407 Tpa Jobs - Page 14

About the Role The Sr BA role is part of the Territory Planning & Analytics (TP&A) team in GSSO. The TP&A team is focused on designing the optimal territory investment, design and alignment strategy to maximize Sales (and Services) productivity. This is an internal consulting team that partners with Gartner s sales leaders to determine where, when, and how the company should direct its substantial investment in incremental sales professionals. The individual in this role will collaborate with sales leaders to guide strategic investment and go-to-market decisions at regional and global levels. What you will do: Stakeholder Management & Collaboration Partner with Gartner s sales leaders to define growth needs and design optimal teams that align with corporate sales strategy to achieve business growth. Independently and fully support one of the sales regions within Gartner Monitor performance / status vs. plan, and proactively manage expectations of internal and external stakeholders re: risks, delivery, etc. Lead preparation and development of executive-level meeting material and presentations. Territory Operations Analyze internal and external data to identify trends and characterize market opportunity at various levels (e.g., region, industry, local area, company). Own and execute medium complexity analytical projects to analyse internal and external client, prospect, and market data to provide senior sales leaders information and advice to maximize sales revenue. Drive ad hoc analysis to facilitate decision-making for Gartner s sales leaders and C-level executives. Leads development and execution of workplan, including key steps, milestones, resource requirements, KPIs, etc. Consistently presents data/information in a way that audience can relate to; is independently able to efficiently present several different arguments in clear support of a position that has a strong effect. What you will need: 3-4 years of management consulting experience required. Exceptional analytical skills, including high proficiency with Microsoft Excel, data analysis, etc. Experience of working with non-conforming data sets and generating analytical insights. Exceptionally strong written and verbal communication skills to enable direct and frequent conversations with senior leaders in Gartner. Demonstrated ability to form relationships with and influence senior leaders. Ability to deal with ambiguity and independently own a project from start to finish Ability to see past the numbers , adapt to change, and effectively explain concepts to audiences with varying levels of experience/understanding What you will get: Competitive salary, generous paid time off policy, charity match program, Group Medical Insurance, Parental Leave, Employee Assistance Program (EAP) and more! Collaborative, team-oriented culture that embraces diversity Professional development and unlimited growth opportunities

Prudential s purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support our people s career ambitions. We pledge to make Prudential a place where you can Connect, Grow, and Succeed. Prudential (UK) in partnership with the HCL group plans to set-up a standalone Indian health insurance company to address the growing healthcare needs of the Indian consumer. This joint venture will combine Prudentials global expertise in insurance and financial services with HCL Group s experience in technology and healthcare solutions. Prudential, with its longstanding presence in India, already operates two leading businesses in life insurance and asset management with the ICICI Group. Prudential was also the proud sponsor of the 1983 Cricket World Cup, India s first World Cup Victory! Prudential Health India is a Zero to One team undertaking a no-legacy, greenfield health insurance deployment in India, building journeys that truly empathize with the customer and offer a differentiated experience. o To partner with us in this mission, we are looking for a talented Specialist - Grievance Desk Escalations to join our Customer Service team in Mumbai. Your typical week might include the following: Ensuring timely, fair, and effective handling of grievances received across PHI escalation touchpoints. Handling complaints received via social media, regulatory portals (Bima Bharosa, NCH, etc), as per the defined turn-around-time. Ensure timely handing of Ombudsman and legal cases as well. Act as a voice of customer for PHI by raising timely red flags which shall be instrumental in fixing gaps and enhancing service experience. Work collaboratively with internal and external teams like Distribution, Branch, Claims, Underwriting, Legal, Medical services TPA etc. to expedite complaint resolution. Be aware of all compliance related requirements. Participate in closure of process enhancement recommendations, risk identifications along with a future fix. Participate and drive service recovery initiatives to ensure enhanced customer experience and re-instil customer trust in PHI. You could be the right candidate if you: Have 6-7 years of experience with 4-5 years of complaints handling experience health insurance, general insurance or financial services industry. Hae strong knowledge of IRDA guidelines, compliance protocols and insurance related grievance mechanisms. Have ability to manage diverse teams and stakeholders, regulatory bodies and ensure cross-functional collaboration. Possess excellent communication and negotiation skills. Have a Bachelor s degree from a recognized University Are a highly driven individual who goes that extra mile to deliver an outstanding product to the business team and end users/customers. Have demonstrated the ability to work in a fast paced and hyper-growth environment using agile methodologies where Customer and Distributor expectations can be changing This could be the gig for you if you Are passionate about bringing truly consumer centric ideas and products into reality and have an attentive ear listen to new ideas. Thrive in environments that celebrate co-creation and collaboration. Are passionate about leveraging new age digital tools and technologies to transform customer experience. Like to work in a culture where everyone can see what others are doing Take help from others when stuck and encourage others when there are setbacks Take full responsibility for your team s contribution output while thinking wing to wing across the organization; to solve for the customer. What can make you extra special if you Have walked extra mile in solving business problems by adopting offbeat path Proven track record of exceeding Service level expectations from stakeholders. Demonstrate visible leadership supporting colleagues in a diverse, inclusive, and collaborative team environment. Be a team player who is goal orientated, committed, and an advocate and early adopter of change. A proven track record working in complex business environments executing and delivering initiatives across multiple domains, stakeholder groups and technology solutions. We are keen to listen to your story; doesn t matter if you tell these stories with a sigh or with excitement. We respect both versions. Truly. If you think this is the one for you, drop in a line with your story at careers@prudentialhealth.in . We are eager to catch-up! Prudential is an equal opportunity employer. We provide equality of opportunity of benefits for all who apply and who perform work for our organisation irrespective of sex, race, age, ethnic origin, educational, social and cultural background, marital status, pregnancy and maternity, religion or belief, disability or part-time / fixed-term work, or any other status protected by applicable law. We encourage the same standards from our recruitment and third-party suppliers taking into account the context of grade, job and location. We also allow for reasonable adjustments to support people with individual physical or mental health requirements.

