Senior Executive-Auditors-Datamining
3 days ago
Claims Processing & Adjudication:
Review, analyze, and process healthcare claims accurately based on payer rules, policy guidelines, and contractual terms.
Perform manual payment determination and allowable calculations without relying on system tools.
Revenue Optimization & Data Mining:
Identify gaps, underpayments, and missed revenue opportunities through data analysis and claims review.
Support data mining programs by providing insights for revenue realization and process improvement.
Quality & Productivity Management:
Ensure all assigned claims inventory is completed within defined TAT while maintaining required quality standards.
Prepare and update production, quality, and status reports regularly as per business requirements.
Communication & Coordination:
Maintain clear and professional communication with internal teams and stakeholders.
Participate actively in meetings, calls, and discussions as required to resolve claim or process-related issues.
Compliance & Process Adherence:
Follow all compliance protocols, company policies, and HIPAA guidelines without fail.
Ensure data confidentiality and integrity are maintained at all times.
Independence & Initiative:
Work independently with minimal supervision, demonstrating accountability and ownership for assigned tasks.
Contribute proactively to process improvement and efficiency initiatives.
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Senior Executive-Auditors-Datamining
2 weeks ago
Chennai, Tamil Nadu, India EXL Full time ₹ 6,00,000 - ₹ 12,10,000 per yearDescriptionClaims Processing & Adjudication:Review, analyze, and process healthcare claims accurately based on payer rules, policy guidelines, and contractual terms.Perform manual payment determination and allowable calculations without relying on system tools.Revenue Optimization & Data Mining:Identify gaps, underpayments, and missed revenue opportunities...
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Senior Executive-Auditors-Datamining
13 hours ago
Chennai, Tamil Nadu, India EXL Full timeClaims Processing & AdjudicationReview, analyze, and process healthcare claims accurately based on payer rules, policy guidelines, and contractual terms.Perform manual payment determination and allowable calculations without relying on system tools.Revenue Optimization & Data MiningIdentify gaps, underpayments, and missed revenue opportunities through data...
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3838853-Senior Executive
2 weeks ago
Chennai, Tamil Nadu, India EXL Full time ₹ 9,00,000 - ₹ 12,00,000 per yearDescriptionJob Description_ Contingency _Data Mining Job Name: Senior Executive - Datamining Position Title: Senior Executive Band: A2 ERP Full Position ID: Reporting to: Assistant Manager Location/Site: EXL India Overview Candidates should have minimum 3+ years of experience and must have knowledge in claims adjudication process and its processing...
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Work at Auditor Office
2 weeks ago
Chennai, Tamil Nadu, India Webasto Roof Systems Full time ₹ 2,160 - ₹ 5,47,508 per yearTo work in an auditor's office, you can find various roles such as an Accountant, Internal Auditor, or Audit Assistant, depending on your qualifications. Jobs are available on platforms like Indeed, LinkedIn India, and , with duties including financial statement analysis, preparing reports, and ensuring compliance. Experience in accounting software and...
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Principal Auditor
2 weeks ago
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Principal Auditor
6 days ago
Chennai, Tamil Nadu, India McDermott International, Ltd Full time ₹ 12,00,000 - ₹ 18,00,000 per yearJob DescriptionJob Overview:The Principal Auditor is primarily responsible for guiding the financial, operational, business process or compliance audit towards successful completion at McDermott across the globe. The Principal Auditor effectively interfaces with various levels of management and develops relationships that further the organizational goals....
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Sr. Internal Auditor
3 days ago
Chennai, Tamil Nadu, India KBR Full time ₹ 6,00,000 - ₹ 18,00,000 per yearTitle:Sr. Internal Auditor - SOXJob Posting Description:This role plays a key part in our company's success by providing independent assurance and advisory services across the organization. As a Senior Auditor, you'll work closely with management and process owners to assess governance, risk management, and control effectiveness. We value a proactive...
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Sr. Internal Auditor
3 days ago
Chennai, Tamil Nadu, India KBR, Inc. Full time ₹ 6,00,000 - ₹ 18,00,000 per yearTitle:Sr. Internal Auditor - SOX Job Posting Description: This role plays a key part in our company's success by providing independent assurance and advisory services across the organization. As a Senior Auditor, you'll work closely with management and process owners to assess governance, risk management, and control effectiveness. We value a proactive...
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Executive - Internal Auditor Corporate
2 weeks ago
Chennai, Tamil Nadu, India Larsen & Toubro (L&T) Full time ₹ 40,00,000 - ₹ 80,00,000 per yearLarsen & Toubro Ltd, commonly known as L&T, is an Indian multinationalconglomerate company, with business interests in engineering, construction,manufacturing, technology, information technology and financial services,headquartered in Mumbai. The company is counted among world's top fiveconstruction companies.This role is based out of the Corporate Audit...
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Director, Operations Auditor
2 days ago
Chennai, Tamil Nadu, India BNY Full time ₹ 6,00,000 - ₹ 12,00,000 per year18-20 years of total work experience, with 10+ years of management experience, preferred. Prior experience in Audit or the relevant specialty area preferred. Master's degree or equivalent combination of education and work experience required. Degree in accounting, finance, or relevant specialty preferred. MBA, CPA, CFA or related certifications preferred....