Role: Claims Adjudication Process
Experience: 2.5-4 Years
Job Location: Coimbatore, Tamil Naidu
Work Timing: US Shift(Night Shift)
Job Description:
Claims Experience is required:
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More than 3 years of experience in handling the Healthcare claims adjudication process.
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Experienced level adjudicator providing analytical ability to review claim rules and workflows.
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Reviews claim requests to determine eligibility for processing and escalate to management as necessary.
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Responsible for the coordination and resolution of the administrative denials and appeals
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Ability to understand logic of standard medical coding (i.e. CPT, ICD-10, HCPCS, etc.).
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Ability to resolve claims that require adjustments and adjustment projects , Identify claim(s) with inaccurate data or claims that require review by appropriate team members.
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Organizing and completing tasks per assigned priorities.
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Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team
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Resolving complex situations following pre-established guidelines

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- Prepare 2D CAD drawings for shop drawings, layouts, and material schedules.
- Support in creating facade tender packages and system details.
- Coordinate with architects, clients, engineers, and project leads.
- Participate in design meetings and provide basic engineering inputs.
- Track drawing submissions and maintain documentation/version control.
- Help resolve design challenges and ensure timely project deliverables.
Skills & Qualifications
- Degree/Diploma in Mechanical, Civil, Structural Engineering, or Building Design.
- Basic knowledge of AutoCAD or similar drafting tools.
- Familiarity with Rhino/SketchUp, Grasshopper/Python is a plus.
- Willingness to learn BIM tools.
- Understanding of materials like steel, aluminum, glass.
- Strong problem-solving skills, attention to detail, and communication abilities.
Job Description:
- 2 – 4 years of hands-on experience as a Developer in financial services
- Experience with C#/.NET
- Experience with JavaScript/TypeScript, ReactJS, and AWS Cloud technologies is a plus
- Experience with databases such as MSSQL and MongoDB is a plus
- Familiarity with concepts such as microservices, API, TDD, unit testing, and SDLC
- Knowledge of Stock Loan, Collateral margining, Swaps would be a great advantage
- Strong analytical and problem-solving skills, with the ability to think critically
- Strong written and verbal communication skills
- Experience in stakeholder management across both IT and business sectors
Development Skills:
● Experience in developing real time software using C++ on Linux platform Design and
develop C++ Microservices for use in distributed systems.
● Experience with RESTful API development
● Experience installing, configuring, administering, monitoring, and troubleshooting
message brokers, ESB such as RabbitMQ, Kafka, MuleSoft etc
● Experience working with cloud and containerization technologies including AWS,
Google Cloud, Docker, Kubernetes etc.
● Improve quality of existing code base through debugging, re-factoring, and improving
unit and system tests
● Ability to work in a fast-paced environment with Agile mindset.
● Experience working with Scrum APM practices and tools including Jira, Confluence,
Git etc.
Networking Skills
● Understanding of Core Network protocols
● Experience in developing or integrating with real-time systems for networking
products
● Experience in developing with Software Defined Network Elements is an asset
● Understanding of Network protocols and access (MPLS, OpenBGP, OpenFlow) is an
asset
● Understanding of networking principles and concepts (SDN-WAN, SDN, labelling,
routing etc.) is an asset
● Understanding of 3GPP/5G network management, including Radio configuration,
QoS management, SLA management, Netconf, SNMP, directives is an asset
Requirement understanding and elicitation, analysis, data/workflows, contribution to product
projects and Proof of concept (POC)
Contribute to preparing design documents and effort estimations.
Develop AI/ML Models using best-in-class ML models.
Building, testing, and deploying AI/ML solutions.
Work with Business Analysts and Product Managers to assist with defining functional user
stories.
Ensure deliverables across teams are of high quality and documented.
Recommend best ML practices/Industry standards for any ML use case.
Proactively take up R and D and recommend solution options for any ML use case.
Customer Support Executive Responsibilities:
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- Maintaining a pleasant working environment for your team.
Customer Support Executive Requirements:
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- Excellent computer skills.
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- Office Work Location: Malad (East) Mumbai, Maharastra.
Relevant Experience: 2-5 years
The position is responsible to carry out product design, tests and other related activities as allocated. Working as a member within the current hardware engineering team, who collectively execute all the necessary activities to design, improve and optimize customer projects and production - especially the reliability and robustness aspects.
Requirements:
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- Experience of Embedded Electronic Digital, Analog, Power electronic design.
- Familiarity with ECAD tools for schematic capture, simulation, component selection, PCB design.
- Experience of design for EMI/EMC.
- Create manufacturing deliverables for prototypes and production.
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- Experience of debugging and fault finding in new and existing designs.
- Experience of failure analysis and design review.
- Experience with tools like Cadence or ORCad.
- Creation of RFQ package for EMS provider and qualification of offers.
- Experience of project/task planning.
- Knowledge of project management tools.
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#skills -1.) Strong knowledge of .NET web framework - .Net 3.5, 4.0.
2.) Proficient in C# with a good knowledge of their ecosystems.
Strong understanding of object-oriented programming.
3.) Skill for writing reusable libraries.
#Salary : (as per performance in Interview)
5 days working











