Cutshort logo
CIEL HR Services logo
Claims Adjudication Process
Claims Adjudication Process
CIEL HR Services's logo

Claims Adjudication Process

Swati M's profile picture
Posted by Swati M
2 - 3 yrs
₹1L - ₹3L / yr
Coimbatore, Tamil Naidu
Skills
Claim 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:

 

  • More than 3 years of experience in handling the Healthcare claims adjudication process.

  • Experienced level adjudicator providing analytical ability to review claim rules and workflows.

  • Reviews claim requests to determine eligibility for processing and escalate to management as necessary.

  • Responsible for the coordination and resolution of the administrative denials and appeals

  • Ability to understand logic of standard medical coding (i.e. CPT, ICD-10, HCPCS, etc.).

  • 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.

  • Organizing and completing tasks per assigned priorities.

  • Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team

  • Resolving complex situations following pre-established guidelines

Read more
Users love Cutshort
Read about what our users have to say about finding their next opportunity on Cutshort.
Shubham Vishwakarma's profile image

Shubham Vishwakarma

Full Stack Developer - Averlon
I had an amazing experience. It was a delight getting interviewed via Cutshort. The entire end to end process was amazing. I would like to mention Reshika, she was just amazing wrt guiding me through the process. Thank you team.
Companies hiring on Cutshort
companies logos

About CIEL HR Services

Founded :
2015
Type :
Services
Size
Stage :
Profitable

About

CIEL HR is one of the best staffing agencies in the world with its base in India. It provides both flexible and permanent staffing services.
Read more

Connect with the team

Profile picture
Lakshmi Seshagiri
Profile picture
Maheswari Murugan
Profile picture
Netra Ramshetty
Profile picture
shanmugapriya R
Profile picture
Dilika Ponnappa M
Profile picture
Swati M
Profile picture
Sivakumar S
Profile picture
Vinodhini Srinivasan
Profile picture
Bharathi S
Profile picture
Riya Tharakan
Profile picture
Aditya Mishra
Profile picture
Ranjini T
Profile picture
Jay Anil
Profile picture
Ragesh A C
Profile picture
Vishwajeet CIEL HR
Profile picture
karthika k
Profile picture
Riya CIEL HR
Profile picture
Anushka Madhukar
Profile picture
Shaktivel Naidu

Company social profiles

bloginstagramlinkedintwitterfacebook

Similar jobs

COD Trees
Abhisake Jain
Posted by Abhisake Jain
Remote only
1 - 3 yrs
₹1.2L - ₹3L / yr
Google Adwords
Google Adsense
skill iconGoogle Analytics
Google Search Appliance
Digital Marketing
+4 more

We are looking for a dynamic and experienced professional to join our team as a Digital Marketing Specialist. This role will primarily focus on collecting, analysing, and interpreting digital marketing data from around the world, with additional responsibility for managing our social media platforms. The ideal candidate will have a strong background in digital marketing analytics, along with proven expertise in social media management across diverse regions and cultures.


Responsibilities:


  • Develop and implement data collection strategies to gather digital marketing performance data from diverse geographic regions.
  • Utilize web analytics tools (e.g., Google Analytics, Adobe Analytics) to track and analyze website traffic, user behavior, and conversion metrics across different countries and regions.
  • Monitor and analyze digital advertising campaigns across multiple platforms (e.g., Google Ads, Facebook Ads, LinkedIn Ads) to assess performance and ROI on a global scale.
  • Manage social media platforms (e.g., Facebook, Twitter, LinkedIn, Instagram) across multiple countries and regions, including content creation, scheduling, posting, and community engagement.
  • Develop and implement social media strategies to increase brand awareness, engagement, and follower growth in target markets.
  • Create dashboards and reports to visualize key digital marketing metrics and insights for stakeholders at all levels of the organization.
  • Perform in-depth data analysis to uncover actionable insights and optimization opportunities for improving digital marketing performance.
  • Identify and implement data quality improvements and best practices to ensure accuracy and reliability of marketing data across global channels.
  • Stay abreast of emerging technologies and industry trends in digital marketing analytics, and recommend innovative approaches to data collection and analysis.