Prudential s purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support our people s career ambitions. We pledge to make Prudential a place where you can Connect, Grow, and Succeed. Prudential (UK) in partnership with the HCL group plans to set-up a standalone Indian health insurance company to address the growing healthcare needs of the Indian consumer. This joint venture will combine Prudentials global expertise in insurance and financial services with HCL Group s experience in technology and healthcare solutions. Prudential, with its longstanding presence in India, already operates two leading businesses in life insurance and asset management with the ICICI Group. Prudential was also the proud sponsor of the 1983 Cricket World Cup, India s first World Cup Victory! Prudential Health India is a Zero to One team undertaking a no-legacy, greenfield health insurance deployment in India, building journeys that truly empathize with the customer and offer a differentiated experience. o To partner with us in this mission, we are looking for a talented Specialist - Social Media Escalations to join our Customer Service team in Mumbai. Your typical week might include the following: Ensuring timely, fair, and effective handling of grievances received across social media platforms. Handing grievances received via internal escalation touchpoints, , regulatory portals (Bima Bharosa, NCH, etc), as per the defined turn-around-time. Ensure timely handing of Ombudsman and legal cases as well. Act as a voice of customer for PHI by raising timely red flags which shall be instrumental in fixing gaps and enhancing service experience. Work collaboratively with internal and external teams like Distribution, Branch, Claims, Underwriting, Legal, Medical services TPA etc. to expedite complaint resolution. Be aware of all compliance related requirements. Participate in closure of process enhancement recommendations, risk identifications along with a future fix. Participate and drive service recovery initiatives to ensure enhanced customer experience and re-instil customer trust in PHI. You could be the right candidate if you: Have 6-7 years of experience with 4-5 years of complaints handling experience health insurance, general insurance or financial services industry. Have strong knowledge of IRDA guidelines, compliance protocols and insurance related grievance mechanisms. Have ability to manage diverse teams and stakeholders, regulatory bodies and ensure cross-functional collaboration. Possess excellent communication and negotiation skills. Have a Bachelor s degree from a recognized University Are a highly driven individual who goes that extra mile to deliver an outstanding product to the business team and end users/customers. Have demonstrated the ability to work in a fast paced and hyper-growth environment using agile methodologies where Customer and Distributor expectations can be changing This could be the gig for you if you Are passionate about bringing truly consumer centric ideas and products into reality and have an attentive ear listen to new ideas. Thrive in environments that celebrate co-creation and collaboration. Are passionate about leveraging new age digital tools and technologies to transform customer experience. Like to work in a culture where everyone can see what others are doing Take help from others when stuck and encourage others when there are setbacks Take full responsibility for your team s contribution output while thinking wing to wing across the organization; to solve for the customer. What can make you extra special if you Have walked extra mile in solving business problems by adopting offbeat path Proven track record of exceeding Service level expectations from stakeholders. Demonstrate visible leadership supporting colleagues in a diverse, inclusive, and collaborative team environment. Be a team player who is goal orientated, committed, and an advocate and early adopter of change. A proven track record working in complex business environments executing and delivering initiatives across multiple domains, stakeholder groups and technology solutions. We are keen to listen to your story; doesn t matter if you tell these stories with a sigh or with excitement. We respect both versions. Truly. If you think this is the one for you, drop in a line with your story at careers@prudentialhealth.in . We are eager to catch-up! Prudential is an equal opportunity employer. We provide equality of opportunity of benefits for all who apply and who perform work for our organisation irrespective of sex, race, age, ethnic origin, educational, social and cultural background, marital status, pregnancy and maternity, religion or belief, disability or part-time / fixed-term work, or any other status protected by applicable law. We encourage the same standards from our recruitment and third-party suppliers taking into account the context of grade, job and location. We also allow for reasonable adjustments to support people with individual physical or mental health requirements.

