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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Here is the Job Description. Kindly go through that and let me know your thoughts.
Experience –
3+ years in relevant technologies
Job Description :
- Ability to solve complex problems using innovative solutions and actively coding and developing Java/J2EE based web applications.
- Should be excellent in debugging code & fixes bugs in optimized manner and minimal time.
- Writing of fully optimized code for optimum performance and efficiency of application.
- Adhere to the coding standards and guidelines.
- Should be very strong in Object-Oriented programming and design patterns.
- Provide Support over email and phone whenever required.
- Excellent Communication Skills - both written and spoken English is a must
Skills :
- Strong knowledge of Core Java Development, Servlets, Spring
- Expertise in accomplishing projects using Multithreading, OOPS, Concurrent API, Algorithms, design patterns, Collections
- Excellent debugging skills
- Experience with svn tools like bitbucket, GitHub
- Working knowledge of Unix commands
- Must be acquainted with deployment process along-with good exposure of servers like tomcat, webserver
Optional Skills :
- Knowledge of Nested Virtualization
- Experience working with Selenium, Artificial Intelligence & Computer Vision
Location Delhi NCR
Opening Immediate
Search Context
Over 1.8 billion non-salaried informal sector workers globally, and roughly 700m Indians are
not eligible for pension or other social protection benefits. Without an urgent and effective
response to pension exclusion, they face the grim prospect of extreme poverty for over 20
years once they are too old to work.
pinBox is the only global pensionTech committed exclusively to mass-scale digital micropension inclusion among self-employed women and youth. We deploy our white-labelled,
API-enabled pension administration and delivery platform, our unique deployment model and
a simple and intuitive UI/UX to make access to regulated pension, savings and insurance
products easy and simple for non-salaried informal sector workers. We're working actively
with governments, regulators, multilateral aid agencies and leading financial inclusion
stakeholders in Asia and Africa. The pinBox model is already operating in Rwanda, Kenya
and India. We will expand to Bangladesh, Uganda, Chile, Indonesia and Nigeria by 2023.
Governments and pension regulators use the our pensionTech to jumpstart digital micropension and insurance inclusion among informal sector workers. Pension funds and insurers
use our pensionTech to build a mass market for their products beyond their traditional agentled customer base. Banks, MNOs, cooperatives, MFIs, fintech firms and gig-platforms use
our plug-and-play pensionTech to instantly offer an integrated social protection solution to
their clients, members and employees without any new investments in IT or capacity
enhancement.
We’ve recently completed our first equity fundraise to enhance our engineering, business
and delivery capacity and embark on the next stage of pinBox pensionTech development
and expansion. By 2025, we aim to enable and assist 100 million excluded individuals to
start saving for their old age in a secure, affordable and well-regulated environment.
pinBox is looking for a web-developer with UI-UX design expertise who is deeply passionate
and capable about using web and mobile platforms to deliver retail solutions at scale.
The Web-developer and UI-UX designer will be expected to
1. Take broad, conceptual ideas and translate them into high-quality UI-UX design solutions
through wireframes, process flow diagrams, storyboards, visual and graphic designs,
site maps, and prototypes across various devices and platforms,
2. Maintain and optimize the pinBox corporate and product websites for functionality while
maintaining a balance between functional and aesthetic design,
3. Prototype and design UI-UX for new features and work with the product manager and
backend developers to implement, test and deploy the features to production,
4. Optimize the pinBox India and global websites and applications for various screen sizes
and web browsers,
5. Implement design solutions based on an assessment of user familiarity with app design
elements such as hamburger menus, hover items, long presses, swipes, etc.
6. Use a combination of quantitative and qualitative research methods to understand user
behavior and improve usability and UI/ UX of our applications based on the analysis,
7. Ensure all new features or web pages are in line with the pinBox brand identity and
position, and
8. Conduct ongoing research and use analytics tools to better understand user behavior
and how our core target demographic interacts with our web and mobile applications.
