123 Healthcare Insurance Jobs - Page 4

Role & responsibilities Handle inbound and outbound calls with patients, insurance providers, and healthcare professionals in the US. Assist in the verification of insurance eligibility, benefits, and authorization requirements. Support medical billing and claims processing, including denial management and payment follow-up. Maintain accurate documentation of all interactions using company CRM tools. Provide information and assistance related to medical procedures, billing status, and claim resolution. Ensure compliance with HIPAA regulations and data privacy standards. Escalate complex issues to senior team members or supervisors as needed. Meet or exceed key performance indicators (KPIs) such as quality, accuracy, and call handling time.

Hiring: AR Caller (US Healthcare RCM) Location: Pune & Mumbai (Work from Office) CTC: Up to 5.5 LPA Shift: US Shift (Night) | 5 Days Working | 2 Days Rotational Off Notice Period: Immediate to 30 Days About the Role We are looking for experienced AR Calling professionals (Provider Side) to join our growing US Healthcare RCM team. Eligibility: Experience: Minimum 1 year in AR Calling (Provider Side) Qualification: Any Graduate Key Skills: Revenue Cycle Management (RCM) Denial Management & Resolution AR Follow-up / Collections Physician / Provider Billing Prior Authorization HIPAA Compliance How to Apply? Contact: Sanjana 9251688426

Greetings From Scorelabs! To handle Inbound & outbound Calls. To handle Emails received from the customers. To handle Chats received from the customers. Required Candidate profile Fluent in English communication With Tamil Minimum 6 Months Of Experience In Any Insurance Voice Process Minimum Graduation Work Location Is Bangalore & Hyderabad Call Hr Akhila - 9121246597

Urgent Required Banca Channel Designation :- RM Exp :- Min 1-3 Year exp In life insurance, Health Insurance , general Insurance , Bfsi sales, Any sales exp CTC :- 4.5Lpa+incentive+Travelling Allowances Contact :- HR Prajakta 9325687615 Required Candidate profile Life insurance, Health Insurance, General Insurance, Banking sales, Any field sales, Bfsi sales, Casa Sales,Cross sales Agency sales, Banca sales, Direct sales, Any insurance sales exp candidate

*Process* Bagic (Insurance Sales Process) Need - *Fresher or Experience with Good Eng comms* Qualification - *Min HSC* Experience - *Fresher / min 6months experience in motor Insurance* Salary - 16k inhand Week off - *Rotational off* Timing - *10am - 7pm* Job location - *Ghansoli Mahape*

Experience: 1 - 4 Years Location: Kadapa, Tirupati, Vizag, Anantapur, Nellore, Rajahmundry, Vijayawada Notice Period: Immediate to 30 Days About HDFC ERGO HDFC ERGO General Insurance is one of Indias leading private general insurance companies. As a joint venture between HDFC Ltd. (Indias premier financial services conglomerate) and ERGO International AG (the primary insurance arm of Munich Re Group, Germany), HDFC ERGO combines financial strength with deep insurance expertise to serve millions of customers across India. We are committed to delivering innovative insurance solutions and exceptional customer service. About the Role We are looking for a passionate and result-oriented Assistant Agency Manager - Health to join our growing Health Agency team at HDFC ERGO. In this role, you will play a crucial role in driving our health insurance agency business across multiple locations. You will work closely with agents, guiding them through onboarding, coaching, and engagement processes, while contributing to significant business growth. Key Responsibilities Drive Agency Success Build and grow the health insurance agency business across assigned locations. Recruit, onboard, and train insurance agents for successful activation. Coach agents to enhance productivity, customer engagement, and overall performance. Implement agency best practices across all Digital Office (DO) locations. Deliver Business Results Achieve revenue, premium, and profitability targets for your region. Drive renewal business to meet defined goals. Provide strategic insights based on local market dynamics to inform business plans. Design and implement location-specific business development strategies. Build Strong Relationships Work closely with cross-functional teams including sales, operations, and support functions. Create an engaging and motivating environment for agents. Monitor agent performance and provide ongoing coaching through regular reviews. Minimum Qualifications Bachelors degree in any field. Proficiency in computer applications and digital tools. Strong communication, interpersonal, and team management skills. Preferred Qualifications 3-4 years of experience in insurance, sales, or agency management. Proven track record of consistently achieving business targets. Ability to work effectively with cross-functional teams. Highly motivated, self-starter with a proactive approach. Why Join HDFC ERGO? Competitive salary aligned with industry standards. Comprehensive health insurance coverage for you and your family. Attractive performance-based incentives and recognition programs. Learning and development opportunities for continuous career growth. Work-life balance initiatives and employee well-being programs. Opportunity to be part of one of Indias most trusted and fast-growing general insurance companies.

