence.,

As a Senior Manager, Product Management at TriNet, you will lead a team of product managers and drive the development of product solutions to meet the needs of TriNet clients, work site employees, and colleagues. Your role will involve developing product and go-to-market strategies, conducting market research, generating product requirements, managing roadmaps, and collaborating with cross-functional stakeholders to drive implementation. You will be responsible for identifying and documenting product and business requirements, taking them from concept to production, and working with various departments such as Marketing, Sales, Strategy, Business, Legal, Design, and Engineering. Your responsibilities include mentoring and guiding the product management team, contributing to their professional development, and overseeing the creation of product roadmaps. You will collaborate with senior leadership to ensure alignment of product goals with company objectives, establish the product vision and strategy, and manage the entire product lifecycle. Additionally, you will serve as the primary point of contact for product-related inquiries, conduct customer and market research, and identify potential partner relationships for new products. To qualify for this role, you should have a Bachelor's Degree (Master's Degree preferred) and at least 15+ years of experience in Product Management and/or Product Strategy, including 5+ years of experience leading a team. You should also have experience working directly with Product leadership to shape long-term product and business direction. Proficiency in leading teams, Agile development methodologies, HR, HCM, US Benefits or Healthcare Insurance domain, process and metrics-driven product management, and driving large, complex change efforts is required. You should excel in oral and written communication, have the ability to pivot between strategic goals and micro-level issues, present new ideas effectively, build strong relationships with leaders, and manage multiple priorities in a fast-paced environment. Proficiency in Microsoft Office Suite is also necessary. This position is based in a clean, pleasant, and comfortable office work setting, with a 100% in-office work environment. Please note that job duties and assignments may change based on business needs, and the above description may not cover all aspects of the position.,

Job Purpose The Intake Care Supervisor directs the activities of staffs who are adjudicating and finalizing Pre-authorizations. As a subject matter expert to take an initiative in assisting team requirements pertaining to the operational software and tasks related to the policy coverage terms. Responsibilities And Duties Perform job supervisory duties to assure proper training, instructions, and development of staff. Control cost by all permissible, equitable, fair means. Closely coordinate with the Reporting Manager on staff performance reviews and leave scheduling; Delegate and oversee activities performed by claims examiners. Daily monitoring of pipelines and queues. Identify training requirements within the team and perform training sessions. Responsible in maintaining the assigned TAT of the respective teams and ensuring the optimal utilization of resources. Address any internal grievances and escalate to reporting manager if required. Responsible for reporting of identified Fraud, Waste and Abuse trends and escalating to concerned parties Escalate any identified software issues to the reporting manager and IT POC as required. Identify gaps in performance and offer coaching to officers as needed. Proper communication and identifying training requirements within the team. Strictly applies reporting managers directions. Carry out any other related functions as directed by the company management. Knowledge, Skills And Experience University degree in any discipline of medical/Para-medical science from a reputable university. Strong industry knowledge (healthcare / insurance). Should be a team-player with an aptitude for customer service. Excellent oral and written communication skills. Must be computer literate. Excellent command of the English language. Ability to work under pressure. 5+ years experience in the healthcare industry / hospitals. Business acumen, persuasive skills and ability to lead a team. Strong decision-making ability; Good understanding of internal processes and software systems. COMMUNICATIONS AND WORKING RELATIONSHIPS Ensure seamless communication between all departments for the smooth operations and to achieve the organizational objective. Establish strong internal & external communication. About The Cigna Group Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. Show more Show less