Job Type: Full-time

Salary: ₹10,000.00 - ₹25,000.00 per month

Benefits:

  • Flexible schedule
  • Internet reimbursement
  • Leave encashment
  • Paid sick time
  • Work from home

Schedule:

  • Day shift

Supplemental pay types:

  • Commission pay
  • Yearly bonus

Education:

  • Bachelor's (Preferred)

Experience:

  • Digital marketing: 1 year (Preferred)
  • total work: 1 year (Preferred)



Read more
Casey Foods
at Casey Foods
7 recruiters
SUBHASHISH TRIPATHI
Posted by SUBHASHISH TRIPATHI
Dhenkanal
1 - 2 yrs
₹3.5L - ₹3.7L / yr
Sales
Communication Skills
  •  Training personnel and helping team members develop their skills.
  • Finding and developing new markets and improving sales.
  •  Developing quotes and proposals for clients.
  • Developing goals for the development team and business growth and ensuring they are met.

Requirements:

  • Ability to flourish with minimal guidance, be proactive, and handle uncertainty.
  • Proficient in Word, Excel, Outlook, and PowerPoint.
  • Proficient in Word, Excel, Outlook, and PowerPoint.
  • Bachelor’s degree in business, marketing or a related field.
  • Experience in sales, marketing or related field.
  • Strong communication skills and IT fluency.
  • Ability to flourish with minimal guidance, be proactive, and handle uncertainty.



Read more
Y-Axis sloutions
at Y-Axis sloutions
1 recruiter
Jeevagan C
Posted by Jeevagan C
Chennai
3 - 15 yrs
₹2L - ₹4L / yr
Sales
Inside Sales
Marketing

We are looking for an Inside Sales Consultant who can join us for our Chennai Office.


Location - Adyar

Job description :
Give clear and accurate information about the current immigration laws & policies.
Provide a fair and neutral evaluation of a candidate's profile.
Provide insights into the options available so as to enable the candidates & their family makes an educated choice & the right decision.
Provide a personal global career strategy customized to your needs.
Promote the company's products and services.
Meet the assigned targets.


Required Candidate profile
Experience in sales and marketing.
Prior experience in Any Sales & Marketing, Business Development, Counselling, Inside sales, etc

Role
Read more
3 Way Technologies
at 3 Way Technologies
1 recruiter
Ashvini Nalawade
Posted by Ashvini Nalawade
Remote, Ahmedabad
1 - 2 yrs
₹1.5L - ₹3.3L / yr
skill iconReact.js
skill iconJavascript
skill iconRedux/Flux
skill iconReact Native

React.js Developer Job Description

We are looking for a skilled react.js developer to join our front-end development team. In this role, you will be responsible for developing and implementing user interface components using React.js concepts and workflows such as Redux, Flux, and Webpack. You will also be responsible for profiling and improving front-end performance and documenting our front-end codebase.

To ensure success as a react.js developer, you should have in-depth knowledge of JavaScript and React concepts, excellent front-end coding skills, and a good understanding of progressive web applications. Ultimately, a top-class react.js developer should be able to design and build modern user interface components to enhance application performance.

React.js Developer Responsibilities:

  • Meeting with the development team to discuss user interface ideas and applications.
  • Reviewing application requirements and interface designs.
  • Identifying web-based user interactions.
  • Developing and implementing highly responsive user interface components using react concepts.
  • Writing application interface codes using JavaScript following react.js workflows.
  • Troubleshooting interface software and debugging application codes.
  • Developing and implementing front-end architecture to support user interface concepts.
  • Monitoring and improving front-end performance.
  • Documenting application changes and developing updates.

React.js Developer Requirements:

  • Bachelor’s degree in computer science, information technology, or a similar field.
  • Previous experience working as a react.js developer.
  • In-depth knowledge of JavaScript, CSS, HTML, and front-end languages.
  • Knowledge of REACT tools including React.js, Webpack, Enzyme, Redux, and Flux.
  • Experience with user interface design.
  • Knowledge of performance testing frameworks including Mocha and Jest.
  • Experience with browser-based debugging and performance testing software.
  • Excellent troubleshooting skills.
  • Good project management skills.

