Claims Adjudication Process
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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Job Title: Manager Information Security – IT
Job Purpose: Acting in a key technical management & execution capacity to
provide a conduit between IT teams and key business stakeholders in your
functional area of IT Security to ensure information technology needs are
managed consistently, following professional IT and global standards, and
delivered with a high level of quality and customer satisfaction.
Reward level: Middle Management
Job Location Gurgaon
Experience 10+ years
Relevant Experience 7+ years
Reporting to: General Manager
Qualification: Bachelor’s degree in IT
Key Deliverables:
Provide support as Lead auditor towards ISMS and PIMS policies,
procedures, and guidelines and perform regular review and update.
Perform deep assessment to gather evidence of continuous compliance with
ISO 27001:2022 and ISO 27701:2019, DPDPA, IT Act and Cert In Regulation
including audit logs, records of reviews, timely closure of open audit and risks
and sharing the report with management.
Conduct regular, documented information security and privacy risk
assessments identifying assets, threats, vulnerabilities, likelihood, and impact
with stakeholders.
Prioritize identified vulnerabilities, detailed findings, remediation
recommendations, trending reports on vulnerability posture towards closure
with stakeholders.
Development and implementation of a comprehensive, ongoing security
awareness and training program for all employees.
Encourage secure behaviours among colleagues and reinforce the
importance of information security and privacy in daily operations.
Prepare regular report on overall information security posture, GRC maturity,
and risk landscape to relevant stakeholders
Ability to collect lessons learned from incidents, audits, and assessments to
drive continuous improvement in ISMS/PIMS and security processes.
Key Relationships:
Internal IT and business customers in MSR.
Global IT Vendor, market and global (HQ) colleagues, Local vendor partners
Internal staff - direct reports (where applicable)
IT vendors, contractors (where applicable)
Knowledge Skills and Abilities:
Must possess and demonstrate ISO 27001 Lead Implementer/Auditor and ISO
27701 Lead Implementer/Auditor certifications and knowledge.
In depth understanding of IT Act, DPDPA, Cert In regulations, CIS Controls as
well as UK DPA and ISO 31000
Good to have certification on CISM (Certified Information Security Manager),
CISSP (Certified Information Systems Security Professional) and Cloud Security
certifications (e.g., CCSK, CCSP, vendor-specific like AWS Security Specialty)
Familiarity with common vulnerability scanning tools like Qualys (features,
reporting, agent-based vs. network scans) and Cloud Security Posture
Management (CSPM) tools like Wiz (cloud service provider configurations,
misconfigurations, compliance checks in AWS, Azure, GCP).
Understanding of various penetration testing types (e.g., network, web
application, API, mobile, cloud) and methodologies
Knowledge of common attack vectors and exploitation techniques like MITRE
ATTACK and DEFEND framework.
Basic to intermediate knowledge of common security controls and technologies
(e.g., firewalls, EDR, Cloud Security, VAPT tools, SIEM, WAF, DLP, encryption).
Understanding of network protocols, operating systems (Windows, Linux), and
common application architectures.
Knowledge of audit principles and practices (internal and external audits).
Understanding of corrective action planning and non-conformity management.
Understanding of third-party risk management principles and vendor due
diligence processes.
Excellent technical writing skills for creating clear, concise, and comprehensive
security policies, standards, and procedures.
Ability to analyse complex risk data and present actionable insights.
Hands-on experience with Qualys for configuring scans, analysing reports, and
managing vulnerabilities.
Hands-on experience with Wiz CSPM for monitoring cloud environments,
identifying misconfigurations, and generating compliance reports.
Proficiency with GRC platforms or tools for managing policies, risks, and controls
Exceptional verbal and written communication skills to articulate complex security
concepts to technical and non-technical stakeholders
Ability to build strong relationships and collaborate effectively with diverse teams
(IT, Legal, HR, Development, Business Units).
Skills in influencing behaviour and driving change across the organization to
improve security posture.
Strong analytical skills to diagnose security issues, identify root causes, and
develop effective solutions.
Ability to critically evaluate security controls and identify gaps.
Contract review and negotiation skills specifically for security-related services.
Ability to effectively manage vendor relationships and performance.
Ability to develop and deliver engaging security training sessions and awareness
campaigns.
Ability to stay updated with the latest security threats, vulnerabilities,
technologies, and regulatory changes.
Capacity to quickly learn and adapt to new tools and methodologies.
Meticulous attention to detail in policy creation, audit documentation, and
vulnerability analysis.
Ability to act calmly and effectively during security incidents and contribute to
incident response efforts.
mail updated resume with salary details-
email: etalenthire[t]gmail[dot]com
satish- 88O 27 49 743
🔍 We're Hiring: Architect (Commercial Projects)
📍 Location: Nahur, Mumbai
🕘 Office Hours: 9 AM – 6/7 PM | 🗓 Monday to Saturday
💼 Salary: ₹20,000 – ₹50,000 (Based on experience)
Are you an experienced Architect with a passion for commercial projects? We're looking for a dedicated Architect with 2+ years of experience, who has actively handled commercial site work from design to execution.
Key Responsibilities:
Designing and detailing commercial spaces
Coordinating with clients, contractors, and vendors
Managing site execution and regular site visits
Ensuring timely project delivery and quality control
Requirements:
Minimum 2 years of experience working on commercial sites
Strong understanding of architectural drawings and site handling
Proficiency in AutoCAD, SketchUp, and other design tools
Based in or willing to relocate to Nahur, Mumbai
If you’re looking to grow your career in a hands-on role and be part of exciting commercial projects, we’d love to hear from you!
- Overall Synopsis (Skills to focus)
- Brush up your skills in Photoshop & Illustrator
- Illustrator tools - Pen tool, Gradient, Pathfinder, Blending modes, type on a path, rotate and reflect, mesh tool, selection tool, etc.
- Photoshop tools – change the color of the background, remove a selection, pen tool etc.
- Make sure to revise to recreate curves, and nodes smoothly while doing vectorization.
- Try making some logo designs, and work on the curves & texture.
This is FULL TIME WFH NIGHT SHIFT role.
If interested kindly share your updated cv at 82008 31681
We are looking for a product marketing manager to develop user funnels and communication strategies to drive engagement and referrals on the company's app. Our ideal candidate is a passionate & experienced Product Marketer with proven success in working with digital products and/or e-commerce for curating & driving product engagement end to end
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- Build user journeys and communication strategies for every funnel the user goes through in the app
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- Drive repeat users, referrals through Email, Push Notifications and other product touchpoints
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- Work with internal and external stakeholder to seamlessly drive all campaigns
- Constantly look for funnel drop offs and optimize every step to increase conversion rates
- Share data on daily, weekly and monthly basis with the larger team
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At least 5+ Yrs of experience of Android Java and Kotlin programming application development,
Experience of design and development of Enterprise grade Mobile application
Hands on experience in performance tuning, debugging, monitoring
Experience designing clean and maintainable APIs
Experience with multithreaded programming, reusable frameworks, UI components, Android Jetpacks
tools and optimization techniques
REST API based web service and other system integration, web service integration,
Preferably have working experience of technologies like webRTC, ReactJS, NodeJS, JSON, Other hybrid
application development platform
Previous experience of developing VoIP based solution, live streaming/video calling based application
Nice to have: experience on Server side technologies like: J2EE, PHP. RDBMS knowledge on
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methodologies; Design Patterns like: MVC, MVVM ; Knowledge on various Security standards
DevOps understanding is a plus.
Previous experience of working in Product/Solution development or Start-ups will be added advantage
Domain Knowledge: Health care
Good Communication skil
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Responsibilities: -
- To understand the specifications and programmed it.
- To articulate unit test case and unit test the programmer
- Producing clean, efficient code based on specifications.
- Verify and deploy programs and systems.
- Gather and evaluate user feedback.
- Recommend and execute improvements.
Job Requirement: -
- Experience in Microsoft ASP, C#, SQL server, and github.
- Experience with software design and development in a test-driven environment.
- Experience with databases.
- Ability to learn new languages and technologies.
- Good communication skills.
Who can Apply: -
Education: -No bar
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