Job Summary We are hiring for Customer Service International Voice Process focused on the US Healthcare domain . You will be responsible for resolving customer queries via calls, assisting with claims, benefits, authorizations, and billing inquiries, while ensuring compliance with US healthcare regulations and delivering an exceptional experience. Role & responsibilities Respond to inbound and outbound calls related to healthcare insurance, claims, billing, and eligibility. Assist US-based members and providers with accurate and timely information. Maintain a strong understanding of healthcare benefits, medical terminology, and insurance workflows. Accurately document customer interactions and transactions in the system. Ensure HIPAA compliance and protect patient privacy at all times. Meet and exceed key performance metrics including quality, customer satisfaction (CSAT), and Average Handling Time (AHT). Collaborate with internal teams for escalation resolution and process improvement. Help guide and educate customers about the fundamentals and benefits of consumer-driven health care topics to select the best benefit plan options, maximize the value of their health plan benefits and choose a quality care provider Contact care providers (doctor's offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance Assist customers in navigating the member website, and other websites while encouraging and reassure them to become self-sufficient Preferred candidate profile Minimum 6 months to 3 years of experience in international voice process (preferably Healthcare & Welfare). Health Care/Insurance environment (familiarity with medical terminology, health plan documents, or benefit plan design) Excellent verbal and written communication skills in English. Strong interpersonal skills with the ability to remain patient and empathetic. Comfortable working night shifts and rotational offs. Basic computer literacy and typing skills. Experience with international healthcare insurance processes (e.g., claims adjudication, EOB, authorizations). Knowledge of HIPAA regulations. Graduate in any stream (preferably Life Sciences, Healthcare, or related fields). Undergraduates with relevant BPO experience are eligible to apply Knowledge of billing practices and procedures preferred Proficiency with word processing and spreadsheet software and required Perks & Benefits Paid training and continuous development Cab Facility or Transport Allowance Medical Insurance Life Insurance

Underwriting of Retail Health, Personal Accident & Travel proposals Team Management IRDAI related UW activities Processing of Non Disclosures/Frauds /Audit /ISO/IRDA data Crucial MIS & analysis for Garo data Back up for handling pre-policy activities Required Candidate profile BAMS, BHMS, BDS or Similar 5+ years of experience in Health Insurance & Underwriting Good knowledge of Risks, Processes & Data Collection & Analysis Must know IRDAI related process Good communication Perks and benefits Good Opportunity

Hiring for the position of Executive CRM (Corporate Relationship Management) Job Description 1. Responsible for developing the corporate customer base for MDIndia Health Insurance Services. 2. Map the territory and maintain a strong pipeline of potential customers. 3. Establish Contacts with key persons at the corporate and understand the current levels of Health Insurance services and needs. 4. Develop strong relationship with Insurance Companies/Brokers. 5. Promptly attending Emails, Phone calls, Whats App messages of Clients. 6. Maintain proper MIS & Internal reports and present it to the management. 7. Ability to work independently, achieve targets and be absolutely result oriented. Skill Required : Excellent Communication Skills. Familiarity with Excel, Power Point, Word and an ability and interest in learning on the job. Candidates from TPA industry will be considered for the requirement. Interested candidates can share their updated resume to ta4@mdindia.com

You are invited to join our team as a Healthcare Insurance Sales Executive at our office located in Noida sector 63 Block A-25. We are looking for enthusiastic individuals with excellent communication skills and a sharp presence of mind to excel in the healthcare insurance domain. This role demands engaging with clients through various channels and providing them with informed guidance and support. We are specifically seeking experienced professionals, but freshers with good communication skills and confidence are also welcome to apply. As a Healthcare Insurance Sales Executive, your responsibilities will include understanding and explaining healthcare insurance and education offerings to potential clients, maintaining accurate records of client interactions, and converting inquiries into enrollments or sales through persuasive communication. It is essential to stay updated with industry trends and possess a strong knowledge of healthcare and insurance products. To be eligible for this role, experienced candidates should have 1-3 years of experience in healthcare insurance, education counseling, or sales, especially in insurance or healthcare. Freshers with good communication skills and confidence are also encouraged to apply. The ideal candidate must have excellent communication and interpersonal skills, the ability to handle client objections, and a focus on converting leads effectively. In return, we offer a competitive salary based on the interview for experienced candidates, growth opportunities in a fast-paced industry, and a supportive work environment that prioritizes learning and development. If you are ready to take on this exciting opportunity, please send your resume to care@astikan.com or contact us at 7042237013. This is a full-time position and immediate joiners are preferred. We look forward to welcoming dynamic individuals who are passionate about healthcare insurance sales and customer support to our team at Noida sector 63 Block A-25.,

Responsibilities:- Provide patients with the psychosocial support needed to cope with chronic, acute or terminal illnesses Communicate with patients suffering from various ailments post discharge to understand the status of their health and counsel them To enroll new patients into the system once they call in Skills:- Clarity in communication; Ability to articulate and talk to the patient in a clear manner without ambiguity Active Listening skills Passionate about the role and have patient care as priority Qualification:- Minimum Bachelors Degree in Clinical / Medico/ Biology background (Preferred Paramedics, Clinical Psychologists, Physiotherapist, Dietitian, Nutritionist, or such related fields) Languages:- English & Hindi would be mandatory. Telugu, Kannada, Tamil, Malayalam would be a plus Salary:- Upto 25k inhand HR Contact Details:- HR Namrata Contact No:- 8624868754