Prudential s purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support our people s career ambitions. We pledge to make Prudential a place where you can Connect, Grow, and Succeed. Prudential (UK) in partnership with the HCL group plans to set-up a standalone Indian health insurance company to address the growing healthcare needs of the Indian consumer. This joint venture will combine Prudentials global expertise in insurance and financial services with HCL Group s experience in technology and healthcare solutions. Prudential, with its longstanding presence in India, already operates two leading businesses in life insurance and asset management with the ICICI Group. Prudential was also the proud sponsor of the 1983 Cricket World Cup, India s first World Cup Victory! Prudential Health India is a Zero to One team undertaking a no-legacy, greenfield health insurance deployment in India, building journeys that truly empathize with the customer and offer a differentiated experience. o To partner with us in this mission, we are looking for a talented Specialist - Grievance Desk Escalations to join our Customer Service team in Mumbai. Your typical week might include the following: Ensuring timely, fair, and effective handling of grievances received across PHI escalation touchpoints. Handling complaints received via social media, regulatory portals (Bima Bharosa, NCH, etc), as per the defined turn-around-time. Ensure timely handing of Ombudsman and legal cases as well. Act as a voice of customer for PHI by raising timely red flags which shall be instrumental in fixing gaps and enhancing service experience. Work collaboratively with internal and external teams like Distribution, Branch, Claims, Underwriting, Legal, Medical services TPA etc. to expedite complaint resolution. Be aware of all compliance related requirements. Participate in closure of process enhancement recommendations, risk identifications along with a future fix. Participate and drive service recovery initiatives to ensure enhanced customer experience and re-instil customer trust in PHI. You could be the right candidate if you: Have 6-7 years of experience with 4-5 years of complaints handling experience health insurance, general insurance or financial services industry. Hae strong knowledge of IRDA guidelines, compliance protocols and insurance related grievance mechanisms. Have ability to manage diverse teams and stakeholders, regulatory bodies and ensure cross-functional collaboration. Possess excellent communication and negotiation skills. Have a Bachelor s degree from a recognized University Are a highly driven individual who goes that extra mile to deliver an outstanding product to the business team and end users/customers. Have demonstrated the ability to work in a fast paced and hyper-growth environment using agile methodologies where Customer and Distributor expectations can be changing This could be the gig for you if you Are passionate about bringing truly consumer centric ideas and products into reality and have an attentive ear listen to new ideas. Thrive in environments that celebrate co-creation and collaboration. Are passionate about leveraging new age digital tools and technologies to transform customer experience. Like to work in a culture where everyone can see what others are doing Take help from others when stuck and encourage others when there are setbacks Take full responsibility for your team s contribution output while thinking wing to wing across the organization; to solve for the customer. What can make you extra special if you Have walked extra mile in solving business problems by adopting offbeat path Proven track record of exceeding Service level expectations from stakeholders. Demonstrate visible leadership supporting colleagues in a diverse, inclusive, and collaborative team environment. Be a team player who is goal orientated, committed, and an advocate and early adopter of change. A proven track record working in complex business environments executing and delivering initiatives across multiple domains, stakeholder groups and technology solutions. We are keen to listen to your story; doesn t matter if you tell these stories with a sigh or with excitement. We respect both versions. Truly. If you think this is the one for . We are eager to catch-up!