Roles and Responsibilities Provide health coaching services to patients, focusing on patient care and counseling. Assist doctors in managing patient relationships and ensuring effective communication between patients, families, and medical professionals. Support healthcare operations by coordinating with various departments to ensure seamless delivery of healthcare services. Collaborate with health management teams to develop strategies for improving patient outcomes through data-driven decision making To schedule your interview Call or send your CV through WhatsApp (number mentioned below) HR Ashwini : 9923656681

Main functions of job: Healthcare Insurance experience is mandatory Lead Quality Assurance Centre of Excellence, Continual improvement & Capability building for a portfolio of practices Develop and execute BE strategy for the portfolio aligned to business needs Accountable for business impact for the portfolio Work with Sr. Leadership on the priority projects and performance fixes Provide thought leadership on new operating models - Leverage digital capabilities to build a lean & effective quality organization. Lead complex (life cycle/ Spotlight account interventions) Lead Continuous Improvement/Reengineering projects, cross geo projects Provide solutions (people/process/tech.) and facilitate implementation for relatively complex projects Responsibilities: Play a key strategic role in designing & deploying best in class framework for Business Excellence Lead deployment of futuristic solutions to optimize Cost of Quality & minimize risk Leverage CMM to enhance end to end capabilities of practices in scope Synchronize best practices across the portfolio Overall 11-15 years relevant experience, with Min. 6 years experience with Healthcare Insurance domain preferred; Min.8 years experience in leading mid to large size Process / Business Excellence portfolio Six Sigma BB / equivalent certified; Should be able to analyze data and convert into meaningful experience Demonstrated experience of leading projects & delivering significant benefits Experience in deploying large scale digital solutions such as Analytics, Automations Build & maintain effective partnerships with key cross functional leaders, teams & solution partners Information security assurance, customer data privacy & risk management related to the practice Qualifications: Bachelor or Master s degree in a technology, business or hybrid discipline US Healthcare Insurance industry exposure Excellent analytical, written and oral communication skill Experience in project management & reporting (including risks, Issues, action items) Experience in working with international clients, senior management and staffs Experience in RPA projects (particularly Automation Anywhere, UIPath and MS PowerApps) and data extraction tools Must Require Skills: Bachelor or Master s degree in a technology, business or hybrid discipline Exposure to (US) Healthcare / Insurance Proven Business Excellence Strategy development & deployment experience Six Sigma GB/BB Equivalent certified, with excellent Analytics and Problem solving skills Demonstrated capability to leverage technology in designing solutions Excellent Facilitation skill, presentation & communication (both written & verbal) Multi Geo Stakeholders Management

