Executives

4 weeks ago

Kochi Kerala, India EXL Service Full time

Nurse Level 1 2A Job Group Healthcare Family Name Complaints Grievance and Appeals Job Title Nurse Level 1 2A Functional Title Coding Reconsideration - Nurse Consultant Exemption Status Non-Exempt Family Summary Mission Provide comprehensive clinical review of complaints and appeals filed by providers with the use of appropriate resources and guidelines to ensure cost effective delivery of health service Position Summary Mission Supports identification and review of appropriate case types in compliance with the clinical guidelines Promotes supports quality effectiveness of Healthcare Services Fundamental Components Physical Requirements include but are not limited to Reviews documentation and evaluates potential quality of care issues based on clinical policies and benefit determinations Considers all documented system information as well as any additional records data presented to develop a determination or recommendation Condenses complex information into a clear and precise clinical picture while working independently Data gathering requires navigation through multiple system applications Utilizes client systems to build research and enter member information Applies clinical guidelines in determining clinical decisions Experience in patient management in clinical setting is a requirement to help with clinical understanding Accurately applies review requirements to assure case is reviewed by a practitioner with clinical expertise for the issue at hand Documentation and Communication Maintains accurate and complete documentation of required information that meets risk management regulatory and accreditation requirements Promotes communication both internally and externally to enhance effectiveness of medical management services e g Claim Administrators Plan Sponsors and 3rd party payers as well as Member Family and Healthcare Team Members respectively Protects the confidentiality of member information and adheres to company policies regarding confidentiality Evaluates documentation information to determine compliance with clinical policy regulatory and accreditation guidelines Reports audit or clinical findings to appropriate staff or others in order to ensure appropriate outcome and or follow-up for improvement as indicated Sedentary work involving significant periods of sitting talking hearing and keying Work requires visual acuity to perform close inspection of written and computer generated documents as well as a PC monitor Working environment includes typical office conditions Ability to understand and interpret clinical laboratory results and familiarity with clinical conditions and its management is required

  • Executives

    6 days ago

    Kochi, Kerala, India EXL Services Full time

    Executives EXL/E/1372855 - Healthcare AnalyticsKochiPosted On 30 Jun 2025 End Date 14 Aug 2025 Required Experience 0 - 2 Years - Basic Section Number Of Positions 5 Band A1 Band Name Executives Cost Code D012620 Campus/Non Campus NON CAMPUS Employment Type Permanent Requisition Type New Max CTC 200000.0000 - 450000.0000 Complexity...

  • Operations Executive

    3 days ago

    Kochi, Kerala, India iVET LABS Full time

    We are hiring ! Operations Executive will be responsible for managing a team of field executives, overseeing logistics operations, and ensuring smooth day-to-day activities in the Ernakulam region. The role involves coordinating fieldwork, managing schedules, ensuring timely deliveries, and resolving logístical issues to optimize operations. - Supervise...

  • Executive Marketing

    3 days ago

    Kochi, Kerala, India myG Digital hub Full time

    Responsibilities: - Plan and execution retail marketing activities locally and regionally i.e. BTL activities, store branding, and local events activations. - Responsible to execute communication, offers & creative for BTL collaterals, print materials and creative adapts. - Responsible to generate reports of activity planned & executed & footfalls/sales...

  • Operation Executive

    6 days ago

    Kochi, Kerala, India Muthoot Insurance Brokers Pvt Ltd Full time

    **Back Office Executive/ MIS Executive** - Excel Knowledge and Experience must - One should have good interpersonal skills and time management ability. - Insurance industry experience is preferable. - Salary will be according to industry standards. **Location**: Kadavanthara, Cochin **Benefits**: - Provident Fund Schedule: - Day shift Supplemental...

  • Relationship Executive

    2 weeks ago

    Kochi, Kerala, India QuickPlace Full time

    We are looking for an earnest relationship executive to initiate and nurture steady, mutually beneficial relationships with our clients. As a relationship executive, you should maintain contact with clients, work to understand their needs, and then advise them on which of our offerings could best support their objectives. You should also make use of CRM...

  • Operation Executive

    3 days ago

    Kochi, Kerala, India Addon Solutions Full time

    he primary role of an Operations Executive is reviewing existing processes, identifying inefficiencies and suggesting improvements to manage and optimize company’s processes. - They must ensure the products or services meet quality standards. This may involve setting quality criteria, monitoring outputs, and conducting audits. - Operations Executives are...

  • Documentation Executive

    22 hours ago

    Kochi, Kerala, India Continental Mercantile Corporation PVT.LTD Full time

    This is a full-time on-site role for a Documentation Executive. The Documentation Executive will be responsible for daily tasks related to CV sourcing, Collecting documents, Masking **Qualifications** - Strong interpersonal skills - Ability to conduct effective interviews - Experience in recruiting in overseas consultancy is an advantage - Expecting a...

  • Documentation Executive

    3 days ago

    Kochi, Kerala, India Affable Management Services Full time

    **Documentation Executive, 1-2 yrs exp Thrikkakara, Kochi** Job Title: Documentation Executive Experience 1-2 years exp in documentation /data entry Qualification :Any graduate with good knowledge and speed in MS word Salary :Rs.15000 Job Location: Thrikkakara, Kakkanad, Kochi Industry: Automation/Solar Engineering Pay: ₹10,000.00 - ₹15,000.00 per...

  • Insurance Executives

    2 weeks ago

    Kochi, Kerala, India spectrum talent management Full time

    Job profile: Insurance Executives Location: Health Insurance Executive - Kochi, Chennai, Bangalore Motor Insurance Executive: TamilNadu (Chennai, Pondicherry, Ariyallur, Kumbakonam, Nagapattinam, Vellore,Tanjavur), Kerala (Kottayam, Pathanamthitta, Thrissur, Palakkad) Salary - 0 - 4.5 LPA 1. Must have good communication in Regional language. Written &...

  • Executive Assistant

    1 week ago

    Kochi, Kerala, India T M Consultancy Full time

    **Responsibilities** - Coordinate complex scheduling and calendar management, as well as content and flow of information to senior executives - Manage senior executives’ travel logistics and activities, including accommodations, transportation, and meals - Provide administrative and office support, such as typing, dictation, spreadsheet creation, faxing,...