Mdi Networx

Job description We are looking for candidates with 0 to 6 month of experience in voice-based customer service or call center roles, especially with exposure to US clients. If you have excellent verbal and written communication skills in English, strong problem-solving abilities, and a customer-centric approach, we want to hear from you! Requirements: - 0 to 6 month years of experience in voice-based customer service or call center roles. - Excellent verbal and written communication skills in English. - Strong problem-solving abilities and a customer-centric approach. - Ability to handle customer queries with professionalism and patience. - Willingness to learn and adapt in a dynamic work environment. Apply Now! Send your CV to swastikam@mdinetworx.com

Position Overview: MDI NetworX is seeking a Deputy Manager / Manager Payer Operations to oversee end-to-end healthcare payer processes, drive operational excellence, and ensure compliance with US healthcare standards. This leadership role requires expertise in process optimization, stakeholder management, and team development Key Responsibilities: Lead and manage payer operations, ensuring efficiency and quality in service delivery. Develop and implement strategies to optimize claims processing, enrollment, and provider data management. Drive team performance, coaching, and professional development initiatives. Conduct salary negotiations and oversee talent acquisition for the department. Ensure compliance with HIPAA, ACA, and other payer regulations. Manage escalations, resolve critical process issues, and implement continuous improvement initiatives. Collaborate with senior leadership, clients, and cross-functional teams to enhance operational effectiveness. Monitor key performance indicators (KPIs) and generate actionable reports. Required Skills & Qualifications: Bachelors degree or equivalent experience. 8-12 years of experience in US healthcare payer operations. Strong expertise in claims adjudication, enrollment, and provider data management. Proven experience in leadership, stakeholder management, and process optimization. Proficiency in MS Office, healthcare payer systems, and data analytics. Excellent strategic thinking, communication, and problem-solving skills. Preferred Qualifications: Experience with Medicare, Medicaid, and commercial payer processes. Knowledge of EDI transactions (837, 835, 834). Prior experience in a BPO or shared services environment

Key Responsibilities Handle inbound voice calls in Spanish , addressing customer queries and concerns with accuracy and professionalism. Provide prompt resolutions and deliver exceptional service experiences. Record all call interactions and customer details accurately in CRM systems. Meet established performance benchmarks for call quality , resolution time , and customer satisfaction . Escalate unresolved or complex cases to appropriate departments. Maintain a positive and empathetic approach while handling customer concerns. Qualifications & Requirements Minimum 1 year of experience in a Spanish voice-based customer service role. Excellent spoken and written fluency in Spanish and English . Previous experience in US shift or international voice process is essential. Proficiency in using CRM tools like Salesforce, Zendesk, etc. Willingness to work night shifts (US time zone) from our Viman Nagar office . Strong problem-solving, listening, and communication skills.

Job Title: Business Analyst (Candidate must have experience in to US Healthcare Domain Adjudication System) Job Summary: We are seeking a motivated and detail-oriented Business Analyst with 3+ years of experience, preferably in the US healthcare domain , to join our dynamic team in Pune. This is a full-time, on-site position ideal for someone who thrives in a collaborative environment and is passionate about driving process improvement and delivering value through data-driven insights. The ideal candidate will work closely with cross-functional teams including operations, technology, and client stakeholders to understand business needs, analyze processes, and contribute to high-impact healthcare solutions. Key Responsibilities: Collaborate with stakeholders to gather, analyze, and document business requirements. Translate business needs into functional specifications for technical teams. Analyze healthcare claims, eligibility, and enrollment data to identify patterns and opportunities. Support project delivery by coordinating with development QA and configuration teams. Participate in client meetings, requirement walkthroughs, and status updates. Develop and maintain process documentation, user stories, workflow diagrams etc. Assist in UAT planning, execution, and issue tracking. Continuously monitor industry trends and regulatory changes in US healthcare. Mandatory Requirements: 3+ years of experience as a Business Analyst, with a strong understanding of US healthcare processes . Hands-on experience working with claims, eligibility, EDI 837/835/270/271 or other healthcare-related data sets. Experience in requirement elicitation , documentation , and business process mapping . Proven ability to work independently and in a team environment. Willingness to work from the Pune office on a full-time basis. Required Skills: Strong analytical and problem-solving skills. Proficiency in tools such as MS Excel, Visio , MS Word or similar. Excellent written and verbal communication skills. Attention to detail with strong organizational skills. Understanding of Agile/Scrum methodologies . Preferred Qualifications: Bachelor's degree in Computer science, IT, Healthcare Management, Information Systems, or a related field. Experience with HIPAA regulations , healthcare compliance, or payer-provider workflows. Exposure to reporting tools is a plus. Certification in Business Analysis (e.g., CBAP, CCBA) or Healthcare IT (e.g., CPHIMS) is a plus.