Job Title: Data Scientist(5 Positions)/ Lead OR Manager -Data Scientist (3 positions) Experience: Data scientist (8-10 years) / Lead Data scientist(14+ years) Job Location: Whitefield, Bangalore Mode of working: Hybrid Interview Process: First Round: L1-Internal interview Second Round: Assessment shared by us needs to be completed in 48 hours Third Round: Client discussion over the submitted assessment. Final Round: HR Discussion Preferred Domain: Healthcare Insurance/ Insurance agencies / Health Insurance / Any Insurance We are looking for a talented Data Scientist to join our growing team. In this role, you will lead efforts to develop, enhance, and optimize advanced AI and machine learning models with a particular focus on Generative AI, Large Language Models (LLMs), Langchain, and Prompt Engineering. You will oversee the application of statistical modeling techniques to derive insights, build models, and lead research initiatives that push the boundaries of AI technologies. Key Responsibilities: Leadership & Collaboration: Lead a team of data scientists, researchers, and engineers working on high-impact projects related to generative models, NLP, and statistical modeling. Collaborate with cross-functional teams, including engineering, product management, and research, to deliver AI-powered products and solutions. Generative AI Development: Spearhead the development and deployment of Generative AI models and algorithms to address complex problems in areas like content generation, conversational AI, and creative automation. LLM Implementation & Optimization: Develop, fine-tune, and optimize large language models (LLMs) for diverse applications, ensuring they are robust, scalable, and accurate in real-world scenarios. Langchain Integration: Design and integrate Langchain for managing and deploying sophisticated language models with a focus on complex workflows, multi-agent systems, and real-time applications. Prompt Engineering: Lead prompt engineering efforts to optimize AI models' output quality, improve interactions, and enable more effective natural language understanding across a variety of use cases. Statistical Modeling: Utilize advanced statistical techniques to analyze and interpret data, build predictive models, and solve business-critical challenges through data-driven insights. Research & Innovation: Stay ahead of trends in AI and ML, particularly in the fields of NLP, LLMs, and generative models. Drive innovation by exploring cutting-edge techniques and methodologies in the AI space . Mentorship & Knowledge Sharing: Mentor junior team members and promote a collaborative, learning-oriented environment. Share knowledge and foster an atmosphere of continuous improvement within the data science team. Performance Optimization: Ensure model performance meets or exceeds company and client expectations by identifying areas of improvement, testing new methods, and scaling the systems accordingly. Ethical AI Development: Advocate for and implement ethical considerations in the development and deployment of AI models, including fairness, transparency, and privacy. Qualifications: Required: Education: Ph.D. or Masters degree in Computer Science, Data Science, Mathematics, Statistics, or related field, or equivalent practical experience. Experience: 8+ years of experience in data science, with at least 2-3 years in a leadership role. Proven expertise in Generative AI, particularly in areas like content generation, deep learning, and language modeling. Strong background in Large Language Models (LLMs) such as GPT, T5, BERT, or similar architectures. Hands-on experience with Langchain for building NLP workflows, pipelines, and integrating external systems with LLMs. Hands-on experience of Prompt Engineering, including techniques to refine and optimize outputs for various NLP tasks. Expertise in statistical modeling and quantitative analysis, with the ability to apply techniques to solve real-world problems. Preferred: Experience working with transformer models and fine-tuning LLMs for specific tasks. Expertise in AI model evaluation and metrics (e.g., BLEU, ROUGE, perplexity). Background in developing AI-driven products from concept to deployment. Strong publication record in AI research, particularly in NLP and machine learning . Used cases( Any of them) Automated Underwriting. Customer experience enhancement. Fraud detection . Predictive analytics. Accelerated claims processing. Risk assessment and premium calculation . Customer profiling . c ustomer segmentation . Credit Risk Assessment . Personalised marketing . Anti-Money Laundering (AML) . Personalized patient care. Medical training and simulations. Medical Data Analysis. Please share your updated resume at renuka.rathi@puresoftware.com

Shift- Night Shift Job Responsibilities: US Recruitment End to End Life Cycle of recruitment from requirement to on boarding of candidates. Sourcing the candidate from various sources like Portals, Database, references etc. Evaluation of the candidate for the requirements based on Skills, functionality, domain, experience, qualifications. Build & sustain the network of potential candidates. Negotiate compensation, extend offers, facilitate the placement of candidates, and solicit referrals of other qualified consultants. Submit qualified candidates to open job requirements. Meet or exceed weekly goal expectations. Would be responsible for effective usage of Internal Systems/Database for recording different stages in recruitment process. Above all that mentioned in the job description we are looking for someone with good communication skills & a committed team player. Working days: Monday to Friday (Saturday and Sunday fixed off) Other Benefits & Perks Both Side Cabs (No cabs in Vadodara) Medical + Accidental insurance Recurring incentives Rewards & Recognition Programs- monthly, annually International Trips for TOP PERFORMERS

Experience in Requirement Analysis & elucidation of requirements aiming towards solving complex problem and foster. Experience in consultation with users / clients to solve complex system issues/problems through in-depth evaluation of business processes, systems and industry standards and recommending solutions. Experience working for Insurance company or in Insurance Domain (General Insurance) xperience working for Insurance company or in Insurance Domain (Health Insurance)