Prudential s purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support our people s career ambitions. We pledge to make Prudential a place where you can Connect, Grow, and Succeed. Prudential (UK) in partnership with the HCL group plans to set-up a standalone Indian health insurance company to address the growing healthcare needs of the Indian consumer. This joint venture will combine Prudentials global expertise in insurance and financial services with HCL Group s experience in technology and healthcare solutions. Prudential, with its longstanding presence in India, already operates two leading businesses in life insurance and asset management with the ICICI Group. Prudential was also the proud sponsor of the 1983 Cricket World Cup, India s first World Cup Victory! Prudential Health India is a Zero to One team undertaking a no-legacy, greenfield health insurance deployment in India, building journeys that truly empathize with the customer and offer a differentiated experience. o To partner with us in this mission, we are looking for a talented Specialist - Social Media Escalations to join our Customer Service team in Mumbai. Your typical week might include the following: Ensuring timely, fair, and effective handling of grievances received across social media platforms. Handing grievances received via internal escalation touchpoints, , regulatory portals (Bima Bharosa, NCH, etc), as per the defined turn-around-time. Ensure timely handing of Ombudsman and legal cases as well. Act as a voice of customer for PHI by raising timely red flags which shall be instrumental in fixing gaps and enhancing service experience. Work collaboratively with internal and external teams like Distribution, Branch, Claims, Underwriting, Legal, Medical services TPA etc. to expedite complaint resolution. Be aware of all compliance related requirements. Participate in closure of process enhancement recommendations, risk identifications along with a future fix. Participate and drive service recovery initiatives to ensure enhanced customer experience and re-instil customer trust in PHI. You could be the right candidate if you: Have 6-7 years of experience with 4-5 years of complaints handling experience health insurance, general insurance or financial services industry. Have strong knowledge of IRDA guidelines, compliance protocols and insurance related grievance mechanisms. Have ability to manage diverse teams and stakeholders, regulatory bodies and ensure cross-functional collaboration. Possess excellent communication and negotiation skills. Have a Bachelor s degree from a recognized University Are a highly driven individual who goes that extra mile to deliver an outstanding product to the business team and end users/customers. Have demonstrated the ability to work in a fast paced and hyper-growth environment using agile methodologies where Customer and Distributor expectations can be changing This could be the gig for you if you Are passionate about bringing truly consumer centric ideas and products into reality and have an attentive ear listen to new ideas. Thrive in environments that celebrate co-creation and collaboration. Are passionate about leveraging new age digital tools and technologies to transform customer experience. Like to work in a culture where everyone can see what others are doing Take help from others when stuck and encourage others when there are setbacks Take full responsibility for your team s contribution output while thinking wing to wing across the organization; to solve for the customer. What can make you extra special if you Have walked extra mile in solving business problems by adopting offbeat path Proven track record of exceeding Service level expectations from stakeholders. Demonstrate visible leadership supporting colleagues in a diverse, inclusive, and collaborative team environment. Be a team player who is goal orientated, committed, and an advocate and early adopter of change. A proven track record working in complex business environments executing and delivering initiatives across multiple domains, stakeholder groups and technology solutions. We are keen to listen to your story; doesn t matter if you tell these stories with a sigh or with excitement. We respect both versions. Truly. If you think this is the one for . We are eager to catch-up!

Role & responsibilities Sending Monthly Reports to insurance co (new additions, deletions etc) He/she will be a SPOC for all employees with reference to handling queries regarding their medical benefits/hospitalizations To close Service tickets pertaining to medical matters within a specified TAT Managing emergency support to employees Liasing closely with the insurance company for faster processing of claims Monitoring CD balance and replenishing the same in co-ordination with the accounts team

Role & responsibilities Manage insurance claims from receipt to settlement, ensuring timely processing and resolution. Coordinate with TPAs (Third Party Administrators) for claim adjudication and settlement. Handle mediclaim claims, health insurance claims, and other types of general insurance policies. Ensure accurate billing and reconciliation of patient accounts. Maintain records of all interactions with patients, providers, and insurers. Preferred candidate profile 5-8 years of experience in insurance coordination or TPA coordination role. Strong knowledge of insurance billing, claims processing, and claims settlement procedures. Proficiency in handling multiple tasks simultaneously under tight deadlines. Excellent communication skills for effective interaction with customers (patients), providers (hospitals), and insurers. Perks and benefits As per industry

Responsibilities: Process customer orders accurately and efficiently Maintain accurate records and reports on billing activities Prepare and send out invoices promptly Manage credit accounts and collections RGHS/Ayushman Bharat billing