Role & responsibilities Develop and implement software solutions for the US healthcare domain, focusing on payer side EDI workflows. Collaborate with developers, QA engineers, project managers, and stakeholders to ensure project success. Work on end-to-end development using .NET Core, RESTful & SOAP APIs, microservices, and cloud technologies (AWS, Azure). Design, optimize, and maintain SQL and Oracle database architectures for performance and scalability. Set up and maintain CI/CD pipelines using Azure DevOps for automated builds, tests, and deployments. Use Power BI for data visualization and analytics as needed. Stay updated on software development trends and healthcare industry regulations. Preferred candidate profile Bachelors degree in Computer Science, Engineering, or a related field. 6+ years of experience in software development, with a strong background in Microsoft technologies (.NET Core, full-stack development). Proficiency in RESTful & SOAP APIs, microservices architecture, and cloud platforms (AWS, Azure). Experience in SQL and Oracle database design and optimization. Familiarity with Azure DevOps, CI/CD pipeline configuration, and agile methodologies. Understanding of US healthcare systems and payer side EDI workflows. Experience with Power BI for data visualization and analytics. Working knowledge of Angular for frontend development. Strong communication and teamwork skills. Proven experience in delivering complex software projects. Certifications in relevant technologies like AWS or Azure. Knowledge of domain-driven design and event-driven architecture. Familiarity with compliance standards such as HIPAA and HITRUST.

Role & responsibilities Edit raw footage into polished video content using industry-standard software (Adobe Premiere Pro, Final Cut Pro, Camtasia, etc.) Collaborate with content creators and designers to understand project goals and deliver high-quality edits. Add effects, graphics, music, sound effects, and transitions to enhance storytelling Manage and organize media assets and project files Ensuring content meets brand guidelines and platform-specific requirements (YouTube, LinkedIn, etc.) Handle color correction, audio mixing, and basic motion graphics when needed Preferred candidate profile Proven experience as a video editor (portfolio required) Proficiency in video editing software (Adobe Creative Suite, Final Cut Pro, etc.) Strong sense of timing, pacing, and visual storytelling Understanding of aspect ratios, frame rates, compression, and video formatting Familiarity with audio editing and basic sound design Ability to manage multiple projects Excellent communication and collaboration skills Experience with motion graphics or animation (After Effects) Knowledge of color grading software (DaVinci Resolve)

Job Description IT & Non-IT (Commercial Insurance – US Process) Company: MDI Networx Position Title: Associate / Sr. Associate Department: Commercial Insurance (US) Location: Viman Nagar, Pune Shift: US Shift (Night / Rotational as required) Employment Type: Full-Time About the Role MDI Networx is seeking dynamic professionals to join our Commercial Insurance (US) team. The role involves working closely with US brokers, underwriters, and clients to support both IT systems and Non-IT operational processes in the commercial insurance domain. You will be responsible for ensuring accuracy, compliance, and efficiency in handling insurance data, policies, renewals, and technology-driven platforms. Key Responsibilities Non-IT / Operations Manage end-to-end policy lifecycle: quoting, binding, issuance, endorsements, cancellations, and renewals. Review insurance applications, certificates, and supporting documents for accuracy and compliance. Collaborate with underwriters, brokers, and clients in the US market. Handle policy administration, data entry, reporting, and documentation in internal systems. Ensure compliance with US Commercial Insurance regulations and company standards. Provide excellent customer service and timely resolution of queries. IT / Technical Provide technical support for insurance platforms, tools, and databases. Work with cross-functional teams to resolve system issues, data errors, and integration challenges. Support automation, workflow improvement, and technology implementation projects. Perform data analysis, reporting, and dashboard management for business insights. Collaborate with US teams to ensure seamless functioning of policy administration systems (PAS), CRM, and document management tools. Required Skills & Qualifications Graduate / Postgraduate in any discipline. Relevant experience in Commercial Insurance (US) domain – IT or Non-IT processes. Good understanding of insurance operations, policy administration, or IT support in insurance platforms. Strong problem-solving and analytical skills. Excellent verbal and written communication skills in English. Proficiency in MS Office and familiarity with insurance platforms such as Applied Epic, Guidewire, Sagitta, AMS360, etc., preferred. Willingness to work in US night shifts (Night / Rotational) as per business needs. Strong attention to detail, process orientation, and customer service mindset. Good to Have Prior experience working with US brokers, underwriters, TPAs, or insurance carriers. Experience in process automation, workflow tools, and system integrations. Knowledge of US Commercial Insurance compliance and regulations. Exposure to data reporting tools and dashboard solutions.

