Non Customer Service Healthcare Claims Adjudication Team Member-bps
6 days ago
Position ObjectiveThe objective of this position is to support the Luminare Health HCM Quality Management (QM) processes by performing clerical and administrative tasks aligned with quality management policies and procedures. The role requires leveraging strong analytical, communication, collaboration, and problem-solving skills to ensure the successful execution of assigned responsibilities.1.2 Business environmentü Vertical: US Healthcare Insuranceü Process Name: Luminare Health HCM Quality Managementü Scope: Perform clerical tasks related to quality management policies and procedures as assigned, utilizing analytical, communication, collaboration, and problem-solving skills.Perform administrative functions as assigned by the Luminare Health lead.Support the QM team by completing assigned tasks utilizing Microsoft products, including but not limited to PowerPoint, Word, and Excel.Complete accurate deliverables while meeting assigned due dates.Essential Duties & Responsibilities Performing clerical tasks related to quality management policies and proceduresCompleting administrative functions as assigned by the Luminare Health leadSupporting the QM team by leveraging Microsoft tools (PowerPoint, Word, Excel)Ensuring deliverables are accurate and meet assigned deadlinesOverseeing the quality and timeliness of tasks assigned to the individualConsulting with the Luminare Health lead for guidance on complex tasksInforming the QM team about task progress and completionPreparing and submitting reports related to quality management tasks
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Claims Adjudication
1 day ago
India CIEL HR Full timeJob Summary University degree or equivalent that required formal studies of the English language and basic Math Immediate Joiner and chennai Location - Claims Adjudication. 2+ year(s) of experience processing claims for the US healthcare market Knowledge of HRP - added advantage - Claims Adjudication. 6+ months of data entry experience that required a focus...
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Coimbatore, India T3Cogno Full timeJob Description Company Description T3Cogno Private Limited is a global HR services company offering comprehensive HR solutions to clients around the world. With a mission to provide efficient and impactful solutions, we act as an extended partner to our clients by tailoring recruitment and HR outsourcing services to their unique needs. Our expertise...
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Claims Adjudication
2 weeks ago
India CIEL HR Full timeJob Summary **Role**: Healthcare Claims Processor **Mandatory Skill**: Claims Adjudication & Facets Location - Chennai Notice period - Immediate **Experience**: 3+ years Currently work from home, but should be ready to go to the office whenever they ask to come. **Laptop**: Mandatory to have a laptop **Shifts**: only Night Shifts( Time mostly from...
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India Hexaware Technologies Full timeEducation Mandatory Any Graduate BSC BCOM BA Desirable Nil Experience Experience 2 Years experience in US Healthcare process would be preferred Technical Competencies Job related Computer Savvy Should have working knowledge of MS-Office Soft Skills Job related Comprehend English Language and average communicator Commitment to achieving deadlines Ability to...
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India Hexaware Technologies Full time ₹ 4,00,000 - ₹ 6,00,000 per yearPosition ObjectiveThe objective of this position is to support the Luminare Health HCM Quality Management (QM) processes by performing clerical and administrative tasks aligned with quality management policies and procedures. The role requires leveraging strong analytical, communication, collaboration, and problem-solving skills to ensure the successful...
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TL-Claims HC
1 week ago
India, Cochin / Kochi / Ernakulam Cognizant Full timeJob Description Job Summary We are seeking a dedicated professional for the role of TL-Claims HC with 5 to 7 years of experience. The candidate will be responsible for overseeing claims adjudication processes ensuring accuracy and efficiency. This hybrid role requires expertise in MS Office and UiPath with a strong understanding of payer and provider...
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India Hexaware Technologies Full timeClaims processing associate
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Mainframe +Claim Adjudication
2 weeks ago
Bengaluru, India Cognizant Full timeJob Description -Application development experience in Design, coding, testing and debugging with mainframe skills such as CICS, VSAM, COBOL, DB2, JCL, Zeke, File Aid, Changeman, AbendAid -Programming, conduct code reviews, and test software as needed, ensuring quality of deliverables -Should have experience in Claim adjudication experience Note: Applicants...
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India Hexaware Technologies Full timeJob Responsibilities Manage and lead a team of 300 members with a direct span of control of 3 - 6 leads managers Oversee account management and revenue generation activities Ensure SLA maintenance and quality assurance across operations Develop and implement strategic planning initiatives Handle crisis management and problem-solving activities Collaborate...
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India Hexaware Technologies Full timeEducation Mandatory: Any Graduate (BSC/BCOM/BA) Desirable: Nil Experience 0 to 6 Months organization’s work experience/data capture experience preferred Technical Competencies: (Job related) Computer Savvy Should have working knowledge of MS-Office Soft Skills: (Job related) Average English Communication Commitment to achieving deadlines Ability to make...