Req ID: 324311 We are currently seeking a Digital Solution Architect Sr. Advisor to join our team in Bengaluru, India, Karntaka (IN-KA), India (IN). We are seeking an experienced solution architect specializing in technology based business process solutions to join our dynamic Digital BPS team at NTT DATA. As an SME (subject matter expert), you will closely work with NTT DATA"™s customers to understand their business problems and engage with them to provide consulting and solutioning for solving their business problems using AI and Automation related technologies. Design and implement effective AI technologies and methods to address clients' business problems and needs, while complying with company's strategies, business goals, and key ethical considerations. Your engagement with the customer should give the customer confidence that NTT DATA is the right business and technology partner for their operation. Experience Requirement 10+Experience in solution architecture with an emphasis on business process services 7+ Experience in north America healthcare insurance and provider industry. 3+ years of experience with automation and machine learning solutions. 5+ Years in financial cost modelling. Experience with creating and communicating business value prop to executive in both oral and written format. Responsibilities Be a solution architecture/designer for business process service. Independently able to solution and respond to RFP"™s. Provide solution and technology consulting and drive opportunities for leveraging GenAI, AI based solutions on various platforms Drive close discussions with client and draw technical and functional requirements through workshops with stakeholders Develop Point of Views that provide details of scope, due-diligence, approach and business/cost benefit. Collaborate with NTT DATA Global business and stakeholders Qualifications Bachelors / Masters / PhD degree in Computer Science or related field Certification or Degree with AI and machine learning. Skills Excellent communication and articulation in English language Strong excel and math acumen. Excellent problem-solving and analytical skills. Enthusiasm for AI/ML technologies and a proactive attitude towards learning and staying updated.

COMPANY PROFILE Pratyin is a multi-skilled IT solution & service provider with a highly competent workforce with strong global presence. With years of honed expertise in multiple sectored skills and quality improved methodologies, Pratyin adopts a competent global delivery model in providing value-based solutions as well as professional services to clients throughout globe. Through a decade, company has built a professional team with world class processes and capabilities that helps clients manage through rapid changes in technology. We work as a leading organization across globe in private, public & social sectors. Our scale, scope, & knowledge allow us to address problems that no one else can. We have deep functional & industry expertise as well as breadth of geographical reach. We are passionate about taking on immense challenges that matter to our clients. At Pratyin we have an interesting business model. We strongly believe that the way to client satisfaction passes through employee satisfaction. Only content employees who are comfortable in life can go to great lengths to satisfy others including the entity that is most important to our business - our client! As a result our employees are constantly developing products and service offerings to make it easier for our clients to conduct and expand their business. They use it in concert with other resources like time, money, intelligence, team work and plain old common sense to produce miracles that lead to client acclaim. http://www.pratyin.com Time for Interview - 10.30 am to 4pm. (Same day shortlisting) JOB LOCATION: Address - Pratyin Infotech Consulting Pvt.Ltd Job Location - 4th floor, Pratyin Infotech Consulting pvt ltd. Kudale Empire Opp Golden care hospital, Bhumkar chowk Hinjewadi road, Bhumkar Nagar, Wakad, Pimpri-Chinchwad, Maharashtra 411057 Contact Person - Mallesh Shivam / Bhavana - HR Manager Skills - Good in English understanding and written with knowledge in grammar. Good in Analytical and logical thinking Knowledge in MSOFFICE and computer knowledge. Excellent in Maths, Statistics, Physics subject is added advantage. Eager to make career into Non IT KPO healthcare process. Preferred candidates from any field graduate except from IT sector. Only 2022/2023 passed out candidates applicable. Willing to learn new things. Excellent Typing speed with 100% accuracy. Hard working and multitalented. Age criteria - 21 to 29 years applicable only.

Roles and Responsibilities Provide health coaching services to patients, focusing on patient care and counseling. Assist doctors in managing patient relationships and ensuring effective communication between patients, families, and medical professionals. Support healthcare operations by coordinating with various departments to ensure seamless delivery of healthcare services. Collaborate with health management teams to develop strategies for improving patient outcomes through data-driven decision making.