Check the medical admissibility of claim by confirming diagnosis and treatment details Verify the required documents for processing claims and raise an information request in case of an insufficiency Approve or deny claims as per T&C within TAT If candidates are interested please drop your update resume/CV on my Mail ID - varsha.kumari@mediassist.in Thanks & Regards Varsha Kumari Email - varsha.kumari@mediassist.in

Hiring Executive CRM (Corporate and Client Relationship) Company - MD India Health Insurance TPA Job Description Responsible for managing client relationships with key decision makers Subject matter expert for partners and internal staff for the assigned product Addresses the gaps identified between client requirement & the service provided Ensure that the service is delivered in accordance with the agreed service level agreement Act as a point of contact for any escalation or feedback from clients Collaborate with the other functional Group to evaluate the product performance and to recommend Refinements and improvements in service performance Establish and maintain on-going partner relationships and anticipate and resolve potential problems of the client Announcements of new updates and upcoming events/meetings Manage account renewal, customer support escalation Ensure smooth support during renewal of account Excellent Communication Skills Good knowledge of MS Office Open to travel

Position Medical Officer Location Mumbai (Andheri East, Saki Naka) Basic Responsibilities Call prospective customer of insurer for taking medical history through structured tele medical interview. Ask reflex questions in case of any medical adversity. Take complete details of investigation and treatment completed by customer. The doctors need to work from office for 8 hrs. Qualification BAMS/ BHMS/ BDS/ BUMS/ BEMS/BSMS Shift Timing: 8 hrs day shift Skills Fresher doctors are welcome or some prior exposure or sound understanding of Tele/Video MER process. Permanent or provisional registration number is a MUST. Excellent written and verbal communication skills You have Eye for details, Good Communication skills and Ability to Identify Gaps. Interested applicants can share their resume on snehal.salvi@healthassure.in or connect with me on 8356947469.

Role & responsibilities • Scrutiny of medical documents and adjudication. • Assess the eligibility of medical claims and determine financial outcomes. • Identification of trigger factors of insurance related frauds and inform the concerned department. • Determine accuracy of medical documents ADDITIONAL SKILLS • Good communication • Familiarity with Computers and interest in learning on the job. Pratiksha Shitole, Sr.Executive Talent Acquisition, MDIndia Health Insurance TPA Pvt. Ltd. S. No. 46/1, E-space, A-2 Building, 3rd floor, Pune Nagar Road, Vadgaonsheri, Pune 411014. Email Address: hr9@mdindia.com Contact No. 7058036074 Visit us @ www.mdindiaonline.com

Roles and Responsibilities Candidate has to do TPA Empanelment. Candidate will handle entire billing part and documentation. TPA/Cashless /ECHS /CGHS /ESIC billing & documentation. Liaison with Govt. Health Departments. Liaison with Insurance Companies. Tie ups with Corporate Houses. Must be aware of norms of insurance sector. Desired Candidate Profile Good communication. Must have good command over MS Office. Candidate must have experienced in Third party/ Empanelment Corporate tie-ups. Must have experienced of Hospital. Must have Experienced TPA/Cashless/ECHS/CGHS processors. Perks and Benefits Performance based Incentives Interested candidates may share their cv on WhatsApp 8875029935 with be mention Details Total Experience Current City Current Company Home Town Current Salary Expected Salary Notice Period

Claims Executive- EB website Link: www.dishainsurance.com Job Summary: We are seeking a qualified Claims executive to help our clients in claims and any other query solution through their own skills. Our ideal Claims executive has to have in-depth knowledge of and experience with the Claim process, Policy terms and conditions, relationship building and MIS management. We are seeking a quick learner with strong communication skills, and someone with a track record of success who can inspire the same in others Roles & Responsibilities: One stop solution for all client queries and requirements Represent our company, with a comprehensive understanding of our services in the area of claim process and policy terms and conditions. Providing the timely help to clients in claim settlements in both cashless and reimbursements claims. Co-ordinating with Insurance Company in updating endorsements, CD Balance and claims reports. Co-ordinating with TPA in claim settlements, in solving the issues due to any calculation error and any data error with the MIS reports. Co-ordinating with clients, HR Head and Finance Head in resolving any issues. Maintaining MIS reports. Co-ordinating with the Retention team. Visiting clients to understand if they have any concerns and help them in fixing the issues. Visiting the TPA and Insurance Company to maintain good relationship with the customer relation team. Desired Profile/ Who should join: Should have 3 to 6 years of experience in a general insurance company/ insurance broker / surveyor Proficient in Microsoft Excel and MS office Fair knowledge about the Insurance processes Good communication skills Problem solving attitude Flexibility with calls and mails