Job Description Personal Insurance (US Process) Company: MDI NetworX Position: Personal Insurance Associate / Sr. Associate (US Process) Location: Viman Nagar, Pune Shift: US Shifts (Night Shift) Employment Type: Full-Time Experience: 1 to 5 Years About the Role MDI NetworX is seeking dedicated professionals to support our US Personal Insurance process. The role involves assisting brokers, agents, and policyholders with personal lines insurance products such as Auto, Homeowners, Renters, and Umbrella policies. You will manage policy servicing, endorsements, renewals, and provide customer support while ensuring strict compliance with US insurance regulations. Key Responsibilities Manage personal insurance policies for US clients, including Auto, Homeowners, Renters, and Umbrella lines. Process policy issuance, endorsements, renewals, cancellations, reinstatements, and rewrites. Respond to customer inquiries regarding coverage, premiums, billing, and claim status. Coordinate with carriers, brokers, and agents to ensure timely resolution of service requests. Review policy documents for accuracy and adherence to carrier guidelines. Assist in rating, quoting, and binding policies using carrier systems. Ensure compliance with US state-specific insurance regulations. Prepare reports, maintain documentation, and update records within client systems. Achieve process SLAs, accuracy, and quality benchmarks. Required Skills & Qualifications Graduate / Postgraduate in any discipline. 1 – 5 years of experience in US Personal Insurance (Auto, Homeowners, Renters, Umbrella). Strong understanding of personal lines insurance terminology, endorsements, and coverages. Excellent verbal and written English communication skills. Proficiency in MS Office applications. Familiarity with insurance platforms such as Applied Epic, AMS360, Sagitta, Vertafore, Guidewire, etc., is preferred. Willingness to work in US night shifts and manage high-volume transactions. Strong problem-solving and analytical skills with keen attention to detail. Good to Have Experience in underwriting support, rating, and quoting processes. Knowledge of state-specific compliance requirements in the US. Prior experience working with brokers, TPAs, or US carriers.

Role & responsibilities Handle end-to-end employee benefits administration for US clients (Health, Dental, Vision, Life, Disability plans). Process enrollment, terminations, changes, renewals , 401k Plan and maintain accurate records. Communicate with insurance carriers, brokers, and clients to resolve benefit-related queries. Assist employees with coverage, claim status, eligibility, and policy clarifications. Ensure compliance with HIPAA, ACA, COBRA, ERISA and other US healthcare regulations. Manage escalations and provide solutions within defined SLAs. Maintain updated knowledge of US healthcare reforms, open enrollment processes , and benefit renewals. Prepare reports, benefit summaries, and maintain documentation in client systems. Preferred candidate profile Graduate / Postgraduate in any discipline. 15 years experience in US Healthcare / Employee Benefits / Health Insurance process. Strong understanding of US group insurance (medical, dental, vision, life, disability, FSA, HSA, COBRA) . Excellent communication skills (written & verbal English) with a customer-focused approach. Proficiency in MS Office and HR/Benefits administration platforms (Workday, ADP, BenefitPoint, etc. added advantage). Ability to work in US shifts (Night Shifts) and meet client deadlines. Attention to detail, analytical ability, and problem-solving skills.