Dear Applicant's, Hiring for US Healthcare (SQL) - TL / TM Location - Hyderabad Shift: US shift, WFO Notice: Up to 1Month CTC - TL: Up to 11lpa ( On papers required ) TM: Up to 15lpa ( On papers required ) Skills : 1. US Health Care Domain Knowledge. E.g. Encounters, EDI, HIPAA, 837 Layout, insights into Medicare and Medicaid Markets etc. 2. Facets or any other healthcare adjudication system knowledge will be added advantage. 3. SQL Server SSIS and SSRS plus any Microsoft cloud technologies will be added advantage. 4. Analytical and Query Writing Skills(SQL) SQL Procedure and Packages Debugging skills. Knowledge on any reporting tools or software e.g. Tableau or Power BI etc. PPT Presentations with client. Should be good at communication skills. 5. US healthcare experience & SQL experience required Interested Candidates Contact HR Pallavi @9167757169 / pallavi@careerguideline.com

About Us At CIGNA Healthcare we are guided by a common purpose to help make financial lives better through the power of every connection. Responsible Growth is how we run our company and how we deliver for our clients, teammates, communities, and shareholders every day. One of the keys to driving Responsible Growth is being a great place to work for our teammates around the world. We are devoted to being a diverse and inclusive workplace for everyone. We hire individuals with a broad range of backgrounds and experiences and invest heavily in our teammates and their families by offering competitive benefits to support their physical, emotional, and financial well-being. CIGNA Healthcare believes both in the importance of working together and offering flexibility to our employees. We use a multi-faceted approach for flexibility, depending on the various roles in our organization. Working at CIGNA Healthcare will give you a great career with opportunities to learn, grow and make an impact, along with the power to make a difference. Join us! Process Overview* International insurance claims processing for Member claims. * Delivers basic technical, administrative, or operative Claims tasks. Examines and processes paper claims and/or electronic claims. Completes data entry, maintains files, and provides support. Understands simple instructions and procedures. Performs Claims duties under direct instruction and close supervision. Work is allocated on a day-to-day or task-by-task basis with clear instructions. Entry point into professional roles. Responsibilities- Adjudicate international pharmacy claims in accordance with policy terms and conditions to meet personal and team productivity and quality goals. Monitor and highlight high-cost claims and ensure relevant parties are aware. Monitor turnaround times to ensure your claims are settled within required time scales, highlighting to your Supervisor when this is not achievable. Respond within the time commitment given to enquiries regarding plan design, eligibility, claims status and perform necessary action as required, with first issue/call resolution where possible. Interface effectively with internal and external customers to resolve customer issues. Identify potential process improvements and make recommendations to team senior. Actively support other team members and provide resource to enable all team goals to be achieved. Work across International business in line with service needs. Carry out other ad hoc tasks as required in meeting business needs. Work cohesively in a team environment. Adhere to policies and practices, training, and certification requirements. *: Working knowledge of the insurance industry and relevant federal and state regulations. Good English language communication skills, both verbal and written. Computer literate and proficient in MS Office. Excellent critical thinking and decision-making skills. Ability to meet/exceed targets and manage multiple priorities. Must possess excellent attention to detail, with a high level of accuracy. Strong interpersonal skills. Strong customer focus with ability to identify and solve problems. Ability to work under own initiative and proactive in recommending and implementing process improvements. Ability to organise, prioritise and manage workflow to meet individual and team requirements. Experience in medical administration, claims environment or Contact Centre environment is advantageous but not essential. Education* Graduate (Any) - medical, Paramedical, Pharmacy or Nursing. Experience Range* Minimum 1 year of experience in healthcare services or processing of healthcare insurance claims. Foundational Skills* - Expertise in international insurance claims processing Work Timings* 7:30 am- 16:30 pm IST Job Location* Bengaluru (Bangalore) 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.