Specialist - Metrics, Analytics & Reporting We will count on you to: We are looking to hire a Specialist in the Global Business Management (Health Business) This role has been created to take over certain coordination activities performed by consultants teams based in other Mercer locations. The role encompasses activities such as policy renewal tracking and coordination, data collection from local country offices, sales support, production of client deliverables, updating of Analytics Role holder will work with and provide support to the teams on global and local levels to service Mercers clients. The main responsibility is to track and co-ordinate Client employee benefits insurance policy renewals and broking implementations across the different client locations Manage the timeliness of Client deliverables - before, during and after renewal or implementation Work with the consultants to develop reporting and presentations for Client meetings based on client requirements Perform quality checks (by more experienced colleagues) Data entry and high level analysis - assist the Consulting team in gathering, organizing, validating, entering and analyzing data using GBM Analytics (Mercer proprietary software) for the various clients Provide high level data analysis including sanity check for employee headcount movement, related premium change by line of coverage, etc. Liaise with local brokers on renewal strategy, to ensure the Rules of the Road are followed Route enquiries to the correct point of contact and provide timely follow up and responses for the Clients Liaising with local brokers to gather information not captured by GBM Analytics (if needed) including the nature of local discussions impacting the insurance placement or plan design strategy Provide reporting from GBM Analytics or excel for Account Administration Team Note: Applicants should be flexible working in shifts What you need to have? Graduate with minimum 3-5 years experience overall Prior experience in HR Operations with Workday/Taleo application knowledge (preferred) Good communication, analytical and management skills Proficiency in effort estimation Effective/Accurate and timely reporting skills Good command on MS Office applications (MS-Excel, MS-Word) Ability to multi task and should be a self starter Ability to handle difficult client situations and derive strategic solutions What makes you stand out? Adaptable communicator, facilitator, influencer and problem solver High attention to detail Good relationship skills, Proven ability to work on own initiative as well as in a team Adaptable communicator, facilitator and problem solver High attention to detail Ability to multi-task and prioritize time effectively Marsh McLennan believes in building brighter futures by redefining the world of work, reshaping retirement and investment outcomes, and unlocking real health and well-being. Mercers approximately 25,000 employees are based in 43 countries and the firm operates in over 130 countries. Mercer is a business of Marsh McLennan (NYSE: MMC), the world’s leading professional services firm in the areas of risk, strategy and people, with 85,000 colleagues and annual revenue of over $20 billion. Through its market-leading businesses including Marsh, Guy Carpenter and Oliver Wyman, Marsh McLennan helps clients navigate an increasingly dynamic and complex environment. For more information, visit mercer.com. Follow Mercer on LinkedIn and Twitter. Marsh McLennan is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people regardless of their sex/gender, marital or parental status, ethnic origin, nationality, age, background, disability, sexual orientation, caste, gender identity or any other characteristic protected by applicable law. Marsh McLennan is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh McLennan colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one “anchor day” per week on which their full team will be together in person.

Greetings from PERSONAL NETWORK !!!! DAILY GOOGLE MEET DRIVES !!!! Spot Offers DAILY !!!! AR CALLER - VOICE HEALTH INSURANCE INTERNATIONAL CALLS Salary Upto 5 Lakhs Location :- Marathalli, Bangalore Experience :- 6 Months to 3 Years Qualification :- GRADUATE / BE / MCA CTC :- 3 to 5 LPA Shift :- US shift (Rotational) Cab :- Pick and drop available Food available. Interview Appointments TOMORROW Contact @ KAVYA @ 76191 85930 SHISHIR @ 7338444389 SONAL @ 7829122825 BEST WISHES PERSONAL NETWORK Note : Kindly FORWARD this Message to your Friends, Colleagues & Groups

Hiring for US Healthcare (B2B) Voice / Blended Process Graduate with 1 year customer service exp can apply Salary upto 3.30 LPA Location- Uppal 5 Days working Both side cab Fixed shifts (6:30 pm - 3:30 am) Contact Vanshita- 9910807579 Required Candidate profile Candidate must have good communication Skills. Candidate should have good typing speed. Candidate should be comfortable to work in fixed night shifts. Perks and benefits Incentives