Role & responsibilities Checking bill as MOA Deduction analysis Knowledge of TPA norms,AL and portal Knowledge of NHA and ECHS portal Preferred candidate profile

Hiring TPA Incharge/Officer for a hospital in Gurgaon. Min 4 yrs exp in TPA desk. Must handle claims, pre-auths, billing, discharges & patient queries. Strong communication & TPA workflow knowledge required. Send cv on-82808 33507

Hiring Clinical Investigator for Mohali location ! Eligibility Criteria: Education BHMS,BAMS,MBBS,BPT Candidates with prior US Healthcare or Clinical experience will be preferred. Noncertified Physicians can apply however should be ready to complete the same within specified timeline. (CPC/CIC) Good communication skills. Candidates with corporate experience will be preferred. Immediate joiners preferred. Should be ready to work from office. Should be ready to work in night shift. Job Location - Mohali Interested candidates can share resume - Jitendra.pandey@cotiviti.com Regards, Jitendra 7350534498

Hiring Clinical Doctors for Medical coding role in Mohali !! Eligibility Criteria: Education BHMS,BAMS,MBBS,BPT Candidates with prior US Healthcare or Clinical experience will be preferred. Fresher Physicians can also apply with good clinical knowledge. Noncertified Physicians can apply however should be ready to complete the same within specified timeline. (CPC/CIC) Good communication skills. Candidates with corporate experience will be preferred. Immediate joiners preferred. Should be ready to work from office. Should be ready to work in night shift. Job Location - Mohali Interested candidates can share resume - Jitendra.pandey@cotiviti.com Regards, Jitendra 7350534498

: Job Purpose Procurement of Engineering Materials for Maintenance, Packaging materials for Packaging & Service support for all maintenance activities. Job Context & Major Challenges Job Context: The global aluminum market is valued at USD 87.84 billion in 2021 and is expected to grow 7.5 % (CAGR) from 2022 to 2030. Increase in demand for lightweight and durable extruded products is driving the growth. Top aluminum extruders are investing and creating tough competition. Hindalco Industries Limited have acquired the extrusion business of SAPA located at Kuppam, Andhra Pradesh with effect from 01 Feb 2022 through Business Transfer Agreement This plant is first of its kind, across the globe to have mill finish, anodized, powder coated, fabricated products manufactured under one roof. The profiles developed and manufactured are highly complex in nature, having critical die designs, challenging operations, involve highly skilled technicians, special machinery, and processes. This unit has two 8-inch press with a capacity of 16,000 TPA, anodizing 2500 TPA, powder coating 3200 TPA along with various fabrication machinery like manual & robotic welding, CNC cutting & machining centers, Flaring & collaring, assembly lines serving for Building & Construction (25%), Industrial (40%), Exports (25%) Automotive (7%), and Solar segments (3%). The unit is increasing its business in automated warehouse system, premium anodizing finish products (exports), Solar energy and automotive (domestic) segments by increasing utilization of existing facility with additional shifts for continuous operation, setting up new fabrication facility, additional anodizing tanks and a brand-new extrusion press Job Challenges: Arranging service person within 24 hours if any machine breakdown. Ensure all spares are order on time & get on time, to be needed in case of breakdown. After Market handling service team is quite challenging. Packaging cost inflation is a big challenge. Import spares offer and getting material within short lead time through CHA. Key Result Areas KRA (Accountabilities) (Max 1325 Characters) Supporting Actions (Max 1325 Characters) KRA1 Material Availability To ensure the 100% availability of Materials to meet the Monthly Product dispatches as per customer requirements. To ensure 100% availability of right Quality & Quantity of Raw Materials as per planned & unplanned requirements. To priorities the procurement in accordance with the requirement & usages. KRA2 Material Cost Benching all materials to validate right cost procurement To ensure proper bid evaluation are made with competitive cost comparison. To keep a watch on price volatility of key inputs. Creating the competitive with suppliers. No Scrappage of Materials due to wrong ordering. Packaging materials cost saving by YOY compared to existing purchase price. Freight terms change without any price Impact. Consolidating export shipments for reducing freight cost KRA3 Supplier capability development To improve their capabilities and competitiveness in the areas of cost, quality, time, and technology as per our requirements to meet customer requirements. KRA4 Customer Centricity (Internal & External) 1.IR VS PO VS Receipt tracking - to ensure receipt of material on time for meeting customer requirement 2. Conversion IR to order within 5 days other than special and Capex. 3. AMC Renewals on time - to maintain PMs intact to avoid breakdowns to meet customer production. 4.To Achieve OTIF target (Incoming Materials) of 100%. 5.Dual source for all high value/volume packaging materials for avoid interruption in supply 6.On time Import Clearance within 5 Days. 7.Supplier delivery performance monitoring 8.Pending order status follow-up with supplier to alert their pending for supply to us. 9.Service jobs sending material to supplier and getting back follow-up done for tracking. KRA5 Capital Goods Procurement To ensure Capital goods purchase within the sanctioned amount. To conduct multiple technical and commercial negotiations, to procure the best equipment at most competitive rate with right time. KRA6 Working Capital Management To obtain increased Credit period and try to restrict advance payment. To co-ordinate with Accounts dept for timely payment & if any issues. Supplier Credit terms increase Split delivery for High Value Materials to improve cash flow. Advance Payment supplier convert to Credit terms minimum 5 Supplier. Inventory reduction by 5% YOY Periodic reconciliation of suppliers Qualifications: DXPF3.Bachelor of Engineering Minimum Experience Level: 6-7 Years Report to: Assistant General Manager