Minimum Mandatory Skill Set Computer Operations, Computer proficiency, MS Excel, Communication in English & Hindi, Open to work in shifts. Brief Job Profile Generic job profile includes document processing, Data entry process, Maintaining trackers, Escalate issues as required within organization and follow up to ensure timely resolution. Desired Competencies/ Skill Set Working knowledge of MS Excel with data entry speed and accuracy, ability to communicate in English and Hindi effectively, Insurance / Health Insurance Knowledge. Should be open to shift duties. Preferred Industry Health Insurance, TPA, BFSI, Healthcare

Minimum Mandatory Skill Set Computer Operations, Computer proficiency, MS Excel, Communication in English & Hindi, Open to work in shifts. Brief Job Profile Generic job profile includes document processing, Data entry process, Maintaining trackers, Escalate issues as required within organization and follow up to ensure timely resolution. Desired Competencies/ Skill Set Working knowledge of MS Excel with data entry speed and accuracy, ability to communicate in English and Hindi effectively, Insurance / Health Insurance Knowledge. Should be open to shift duties. Preferred Industry Health Insurance, TPA, BFSI, Healthcare

Minimum Mandatory Skill Set Computer Operations, Computer proficiency, MS Excel, Communication in English & Hindi, Open to work in shifts. Brief Job Profile Generic job profile includes document processing, Data entry process, Maintaining trackers, Escalate issues as required within organization and follow up to ensure timely resolution. Desired Competencies/ Skill Set Working knowledge of MS Excel with data entry speed and accuracy, ability to communicate in English and Hindi effectively, Insurance / Health Insurance Knowledge. Should be open to shift duties. Preferred Industry Health Insurance, TPA, BFSI, Healthcare

Minimum Mandatory Skill Set Computer Operations, Computer proficiency, MS Excel, Communication in English & Hindi, Open to work in shifts. Brief Job Profile Generic job profile includes document processing, Data entry process, Maintaining trackers, Escalate issues as required within organization and follow up to ensure timely resolution. Desired Competencies/ Skill Set Working knowledge of MS Excel with data entry speed and accuracy, ability to communicate in English and Hindi effectively, Insurance / Health Insurance Knowledge. Should be open to shift duties. Preferred Industry Health Insurance, TPA, BFSI, Healthcare

Minimum Mandatory Skill Set Computer Operations, Computer proficiency, MS Excel, Communication in English & Hindi, Open to work in shifts. Brief Job Profile Generic job profile includes document processing, Data entry process, Maintaining trackers, Escalate issues as required within organization and follow up to ensure timely resolution. Desired Competencies/ Skill Set Working knowledge of MS Excel with data entry speed and accuracy, ability to communicate in English and Hindi effectively, Insurance / Health Insurance Knowledge. Should be open to shift duties. Preferred Industry Health Insurance, TPA, BFSI, Healthcare

This position involves direct communication with healthcare providers, clinics, and institutions to obtain necessary documentation, validate the medical necessity of prescribed DME. Assistive technologies Over time allowance Shift allowance

COMPANY PROFILE Pratyin is a multi-skilled IT solution & service provider with a highly competent workforce with strong global presence. With years of honed expertise in multiple sectored skills and quality improved methodologies, Pratyin adopts a competent global delivery model in providing value-based solutions as well as professional services to clients throughout globe. Through a decade, company has built a professional team with world class processes and capabilities that helps clients manage through rapid changes in technology. We work as a leading organization across globe in private, public & social sectors. Our scale, scope, & knowledge allow us to address problems that no one else can. We have deep functional & industry expertise as well as breadth of geographical reach. We are passionate about taking on immense challenges that matter to our clients. At Pratyin we have an interesting business model. We strongly believe that the way to client satisfaction passes through employee satisfaction. Only content employees who are comfortable in life can go to great lengths to satisfy others including the entity that is most important to our business - our client! As a result our employees are constantly developing products and service offerings to make it easier for our clients to conduct and expand their business. They use it in concert with other resources like time, money, intelligence, team work and plain old common sense to produce miracles that lead to client acclaim. http://www.pratyin.com Time for Interview - 11 am to 4pm only JOB LOCATION: Address - Pratyin Infotech Consulting Pvt.Ltd Job Location - 4th floor, Pratyin Infotech Consulting pvt ltd. Kudale Empire Opp Golden care hospital, Bhumkar chwok Hinjewadi road, Bhumkar Nagar, Wakad, Pimpri-Chinchwad, Maharashtra 411057 Contact Person - Mallesh Shivam / Bhavana - HR Manager Skills - Good in English understanding and written with knowledge in grammar. Good in Analytical and logical thinking Knowledge in MSOFFICE and computer knowledge. Excellent in Maths, Statistics, Physics subject is added advantage. Eager to make career into Non IT KPO healthcare process. Willing to learn new things. Excellent Typing speed with 100% accuracy. Hard working and multitalented. Age criteria - 21 to 29 years applicable only.

