Company Description Wellcove, operating as the DBA for CHCS Services Inc., is a premier full-service senior market solutions provider with over 25 years of experience. Specializing in long-term care and Medicare Supplement plans A-N, Wellcove offers comprehensive solutions for the insurance senior market sector. As a leading third-party administrator, Wellcove provides exceptional service and operates as an extension of the client's organization and brand, leveraging top-notch infrastructure and technology. Min. experience required for the job : 2+ years. Required Technical Skillset : Hands-on exp. On some of these technologies - SQL, PL/SQL, SSRS, SSIS, and AWS RedShift. Tools: MS SQL Server Candidate must possess working knowledge on MS SQL Server, including Joins, Constraints, Functions, Stored Procedures, etc Strong hands-on Skills in SSIS and SSRS, including package configurations, exception handling, and package deployment. Excellent problem-solving & analytical skills. Excellent verbal & written communication skills Nice to have hands-on knowledge of .NET, C#, and Power BI Job Description: Should be able to interact with customer for Requirement Gathering, problem solving independently Drive business requirements Independently perform the estimation process for WBS/Implementation & Execution plan for Projects Propose and come up with application specifications, artifacts, and Implementation plans Translate Business requirements into programmed applications/modules/ business processes, flows Conduct Daily stand-up meetings to take stock on the progress of team on all the Deliverables Manage application management deliverables Carry out Code Review, Documentation & review deliverables from junior developers Conduct Technical and functional Sessions periodically Understand the Application lifecycle management process Effective communication with proactive status reporting with different stakeholders in the account Monitoring applications and able to understand the project process. Well-versed in root cause analysis and ability to provide right solution to support requests Preparation of HLDs, LLDs, Design Docs, and technical Design Docs etc. Understand the Application lifecycle management process Understanding technical mini specifications and developing code from them by maintaining specified coding standards. Preparation of Test plans (unit/module level) and Execution of test plans.
KoreCent (https://korecent.com) is a leading digital transformation company that helps organizations around the globe to optimize their operations and drive growth. Founded in 2012 with a team of highly skilled experts, KoreCent boasts a strong combination of technical and commercial business knowledge and qualifications. We pride ourselves on offering customers reliability, scalability, and a delightful experience. We are proud to be certified ERPNext silver partners and an official Odoo Ready Partner in the United States. We specialize in implementing and customizing these powerful open-source ERP systems to meet diverse business needs. Experience Required: 4+ years Role Overview: We are looking for a results-driven Odoo Sales Executive to join our team. This on-site role requires a candidate with proven experience in ERP sales, particularly Odoo, and a strong background in handling B2B enterprise clients. You will be responsible for generating leads, managing the sales cycle, and closing deals to support clients in their digital transformation journey. Key Responsibilities: ● Identify and connect with potential clients using tools like LinkedIn Sales Navigator and other lead generation platforms. ● Conduct cold calls and outreach campaigns to build a high-quality sales pipeline. ● Understand client requirements and present tailored Odoo ERP solutions through demos and product walkthroughs. ● Manage the complete sales cycle from lead generation, needs analysis, solution pitch, proposal creation, to deal closure. ● Work closely with the technical and functional team to ensure client needs are accurately captured and implemented. ● Maintain up-to-date records of all sales activities in CRM and provide regular pipeline and performance reports. ● Keep abreast of Odoo product updates , industry trends, and competitor activities to remain ahead in the market. ● Deliver and exceed individual and team sales targets and KPIs. Required Qualifications: ● MBA in Marketing, Business, IT, or a related field. ● Minimum of 4+ years experience in ERP sales, specifically Odoo . ● Proven track record in B2B and enterprise-level software sales . ● Experience in using tools such as LinkedIn Sales Navigator, CRM platforms, and other lead generation systems. ● Excellent communication, negotiation, and presentation skills. ● Strong understanding of the Odoo ecosystem and applications. ● Ability to work collaboratively with internal teams to deliver client solutions. Odoo Certification preferred. Preferred Certifications (Good to Have): ● Odoo Partner/Functional Certification ● PMP, Scrum, or Agile Project Management Certification Why Join KoreCent? ● Work with cutting-edge Odoo ERP technology . ● Be part of a skilled and supportive team focused on global enterprise clients. ● Competitive salary structure with performance-based incentives. ● Opportunities for career advancement and skill development. ● Exposure to global projects and clients. Perks & Benefits: ● Potential for future career growth ● Flexible Time Off ● Compensatory Offs ● Leisure Trips and Entertainment ● Dine out on Project completion (at management discretion) ● Work from home - Balance Allocation Office timings: 9:30 AM - 6:30 PM Workings: Monday - Friday (5 days a week) Location: IT Park, Panchkula (Haryana)
Role Description This is a full-time remote position for a Reporting Developer specializing in Bold Reports and Amazon Redshift. The Reporting Developer will be responsible for designing, developing, testing, and deploying reports to support business intelligence objectives. Tasks include creating data models, extracting and transforming data, performing detailed data analysis, and producing actionable insights to guide decision-making. The role will require collaboration with cross-functional teams to gather reporting requirements and ensure the accuracy and reliability of generated reports. Qualifications Proficiency in Report Development, including designing and deploying solutions in platforms like Bold Reports and Amazon Redshift Strong Analytical Skills to interpret data and provide meaningful insights Experience in Extract, Transform, and Load (ETL) processes and Data Modeling for efficient data management Demonstrated expertise in Data Analysis to support informed decision-making Proven ability to work in a collaborative remote team environment Excellent problem-solving and critical thinking skills Bachelor’s degree in Computer Science, Information Technology, or a related field; relevant certifications are a plus Prior experience in healthcare or insurance sectors is beneficial but not mandatory