 

Read more
Possible truweight
Saurav Shukla
Posted by Saurav Shukla
Bengaluru (Bangalore), Delhi
1 - 6 yrs
₹2L - ₹6L / yr
Inside Sales
Telesales
Sales and operations planning
Marketing
Please find the below Job Description,
  • Create and maintain positive client relationships to build

    a business. Understand client's

    needs and tailor products to meet client requirements.

    Attend inbound/outbound sales calls for revenue generation

    Achieve the periodic sales target

    Perform up-selling and cross-selling of products to clients.

    Build rapport with the client and create a potential pipeline for referral leads

    Meet periodic targets for sales via referral leads

    Conduct effective sales presentations for potential customers.

    Maintain SLA protocols in day-to-day

    functioning consistently

    meet the quality parameters such as avg talk time, working hours, evaluation score etc

    Maintain high evaluation scores in the sales audits

    Timely completion of daily tasks assigned

    Ensure to call the clients at the allotted appointment slot.

 
Read more
Parasme software  Technology
Ashish Sharma
Posted by Ashish Sharma
Jaipur
1 - 3 yrs
₹3L - ₹5L / yr
skill iconReact Native
Firebase

Simultaneously develop app and target for both Android and iOS using third party SDKs and APIs

Required – React Native, Firebase Integration, Third Party SDK integrations

 

Read more
A sports-focused digital media agency
A sports-focused digital media agency
Agency job
via Jobdost by Ankitha Vyas
Mumbai
4 - 6 yrs
₹7L - ₹9L / yr
skill iconAndroid Development
skill iconKotlin
Retrofit
Model-View-View-Model (MVVM)
MVP
+11 more

Office Location: Goregaon Mumbai

Position description:

2+ years of development experience with mobile application development for Android.

Primary Responsibilities:

  • Work closely with the core team for coming up with new features and implementing them
  • Work on new products and services
  • Provide support to existing applications
  • Integrate REST services into mobile applications

Required Skills:

Mandatory: Passionate about sports, Problem solving, Team player, Target & Result oriented.

Functional Skills: Kotlin, Retrofit, Room Db, GSON, (Room/SQLite), MVVM, MVP, MVC, Work Manager, Rx java, Dagger 2, Recyclerview, Custom Solutions & Custom Views, GIT & JIRA.

Read more
Equal Experts
at Equal Experts
13 recruiters
Pratap R V
Posted by Pratap R V
Remote, Bengaluru (Bangalore)
3 - 7 yrs
₹20L - ₹30L / yr
skill iconReact.js
skill iconJavascript
Fullstack Developer
skill iconJava
skill iconNodeJS (Node.js)
+2 more

Equal Experts is a community of talented experienced software development consultants, specializing in agile Delivery. A place where you are a polyglot, working alongside the client, enabling them, and adding real value to their products. A world where you are working with great, like-minded people, while you learn new technology on the go and implementing the best practices.

What do we do on our regular day at EE?
  • We indulge in all things that would excite you!!
  • Work on large-scale, custom distributed software systems using Java, Scala, Node
  • MongoDB, JavaScript (AngularJS, ReactJS), and the likes
  • We work almost exclusively on customer site providing a mix of delivery and consulting
  • services, so you'll be flexible about travel
  • Employ Agile development including task estimation, test automation, deployment automation
  • and Continuous Integration to improve overall execution speed and product quality
  • Work in a dynamic, collaborative, transparent, non-hierarchical, and ego-free culture where
  • your talent is valued over a designation or title
  • Spread the word about best practices in software development inside and outside Equal Experts community like Expert Talks

