Search Results: 7,108 vacancies
Urgently hiring for Team Leader
Our client is an American multinational information technology services and consulting company.
Designation: Team Leader
Location: Chennai
Experience: 5+ years
ROLE: Coordinating, managing, relationship building and...
...Medical Adjudicator
- Manage the adjudication of prescription orders
- Conversion of inbound request into completed orders
- Coordinate the scheduling and fulfillment of diagnostic tests and procedures prescribed by healthcare providers
- Workflow Optimization...
...Title : Sales Manager - B2B Sales - Social Enterprise Start Up Company : Human Factor (Disability Inclusion & HR Consulting services) About Us : Human Factor is a socially conscious start-up dedicated to making a positive impact on society in the Disability Inclusion space....
...talented, bright, and driven people. If you’d like to help the Disability Leave Services (DLS) team build a best-in-class professional services... ...services, including reviewing medical documentation to adjudicate leaves in compliance with the corresponding leave plans, federal...
...have project experience in working around (any 3-5):
o Claims Adjudication & Reimbursement
o Member Enrollment
o Benefits... ...race, creed, color, religion, sex, national origin, ancestry, disability status, veteran status, sexual orientation, gender identity or...
...meeting productivity targets
Good understanding of Claims adjudication fundamentals
Good understanding of ICT & CPT Codes
Knowledge... ...), sexual orientation, gender identity or expression, age, disability, national origin, marital or domestic/civil partnership status...
...for Development or Validation of Behavioral Models (models in the area of Financial Crime like Fraud or AML, Marketing Campaigns, Adjudication models etc.) for banking and financial institutions. Responsibilities also include staying abreast on modeling policies, crafting whitepapers...
...Associate , Senior Associate & SME
0 - 6 Months of experience in US Healthcare and in Benefit Configuration - Benefit coding / Auto Adjudication Set up processes.
Experience on Facets tool will be prefered
Excellent US Healthcare knowledge in Benefits coding and...
...The Screening Solutions team members perform a variety of tasks related to the adjudication of backgrounds, risk mitigation, and field education/support. The current scope of the Screening Solutions team is oversight with InfoMart backgrounds for RGS and SFN lines of business...
...skills with ability to foresee issues and suggest solutions, with impactful data
• Excellent written & verbal communication skills with the ability to communicate clearly at all levels within the organization.
• Claims assessment & adjudication experience desired....
...business delivery & performance as per set SLA parameters of Disability claim process in Healthcare & insurance domain. And must understand... ...+ years of experience as teamlead, preferably in Indexing and Adjudication of claims.
~ Excellent communication, team management, and...
...client database.
Required skillset: -
Candidates must have Over all 4-6 years’ experience in US healthcare Process such as Claim adjudication, Medical billing/coding, RCM, Member Enrolment.
Excellent analytical and problem-solving skills.
Bachelor’s degree or any...
...Surveillance / Monitoring
• Sound understanding of Sanctions, PEP and other watch list which is required to perform core job for alert adjudication in accordance with bank’s policies
• Ability to independently research, analyze, and recommend solutions to close open items...
...Amazon customers worldwide.
Key job responsibilities
• Employee case management (SIM-T/mailbox)
• Process reimbursement benefit adjudication
• Process manual enrollment/withdrawal
• Process vendor & payroll reporting
• Perform audits and control checks
•...
...Handle departmental audits, enquiries, and similar interventions.
Preparing replies for show cause notices and representing before adjudicating authorities for SCN Handle assessments and appeals on various GST matters across India.
Draft submissions in relation to audit,...
Rs 1000 per week
...the management, leadership and respective stakeholders.
Manage all litigations by or against the company, handle all regulatory adjudications, enquiry proceedings, statutory actions, and investigations.
Manage end to end coordination with the company’s legal firm and...
...GenAI for Health Use Cases will be added
advantage
• Should have project experience in working around (any 2-5):
o Claims Adjudication & Reimbursement
o Member Enrollment
o Benefits Administration
o Utilization/Care Management
o Clinical Operations
o...
...Calls - Added Advantage
P&C Insurance
Experience includes processing First Notice of Loss (FNOL), Claims Settlement and Claims Adjudication
Claims experience in Property and Casualty.
Property Damage, Motor Damage, Bodily Injury
Personal lines, Commercial lines...
...: 12 times a month onsite
Project Summary
looking for a Sr. Software Engineer to support its existing cloudbased claims adjudication platform. This resource will assist in migrating 2030 REST APIs to AWS Cloud.
Essential Functions
Excellent objectoriented...
...appropriate to the diagnosis
Collate the medical details with the applicable policy terms to arrive at the final decision of claims adjudication.
To resolve employees’/claimant’s medical queries for a Chief Medical Officer to join our team and oversee the daily operations...