Who We Are Wellcove has been recognized as the nation’s leading full-service senior market solutions provider for over 25 years. Our solutions span the insurance senior market sector, focusing on long-term care and Medicare Supplement plans. However, we don’t stop there. Wellcove also addresses challenges faced in accident & health, disability, and supplemental health insurance programs. Our team provides individuals and their families with peace of mind knowing their insurance needs will be met in a thoughtful, efficient manner. We are able to do this because of our dedicated associates, innovative solutions, and state-of-the-art technology. Key Skills: Ability to review and analyze complex medical documentation with a high degree of accuracy to prevent errors in claims processing and familiarity with medical coding systems (CPT, ICD, HCPCS) to understand and interpret medical procedures and diagnoses. SUMMARY A Healthcare Complex Claims Specialist is responsible for the thorough investigation, adjudication, and processing of complex healthcare claims in adherence to industry regulations and organizational policies. This role requires a deep understanding of analyzing medical records, healthcare coding systems (e.g., CPT, ICD-10, HCPCS) to accurately assess claims. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Ability to review and analyze complex medical documentation with a high degree of accuracy to prevent errors in claims processing. Evaluate claims against established guidelines, contracts, and regulatory requirements. Conduct detailed research on complex claims, pre-existing conditions, and other intricate scenarios. Analyze medical records, policy documents, and other relevant information to make informed claim decisions. Demonstrate proficiency in healthcare coding systems (e.g., CPT, ICD-10, HCPCS, Revenue codes, medical terminologies, Human Anatomy, Inpatient Vs. Outpatient claims) to accurately assess claims. Apply knowledge of healthcare benefits and payment policies. Provide clear and concise explanations of claim decisions to relevant parties. Identify trends and patterns in complex claims to contribute to process improvements. Candidate should be able to correctly calculate claim amounts for the customers. Complying with company regulations regarding HIPAA, confidentiality, and private health information. QUALIFICATIONS Medical Graduates – MBBS, Physiotherapists, B-Pharma or life science graduates with minimum 1 year of experience in handling US Health Insurance claims. Graduates and Fresher. LANGUAGE SKILLS Should have strong English comprehension, verbal and written skills Strong medical science knowledge to comprehend medical reports MATHEMATICAL SKILLS Should have basic math knowledge of calculating simple interest, compound interest. REASONING ABILITY Should have good English comprehension and analytical skills Should have excellent problem-solving skills with an eye for detail WORK ENVIRONMENT Should be open to work 24*7 and mandatory US timings, night shift Ready to handle work pressure and ensure deliverables within timelines At Wellcove, we strive to create an inclusive culture for all. We understand the importance of listening and incorporating various perspectives at every level of service. Our company does not discriminate based on gender identity, race, sexual orientation, age, religion, or disability.
Who We Are Wellcove has been recognized as the nation’s leading full-service senior market solutions provider for over 25 years. Our solutions span the insurance senior market sector, focusing on long-term care and Medicare Supplement plans. However, we don’t stop there. Wellcove also addresses challenges faced in accident & health, disability, and supplemental health insurance programs. Our team provides individuals and their families with peace of mind knowing their insurance needs will be met in a thoughtful, efficient manner. We are able to do this because of our dedicated associates, innovative solutions, and state-of-the-art technology. Key Skills: Ability to review and analyze complex medical documentation with a high degree of accuracy to prevent errors in claims processing and familiarity with medical coding systems (CPT, ICD, HCPCS) to understand and interpret medical procedures and diagnoses. SUMMARY A Healthcare Complex Claims Specialist is responsible for the thorough investigation, adjudication, and processing of complex healthcare claims in adherence to industry regulations and organizational policies. This role requires a deep understanding of analyzing medical records, healthcare coding systems (e.g., CPT, ICD-10, HCPCS) to accurately assess claims. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Ability to review and analyze complex medical documentation with a high degree of accuracy to prevent errors in claims processing. Evaluate claims against established guidelines, contracts, and regulatory requirements. Conduct detailed research on complex claims, pre-existing conditions, and other intricate scenarios. Analyze medical records, policy documents, and other relevant information to make informed claim decisions. Demonstrate proficiency in healthcare coding systems (e.g., CPT, ICD-10, HCPCS, Revenue codes, medical terminologies, Human Anatomy, Inpatient Vs. Outpatient claims) to accurately assess claims. Apply knowledge of healthcare benefits and payment policies. Provide clear and concise explanations of claim decisions to relevant parties. Identify trends and patterns in complex claims to contribute to process improvements. Candidate should be able to correctly calculate claim amounts for the customers. Complying with company regulations regarding HIPAA, confidentiality, and private health information. QUALIFICATIONS Medical Graduates – MBBS, Physiotherapists, B-Pharma or life science graduates with minimum 1 year of experience in handling US Health Insurance claims. Graduates and Fresher. LANGUAGE SKILLS Should have strong English comprehension, verbal and written skills Strong medical science knowledge to comprehend medical reports MATHEMATICAL SKILLS Should have basic math knowledge of calculating simple interest, compound interest. REASONING ABILITY Should have good English comprehension and analytical skills Should have excellent problem-solving skills with an eye for detail WORK ENVIRONMENT Should be open to work 24*7 and mandatory US timings, night shift Ready to handle work pressure and ensure deliverables within timelines At Wellcove, we strive to create an inclusive culture for all. We understand the importance of listening and incorporating various perspectives at every level of service. Our company does not discriminate based on gender identity, race, sexual orientation, age, religion, or disability.