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Claims Adjudication
3 months ago
Description
:Job Title
Team Lead Claims
Requirement Type
Full-Time Employee
Job Location
Gurugram
Requirement Level
Team Lead
Hiring Manager
Associate Director, Business Operations
Primary Skill
People’s Manager
Business Operations
Claims
Business
Business Operations
Skill Category
Generic
ABOUT ELEVANCE HEALTH
Health is a leading health company in America dedicated to improving lives and communities and making healthcare simpler. It is the largest managed health care company in the Blue Cross Blue Shield (BCBS) Association serving more than 45 million lives across 14 states.
A regular in list, Elevance Health ranked 20 in 2022. , President and CEO of Elevance Health has been a consistent name in the Fortune list of most powerful women and currently holds 4th rank on this list.
ABOUT CARELON
(CGS) is a healthcare solutions company that is simplifying complex operational processes to improve the health of the healthcare system.
Previously known as Legato Health Technologies, Carelon Global Solutions (hereinafter, CGS) underwent a name change and joined the Carelon family of brands in January 2023, as a fully owned subsidiary of Elevance Health CGS brings together a global team of like-minded innovators who manage and optimize operational processes for health plans as well as providers.
Our brightest minds housed across our global headquarters in Indianapolis as well as Bengaluru, Hyderabad and Gurugram in India, Manila in the Philippines, Limerick in Ireland and San Juan in Puerto Rico bring with them innovative capabilities and an unmatched depth of experience. This global team uniquely positions CGS to enable scalable, next-generation platforms and specialized digital tools that make healthcare operations more practical, effective, and efficient.
OUR MISSION & VALUES
Our Mission: Improving Lives and Communities. Simplifying Healthcare. Expecting More.
Our Values: Leadership | Community | Integrity | Agility | Diversity
JOB POSITION
Carelon Global Solutions India is seeking a highly creative and meticulous Team Lead, who will be responsible for all business delivery & performance as per set SLA parameters. The incumbent will report to Associate Manager – Business operations and must understand the business delivery, maintain & publish metrics with multiple stakeholders; brief and deliver all in-house process delivery & requirements, apart from coordinating with onshore partners as and when required.
JOB LOCATION: Gurugram
JOB RESPONSIBILITY
Team Lead – Claims(Business Operations) will be responsible for the following:
Meeting stakeholders with the Assistant Manager - Communications to understand project requirements and coming up with a design brief that matches the business need Work with the communications team and business to generate ideas for pitching and proposals Visualization and design of mailers, campaigns, presentations, posters, reports, brochures, logos, online newsletters, html mailers, flash animation, videos and other branding and communication materials Act as the custodian of the corporate brand, ensuring all guidelines, style guides, and template used are correct and aligned Providing quality control over own work Responsibility to deliver projects against tight deadlines Create internal as well as external (social/digital) designs for business/leader updates/stories Ensure organizational initiatives and projects are successfully communicated to employees and stakeholders Create and implement monthly deadlines, project goals, expectations and workflows to ensure a smooth production process with on-time deliveryQUALIFICATION
Bachelors’ or Masters’ degree in fine arts/ design Non-BTech preferablyEXPERIENCE
6+ years of overall experience including extra-ordinary internal personal skills, communication skills Minimum 2+ yrs experience in people manager’s role on rolls Preferably Female candidates Healthcare / Claims Experience will be added advantageSKILLS AND COMPETENCIES
Responsible for serving as the operations point of contact in for day to day operations, including but not limited to, facilitating issue resolution, meeting goals and targets Primary duties may include, but are not limited to TL should be able to analyze inventory and plan and deploy work force accordingly Should track and report performance data to leaders and counter partners from onshore Manage new hire associates and plan for their training and refresher training as needed Excellent Data management and Data presentation skills(MS Office – Minimum) Should be able to manage and track aspiration of team and help them develop Conduct one on one on monthly basis and provide performance data Push for innovation and enhancements Attend onshore/offshore with different business partners and share /deliver findings /asks. Agile & Solution centric Inclusive Flexible to work in any shifts/Work from officeTHE CARELON PROMISE
Aligning with our brand belief of ‘limitless minds are our biggest asset’, we offer a world of limitless opportunities to our associates.
It is our strong belief that one is committed to a role when it is not just what the role entails, but also what lies in its periphery that completes the value circle for an associate.
This world of limitless opportunities thrives in an environment that fosters growth and well-being, and gives you purpose and the feeling of belonging.
LIFE @ CARELON
Extensive focus on learning and development An inspiring culture built on innovation, creativity, and freedom Holistic well-being Comprehensive range of rewards and recognitions Competitive health and medical insurance coverage Best-in-class amenities and workspaces Policies designed with associates at the centerEQUAL OPPORTUNITY EMPLOYER
Carelon is committed to a diverse and inclusive workplace and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, disability, age, veteran status, or other characteristics.
Reasonable Accommodation
Our inclusive culture empowers Carelon to deliver the best results for our customers. We not only celebrate the diversity of our workforce, but we also celebrate the diverse ways we work.
If you have a disability and need accommodation such as an interpreter or a different interview format, please ask for the Reasonable Accommodation Request Form.
Disclaimer: Offered designation titles differ*
Job Type:
