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
Subodh Popalwar
Software Engineer, Memorres
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We are looking for you if you are inspired by the vision of building India's first global premium beauty house which is dynamic and beautifully crafted with consumer centric and world class Clean Beauty products.
Overall objective of the Role:
Develop, own, drive and implement the overall e-commerce strategy to ensure revenue growth through increased customer acquisition, conversion and AOV . This will incorporate digital marketing strategy including PPC, SEO, affiliate, email and social media marketing.
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• Develop and manage own website (and sub-sites) by working closely with the IT team, the E-commerce / Website Manager and external agencies
• End-to-end ownership of strategic and operational initiatives for paid marketing campaigns including budgeting, tracking, creative production, landing page optimisation etc.
• Develop a model of iterative testing and optimisation of all campaigns to drive efficiency in paid spends
• ideate and execute strategies for keyword optimisation, campaign restructuring, improved retargeting of the users
• Develop and manage customer relationship with eCommerce platforms such as Amazon, Nykaa, Myntra etc.
• Develop and implement customer acquisition strategy, including: SEO, PPC, affiliate, social, print advertising, direct marketing and leafleting, as well as emerging channels
• Optimize customer acquisition costs, sales and brand experience
• Manage overall website performance and online trading and ensure continuous improvements to the website
• Measure and report performance of all digital marketing campaigns, and assess against ROI, ROAS and KPIs
• Identify trends and insights, and optimize spend
• Forecast and correlate sales
• Conduct regular and in-depth analysis of our customer trends and patterns and act on this analysis to inform short, medium and long termstrategy
• Manage the annual marketing budget (customer acquisition and e-commerce) with regular review and reporting on ROI of each activity
• Support brick and mortar retailers through in-store and online sales initiatives to most effectively promote their products in an omnichannel methodology, to capitalize on cutting edge trends in these rapidly evolving markets.
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•Experience with eCommerce marketplace such as Amazon, Flipkart, Myntra
•5+ years of experience in digital marketing
Skills & Competencies required:
• Credible and extensive experience of leading e-commerce and digital marketing in a commercial environment - preferably consumer goods
• A strong understanding of current online marketing strategies and best practices
• Understanding of retail and online business development.
• Strong understanding of Affiliate and Social MediaMarketing
• Ability to travel required
• Experience in building an online-first brand is a plus
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• Ability to collaborate with multiple internal teams to create strategies and plans to maximize sales of managed accounts.
Experience:
5+ years
Experience of working in D2C brands/ cosmetics & clothing brands preferred
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- Identifying potential clients and partners, and reaching out to them to understand their requirements and counsel the students to choose Skill Dunia courses.
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- You will be responsible for managing the entire sales process, from lead generation to closing deals. This may include creating sales opportunities, negotiating, managing the onboarding process for new clients and taking referrals to create new business ideas
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around the globe.
Our Company
At nurture.farm, we are putting the farmer at the center of everything we do. We are building a more resilient and sustainable farming ecosystem by reducing risks and improving the quality of life for the farmers and their families through digitization of the farming life cycle, financial inclusion of the farming community, and affordable timely access to products, technologies, advisory and services. We are a technology-led organization, focused on bringing scalable and sustainable solutions to the farming ecosystem. We are a young entrepreneurial startup that wants to learn, create and adapt every day. We aspire to create a happy and productive workplace for our employees, that embodies respect and transparency in every part of the organization.
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Embedded Software/Firmware Design and Development on OS/Non-OS based platform
Necessary system architecture development and implementation
Device, sensor and gateway selection and integration based on industry use case.
Development on Image Analytics and Cloud/Platform integration
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B. Tech/M. Tech/MCA with 8-10 years of industry experience
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Blue Sky Analytics is a Climate Tech startup building an API-based catalogue of Environmental Datasets by leveraging Satellite data, AI, and the cloud.
We are looking for a Project Manager for managing our engagement with Climate TRACE, a coalition founded by former United States VP Al Gore - YES, you read that right and YES you might get a chance to interact with him as part of this role.
Climate TRACE is a coalition created to make an open emissions inventory of the world’s first comprehensive accounting of greenhouse gas (GHG) based primarily on direct, independent observation. The vision of Climate TRACE is to make meaningful climate action faster and easier by mobilizing the global tech community to track greenhouse gas (GHG) emissions with unprecedented detail and speed. Climate TRACE members include (carbon)plan, Earthrise Media, Hudson Carbon, Hypervine, Johns Hopkins University Applied Physics Laboratory, OceanMinds, RMI, TransitionZero, WattTime and many more! You will be driving the partnership between Blue Sky Analytics and Climate TRACE!
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- Maintain and foster relationships with all members of Climate TRACE.
- Rapport building and harvest new business avenues.
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- Ensures adherence to legally binding requirements.
- Plan and lead meetings, which may include internal and external stakeholders.
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- Identify key stakeholders ensuring the establishment and maintaining positive business relationships among stakeholders (internal or external)
- Maintain regular communication with the coalition members.
- Define activities, responsibilities, critical milestones, resources skills needs, interfaces, and budget. Optimize costs and time utilization minimize waste and deliver projects on time on budget as per the contract and agreed on the scope with a high-quality result.
- Anticipate all possible risks and manage them by applying a suitable risk management strategy; while developing contingency plans.
- Track and report project KPIs and analyze project health.
- Effective implementation of software delivery methodologies to improve project KPIs.
- Provide individual and team mentoring; ensuring high levels of team engagement and developing capabilities within the team.
- Adopt and build software engineering best practices that can be leveraged by other teams.
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- Excellent proven team management skills.
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- Work from anywhere: Work by the beach or from the mountains.
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- Good verbal and communicationwith UI development skills having 3 years and above of experience.
- Strong problem solver who can work independently and having good analytical skills
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Job Highlights
-
3 years real-life experience in mobile advertising
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Experience in compelling solution/ emerging market
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Analyze quantitatively,scope technical requirement
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- Create roadmaps and write PRDs for a wide range of ad tech components
- Monitor and analyse the performance and improve the experience of the users and Ad partners
- Be data-driven and able to think on your feet to solve problems and find innovative solutions in bridging the gap between the KaiOS ecosystem and the wider advertising industry
- Grow our revenue by identifying new opportunities, developing strategic programs and executing upon those strategies by delivering new solutions for our users and partners
- Research the digital marketing ecosystem and players in order to inform product priorities and uncover innovation opportunities
- Work closely with a team of talented PMs, Data Scientists and Engineers to help determine the direction of our advertising platform
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- Come as you are, we’re looking for someone with at least 3 years real-life experience in mobile advertising
- Organised, detail-oriented, passionate and data-driven.
- Sound business judgment as well as ability to think clearly, analyse quantitatively, problem-solve, scope technical requirements and prioritize
- Previous experience with emerging markets, or making money with your own app/service, or other off-the-beaten-path challenges is a strong plus
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MongoDBJavascript
Angular (2+)
PHPAngularJS (1.x)HTML/CSS
React.js
Follow CutshortSubodh Popalwar
Software Engineer, Memorres