What we look for in you?
  • Hands-on development and delivery experience with HTML5, CSS3, JavaScript, bootstrap,
  • Hands-on experience in ReactJS & related tech stack
  • A strong Javascript foundation and clear understanding of Javascript classes, prototype-based inheritance, modules, etc.
  • Ability to convert the UI designs into fully functional interactive prototypes.
  • Experience in PSD to Html Conversion with Responsive design
  • Knowledge in developing UI software interacting/interfacing with Browsers
  • Good understanding of Agile methodologies
  • Awareness of current trends and best practices in the front-end community.
  • Passion for software engineering and craftsman-like coding prowess
  • Great OO skills, including strong design patterns knowledge
  • Experience working with Agile, TDD, Lean, and/or Continuous Delivery approaches and best practices, such as Extreme Programming (XP)
  • Enthusiastic to work collaboratively with people and sharing your ideas to solve real business
Read more
Proximity Labs
at Proximity Labs
4 recruiters
Hardik Jagda
Posted by Hardik Jagda
Remote only
4 - 20 yrs
₹12L - ₹40L / yr
skill iconReact.js
skill iconNodeJS (Node.js)
skill iconJavascript
TypeScript
skill iconRedux/Flux
+5 more

We are looking for two Sr FullStack (JS) Engineers with a keen eye for great design & UX. You will be responsible for the development of new software products (internal) and solving complex technical challenges for scale-ups and enterprise companies. You should excel in working with large-scale applications and frameworks and have outstanding communication and leadership skills. 

 

Responsibilities

  • Write clean, high-quality, high-performance and maintainable code
  • Solve complex technical problems
  • Perform an objective analysis of the problem statement and come up with an unbiased technical solution before writing a single line of code
  • Coordinate cross-functionally to ensure the project meets business objectives and compliance standards
  • Participate in and drive code reviews

 

Requirements

  • Excellent attention to detail.
  • Outstanding written and verbal communication skills.
  • Demonstrated expertise of building production-grade and high-performance applications using ES2019/ES2020
  • Expert at converting Figma, Sketch prototypes into pixel-perfect screens
  • Highly proficient in React, Redux and TypeScript / ReasonML.
  • Must be a self-starter who can work well with minimal-to-no guidance in a fluid environment
  • Must be excited by challenges surrounding the development of highly scalable & distributed systems.
  • Agility and ability to adapt quickly to changing requirements and scope and priorities
  • Experience of working on massively large scale data systems in production environments

 

Preferred Requirements

  • Production-level experience of designing a product for multiple international markets and languages (i18n, l10n).
  • Bonus points for prior experience in Go & Python.
  • Bonus points for open-source contributions, side-projects, blog posts and YT tech videos.

 

Qualifications

  • BS in Computer Science (or related field)
  • 4-5 years of relevant work experience
 
 
Read more
Intelliswift Software
at Intelliswift Software
12 recruiters
Radhika Hegde
Posted by Radhika Hegde
Bengaluru (Bangalore)
4 - 8 yrs
₹8L - ₹16L / yr
skill iconReact.js
skill iconJava
Spring
Hibernate (Java)
J2EE
+2 more
4+ years experience in java development 1+ year experience in react.js is mandatory. Fullstack java developer able to build applications with react.js as front end technology and java as back end technology.
Read more
Why apply to jobs via Cutshort
people_solving_puzzle
Personalized job matches
Stop wasting time. Get matched with jobs that meet your skills, aspirations and preferences.
people_verifying_people
Verified hiring teams
See actual hiring teams, find common social connections or connect with them directly. No 3rd party agencies here.
ai_chip
Move faster with AI
We use AI to get you faster responses, recommendations and unmatched user experience.
21,01,133
Matches delivered
37,12,187
Network size
15,000
Companies hiring
Did not find a job you were looking for?
icon
Search for relevant jobs from 10000+ companies such as Google, Amazon & Uber actively hiring on Cutshort.
companies logo
companies logo
companies logo
companies logo
companies logo
Get to hear about interesting companies hiring right now
Company logo
Company logo
Company logo
Company logo
Company logo
Linkedin iconFollow Cutshort
Users love Cutshort
Read about what our users have to say about finding their next opportunity on Cutshort.
Shubham Vishwakarma's profile image

Shubham Vishwakarma

Full Stack Developer - Averlon
I had an amazing experience. It was a delight getting interviewed via Cutshort. The entire end to end process was amazing. I would like to mention Reshika, she was just amazing wrt guiding me through the process. Thank you team.
Companies hiring on Cutshort
companies logos