Job Purpose Procurement of Engineering Materials for Maintenance, Packaging materials for Packaging & Service support for all maintenance activities. Job Context & Major Challenges Job Context: The global aluminum market is valued at USD 87.84 billion in 2021 and is expected to grow 7.5 % (CAGR) from 2022 to 2030. Increase in demand for lightweight and durable extruded products is driving the growth. Top aluminum extruders are investing and creating tough competition. Hindalco Industries Limited have acquired the extrusion business of SAPA located at Kuppam, Andhra Pradesh with effect from 01 Feb 2022 through Business Transfer Agreement This plant is first of its kind, across the globe to have mill finish, anodized, powder coated, fabricated products manufactured under one roof. The profiles developed and manufactured are highly complex in nature, having critical die designs, challenging operations, involve highly skilled technicians, special machinery, and processes. This unit has two 8-inch press with a capacity of 16,000 TPA, anodizing 2500 TPA, powder coating 3200 TPA along with various fabrication machinery like manual & robotic welding, CNC cutting & machining centers, Flaring & collaring, assembly lines serving for Building & Construction (25%), Industrial (40%), Exports (25%) Automotive (7%), and Solar segments (3%). The unit is increasing its business in automated warehouse system, premium anodizing finish products (exports), Solar energy and automotive (domestic) segments by increasing utilization of existing facility with additional shifts for continuous operation, setting up new fabrication facility, additional anodizing tanks and a brand-new extrusion press Job Challenges: Arranging service person within 24 hours if any machine breakdown. Ensure all spares are order on time & get on time, to be needed in case of breakdown. After Market handling service team is quite challenging. Packaging cost inflation is a big challenge. Import spares offer and getting material within short lead time through CHA. Key Result Areas KRA (Accountabilities) (Max 1325 Characters) Supporting Actions (Max 1325 Characters) KRA1 Material Availability To ensure the 100% availability of Materials to meet the Monthly Product dispatches as per customer requirements. To ensure 100% availability of right Quality & Quantity of Raw Materials as per planned & unplanned requirements. To priorities the procurement in accordance with the requirement & usages. KRA2 Material Cost Benching all materials to validate right cost procurement To ensure proper bid evaluation are made with competitive cost comparison. To keep a watch on price volatility of key inputs. Creating the competitive with suppliers. No Scrappage of Materials due to wrong ordering. Packaging materials cost saving by YOY compared to existing purchase price. Freight terms change without any price Impact. Consolidating export shipments for reducing freight cost KRA3 Supplier capability development To improve their capabilities and competitiveness in the areas of cost, quality, time, and technology as per our requirements to meet customer requirements. KRA4 Customer Centricity (Internal & External) 1.IR VS PO VS Receipt tracking - to ensure receipt of material on time for meeting customer requirement 2. Conversion IR to order within 5 days other than special and Capex. 3. AMC Renewals on time - to maintain PMs intact to avoid breakdowns to meet customer production. 4.To Achieve OTIF target (Incoming Materials) of 100%. 5.Dual source for all high value/volume packaging materials for avoid interruption in supply 6.On time Import Clearance within 5 Days. 7.Supplier delivery performance monitoring 8.Pending order status follow-up with supplier to alert their pending for supply to us. 9.Service jobs sending material to supplier and getting back follow-up done for tracking. KRA5 Capital Goods Procurement To ensure Capital goods purchase within the sanctioned amount. To conduct multiple technical and commercial negotiations, to procure the best equipment at most competitive rate with right time. KRA6 Working Capital Management To obtain increased Credit period and try to restrict advance payment. To co-ordinate with Accounts dept for timely payment & if any issues. Supplier Credit terms increase Split delivery for High Value Materials to improve cash flow. Advance Payment supplier convert to Credit terms minimum 5 Supplier. Inventory reduction by 5% YOY Periodic reconciliation of suppliers Qualifications: DXPF3.Bachelor of Engineering Minimum Experience Level: 6-7 Years Report to: Assistant General Manager