Position: Health Care Coach Company : HEAPS A leading health tech SaaS platform using AI & analytics for value-based healthcare. Job Role : Provide emotional & psychosocial support to patients Follow up with patients post-discharge and counsel them Assist in onboarding new patients via phone Eligibility : Bachelors in Clinical/Medical/Biology (Paramedics, Psychologists, Dietitians, Physiotherapists preferred) Minimum 1 year experience (flexible for the right candidate) Languages : Mandatory: English & Hindi Preferred: Telugu, Kannada, Tamil, Malayalam Freshers Can Apply With Good Communication Need immediate joiner How to Apply:- To schedule your interview Call or send your CV through WhatsApp (number mentioned below) HR Dhanashri:7796426785

About Us At CIGNA Healthcare we are guided by a common purpose to help make financial lives better through the power of every connection. Responsible Growth is how we run our company and how we deliver for our clients, teammates, communities, and shareholders every day. One of the keys to driving Responsible Growth is being a great place to work for our teammates around the world. We are devoted to being a diverse and inclusive workplace for everyone. We hire individuals with a broad range of backgrounds and experiences and invest heavily in our teammates and their families by offering competitive benefits to support their physical, emotional, and financial well-being. CIGNA Healthcare believes both in the importance of working together and offering flexibility to our employees. We use a multi-faceted approach for flexibility, depending on the various roles in our organization. Working at CIGNA Healthcare will give you a great career with opportunities to learn, grow and make an impact, along with the power to make a difference. Join us! Process Overview* International insurance claims processing for Member claims. * Delivers basic technical, administrative, or operative Claims tasks. Examines and processes paper claims and/or electronic claims. Completes data entry, maintains files, and provides support. Understands simple instructions and procedures. Performs Claims duties under direct instruction and close supervision. Work is allocated on a day-to-day or task-by-task basis with clear instructions. Entry point into professional roles. Responsibilities- Adjudicate international pharmacy claims in accordance with policy terms and conditions to meet personal and team productivity and quality goals. Monitor and highlight high-cost claims and ensure relevant parties are aware. Monitor turnaround times to ensure your claims are settled within required time scales, highlighting to your Supervisor when this is not achievable. Respond within the time commitment given to enquiries regarding plan design, eligibility, claims status and perform necessary action as required, with first issue/call resolution where possible. Interface effectively with internal and external customers to resolve customer issues. Identify potential process improvements and make recommendations to team senior. Actively support other team members and provide resource to enable all team goals to be achieved. Work across International business in line with service needs. Carry out other ad hoc tasks as required in meeting business needs. Work cohesively in a team environment. Adhere to policies and practices, training, and certification requirements. Requirements*: Working knowledge of the insurance industry and relevant federal and state regulations. Good English language communication skills, both verbal and written. Computer literate and proficient in MS Office. Excellent critical thinking and decision-making skills. Ability to meet/exceed targets and manage multiple priorities. Must possess excellent attention to detail, with a high level of accuracy. Strong interpersonal skills. Strong customer focus with ability to identify and solve problems. Ability to work under own initiative and proactive in recommending and implementing process improvements. Ability to organise, prioritise and manage workflow to meet individual and team requirements. Experience in medical administration, claims environment or Contact Centre environment is advantageous but not essential. Education* Graduate (Any) - medical, Paramedical, Pharmacy or Nursing. Experience Range* Minimum 1 year of experience in healthcare services or processing of healthcare insurance claims. Foundational Skills* - Expertise in international insurance claims processing Work Timings* 7:30 am- 16:30 pm IST Job Location* Bengaluru (Bangalore) 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.