Were Hiring | Business Insurance – Associate / Sr. Associate Location: Viman Nagar, Pune (Onsite) Company: MDI Networx Experience: Associate (1–3 years) | Sr. Associate (4–6+ years) Department: Business Insurance About the Role- MDI Networx is looking for dynamic professionals to join our Business Insurance team as Associate / Sr. Associate. The role involves advising clients on risk exposures, recommending suitable insurance solutions, and ensuring seamless policy servicing. If you have strong analytical skills, insurance knowledge, and a passion for client servicing, we’d love to connect with you. Key Responsibilities- Advise business clients on insurance products: CGL, Cyber Liability, E&O, Worker’s Compensation, Umbrella Liability, Commercial Auto, EPLI, Crime Bonds, D&O, and Accounts Receivable Insurance. Assess client risk exposures, identify coverage gaps, and recommend solutions. Prepare proposals, quotes, and coverage comparisons. Manage renewals, endorsements, and mid-term policy changes. Assist clients with claims coordination and support. Liaise with underwriters, carriers, and brokers to secure optimal terms. Ensure compliance with regulations and maintain accurate client records. Deliver excellent client service and foster long-term relationships. Qualifications - Associate: Bachelor’s degree in Business, Finance, Insurance, or related field. 1–3 years of experience in business/commercial insurance. Strong communication and analytical skills. Sr. Associate: Bachelor’s/Master’s degree. 4–6+ years of relevant experience. In-depth knowledge of multiple business insurance lines. Proven ability to handle complex client requirements and negotiate with carriers. Skills & Competencies Strong client relationship management. Excellent verbal and written communication. Attention to detail in policy and coverage analysis. Ability to multitask and meet deadlines. Ethical and compliance-driven approach.

Kickstart Your Career with MDI Networx! Were hiring for International Voice Process (US Process) Location: Pune Viman Nagar (Onsite) Role: Jr. Associate / Associate Experience: 0 – 6 Months (Freshers welcome!) What You’ll Do Handle voice-based interactions with international clients Resolve queries & deliver excellent customer service Work with a dynamic & supportive team Who Can Apply? Excellent English communication skills Open to night shifts / US shifts Basic computer knowledge (Typing, Email, MS Office) Strong listening & interpersonal skills Graduate preferred

Key Responsibilities: Adjudicate medical, dental, and vision claims using the Facets platform. Review and analyze claims for eligibility, provider contracts, coding accuracy, and payment rules. Ensure timely and accurate processing of claims per regulatory and organizational standards (e.g., CMS, HIPAA). Identify discrepancies or issues in claims data and take corrective actions. Apply plan benefit designs and provider fee schedules during claim review. Collaborate with cross-functional teams including customer service, provider relations, and medical management. Participate in audits and quality checks to ensure process accuracy. Maintain confidentiality and compliance with data protection standards. Required Skills & Qualifications: 1 to 3 years of experience in healthcare claims adjudication . Hands-on experience with Facets claims processing system is mandatory . Knowledge of CPT, ICD-10, and HCPCS coding standards. Familiarity with Medicare/Medicaid or commercial insurance claim guidelines. Strong analytical and problem-solving skills. Proficient in MS Office applications (Excel, Word, Outlook). Excellent written and verbal communication skills. Ability to work independently as well as in a team-oriented environment.

Role & responsibilities Assist in the recruitment process by posting job openings, screening resumes, and scheduling interviews. Maintain and update employee records in HR databases and systems. Help in preparing HR reports and presentations. Provide support to the HR team in various projects and initiatives. Preferred candidate profile : Bachelors degree in Human Resource Management, Business Administration, Psychology, or a related field. Excellent communication and interpersonal skills. Strong organizational and multitasking abilities. Basic knowledge of MS Office (Excel, Word, PowerPoint). Eagerness to learn and grow in the HR field. Positive attitude and a team player

Key Responsibilities: Review and audit healthcare claims for accuracy, completeness, and compliance with payer policies. Identify and resolve discrepancies, errors, and inconsistencies in claims adjudication. Ensure adherence to HIPAA and other regulatory requirements. Work with internal teams to improve claims processing accuracy. Generate reports and document audit findings. Provide feedback and training to claims processing teams. Required Skills & Qualifications: Bachelor's degree or equivalent experience in healthcare or related fields. Must have: Facet tool experience. Experience in claims adjudication, auditing, or US healthcare payer operations. Strong analytical skills and attention to detail. Knowledge of medical billing, coding, and insurance policies. Proficiency in MS Office and claims processing systems. Effective communication and problem-solving skills.