Pega Smart Claims

Religent Systems

5 - 8 years

12 - 18 Lacs

hyderabad

Posted:19 hours ago| Platform:

Apply

Skills Required

pega smart claims pega pega prpc with focus on smart claims

Work Mode

Work from Office

Job Type

Full Time

Job Description

Key Responsibilities

Design, develop, and implement solutions on Pega Smart Claims platform for insurance/healthcare domain.
Configure and customize Pega rules, flows, case types, data pages, activities, decision tables, and integrations.
Work closely with business stakeholders to gather requirements and translate them into functional and technical solutions.
Enhance and optimize claims processing workflows to improve accuracy and reduce turnaround time.
Perform unit testing, debugging, and defect resolution for Pega Smart Claims applications.
Collaborate with cross-functional teams (QA, Business Analysts, Architects) to deliver high-quality solutions.
Provide production support and resolve issues within SLAs.
Ensure compliance with Pega best practices and coding standards.

Required Skills

Minimum 5 years of hands-on experience in Pega PRPC with focus on Smart Claims (Healthcare/Insurance domain preferred).
Strong knowledge of Pega Case Management, BPM concepts, and Claims processing workflows.
Experience with integrations (SOAP/REST APIs, MQ, Web Services).
Good understanding of claims adjudication, provider/member data, and insurance domain processes.
Knowledge of Pega Guardrails, Ruleset Management, and Application Lifecycle Management (ALM).
Familiarity with Agile methodology and DevOps tools for CI/CD in Pega projects.

Good to Have

Pega certification such as CSA (Certified System Architect) or CSSA (Certified Senior System Architect).

More Jobs at Religent Systems

Pega Lead Decision Architect (Lead Decision Architect Certified)

Hyderabad, Telangana, India

Experience: Not specified

Salary: Not disclosed

Senior Pega Developer with CDH Certification (10+ Years Experience)

Hyderabad

10.0 - 12.0 yrs

INR 30 - 35 Lacs

Senior Pega Developer

Hyderabad

10.0 - 15.0 yrs

INR 8 - 12 Lacs

Pega Lead System Architect

Hyderabad, Telangana, India

8.0 - 8.0 yrs

Salary: Not disclosed

Pega Lead System Architect

Hyderabad, Pune

8.0 - 10.0 yrs

INR 35 - 40 Lacs

Mock Interview

Practice Video Interview with JobPe AI

Start Job-Specific Interview

Start Your Job Search Today

Browse through a variety of job opportunities tailored to your skills and preferences. Filter by location, experience, salary, and more to find your perfect fit.