Roles and Responsibilities Manage end-to-end claims processing, including investigation, settlement, and reconciliation. Oversee insurance billing and TPA (Third Party Administrator) processes. Ensure compliance with regulatory requirements and industry standards for healthcare services. Develop and implement effective strategies to reduce claim denial rates and improve revenue cycle management. Collaborate with internal stakeholders to resolve complex claims issues.

Candidates with >5 years experience in TPA/Insurance Desk, apply for the position of Senior Manager.

Accuracy in Inpatient Billing. Effectively monitoring of day-to-day activities Resolve customer complaints or answer customers' questions regarding policies and procedures. Supervise the work of office, administrative, or customer service employees to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems. Provide employees with guidance in handling difficult or complex problems or in resolving escalated complaints or disputes. Implement corporate or departmental policies, procedures, and service standards in conjunction with management. Discuss job performance problems with employees to identify causes and issues and to work on resolving problems. Monitoring all estimations and actual billing expenses. Follow up of Emergency admission patient. Day to day outstanding amount follow up. Monitors OP / IP billings performance shift wise. Bill Updating of all the procedures done to the patient on daily basis. Ensures charges for the hospital services based upon the tariff. Gives estimation to the self-paying patients and Corporate Patients. To ensure that all the services are charged before final bill is made. Takes written consent from the Patients attendants on payment terms. Discuss with the consultants, estimate, deposits and payments. Explains the line of treatment being given and the reason for taking such deposits at the time of admission to the patients and their attendants. Gives break-ups of the treatment bills for re-imbursement, insurance claims. Provides inputs to Finance and Accounts department regarding day-to-day transactions Implementing admission & billing policies as directed by the management Tracking timely submission of bills of TPA & Corporate Maintaining MOU tracker. Maintaining all tariffs in soft copy and hard copy authorized sign. Co-ordination with internal departments. Maintaining Discharge TAT. Maintaining Estimation TAT. Giving on job training to staffs. Ensuring proper documentation for audit. Helping to concern person for timely TPA and Corporate renewals. Timely tariff revision. Daily MIS reports to the management.

Making different types of bills like ECHS/CGHS and other panels. Intrested Candidate can share their resume on himanshi.singla@aimsindia.com

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Process - Postpay Clinical Primary Responsibilities This process works on identifying discrepancies between medical records and billed services for complex and high value claims by identifying Up-coding, Unbundling, Duplication, and Misrepresentation of services. Keen eye for detail. Knowledge of CPT/ diagnosis codes, CMC guideline along with referring to client specific guidelines and member policies Prevent the payment of potentially fraudulent and/or abusive claims utilizing medical expertise, knowledge of CPT/diagnosis codes, CMC guideline along with referring to client specific guidelines and member policies Adherence to state and federal compliance policies and contract compliance Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications Medical degree - BHMS/BAMS/BUMS/BPT/MPT/B.Sc. Nursing Knowledge of US Healthcare and coding desirable Proven attention to detail & Quality focused Proven good Analytical & comprehension skills Basic Computer Skills Preferred Qualifications 6+ months of clinical review experience Extensive knowledge on ISET/UNET/FACETS/COSMOS platform used to perform research as part of the clinical investigation process Claims processing experience Medical record familiarity Knowledge of ICD-10 Intermediate skill level with MS Office At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone - of every race, gender, sexuality, age, location and income - deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.