The ideal candidate processes
1. At least 4 years’ experience working as a frontend web developer / designer for retail
platforms (preferably for retail financial services) with UI-UX specialization,
2. Proficiency with web markup, including HTML5, CSS3 and Bootstrap,
3. Proficiency with client-side scripting and JavaScript frameworks, including jQuery,
4. Working knowledge of image authoring tools such as Gimp or Photoshop,
5. Experience working on a JavaScript framework such as ReactJS or Angular,
6. Understanding of SEO principles and implementation,
7. Critical thinking and problem-solving skills, and
8. Excellent teamwork and interpersonal skills, a keen eye for detail and the ability to
function effectively and proactively under tight deadlines.
The candidate for this position will excel at creating and closing new opportunities. By using a consultative approach to selling, this person will use their expertise to identify and qualify leads, leading to sales opportunities with both new and existing customers.
Responsibilities
- Meet and exceed sales targets
- Successfully create business from new and existing customer accounts
- Manage complex negotiations with senior-level executives
- Build rapport and establish long term relationships with customers
Qualifications
- 2-4 years sales experience
- Experience and working knowledge of CRM systems
- Demonstrable track record of over-achieving quota
- Strong written and verbal communication skills
We are hiring PHP Developer
Strong understanding of core PHP, MySQL, JavaScript, and any PHP framework Can handle projects independently and should be a good team builder. -Excellent Technical knowledge is a must. I-Excellent problem-solving skills and love a technical challenge.Must have prior experience in WordPress, Codeigniter, Laravel, MVC.
Responsibilities and Duties
- Build efficient, testable, and reusable PHP modules
- Solve complex performance problems and architectural challenges
- Write “clean”, well-designed code
- Produce detailed specifications
- Troubleshoot, test, and maintain the core product software and databases to ensure strong optimization and functionality
- Contribute to all phases of the development life cycle
- Follow industry best practices
- Develop and deploy new features to facilitate related procedures and tools if necessary
- Required Experience, Skills, and Qualifications
- Core knowledge of PHP 5. X.X
- Good knowledge of APACHE / NGINX configurations
- Good knowledge of MySQL / SQL queries.
- Strong OOPS concept and OOPS usage in PHP.
- Knowledge of MVC Architecture (Codeigniter) based frameworks in PHP.
- Good Skills in HTML, HTML 5. javaScript / Jquery, CSS and AJAX.
- Good Skills in J
- Proven hands-on experience of CMS like Magneto, Word press,
- WooCommerce would be a plus point
- Must have knowledge of WordPress theme Building from Scratch.
- Must be able to handle multiple projects and deadlines.
- Must have Working experience with WordPress themes and Plugins
Additional Skills:
- Good analytical, reasoning, logic, and troubleshooting skills.
- Decent communication.
- Having worked on Linux / Ubuntu systems.
- Job Location: Indore
- 5Dayworking
Job Description:
- Looking for a passionate HR Executive in the Software Industry who understands technology and Interested to learn and grow along with the company.
- Understanding JD brief and sourcing potential candidates
- Handling End to End requirements for Mid-level to Leadership level.
- Sourcing profiles / resumes through multiple sources (head hunting, networking portals, job portals, internal references, etc.).
- Candidate assessment at primary level, based on client requirement Coordinate with technical panel and schedule interviews and follow up
- Maintain MIS / Trackers / Status reports
- Build and maintain an active pool of candidates to meet future hiring targets in an effective manner Basic knowledge on Timesheets, Attendance and Leave Management Good knowledge on Onboarding and BGV Process Basic knowledge on Payroll and Statutory compliance.
- Experience on Employee data management, preparation of all HR related letters from joining to Exit process. Knowledge on any HR Software.
Desired Candidate profile
- Prior recruitment experience is great to have.
- Responsible and accountable
- Confident and motivated individual
- Excellent interpersonal skills with excellent communication skills is preferred
- Strong Microsoft proficiency, including Word, Excel and PowerPoint
people. Caffeine addicts will find a home easily in our community!
- Working closely with the client (typically Marketing / Communication heads) to understand their needs, company goals, vision, and prepare a high-level strategy spanning multiple platforms and types of content.
- Breaking down the client’s requirements in the form of a more granular content calendar
- Coordinating with designers, videographers, and other stakeholders to ensure overall smooth project flow and client satisfaction
- Doing primary or secondary research, as and when required, depending on the context
- Ensuring that the client receives error-free content and copy that is free of plagiarism
- Repurposing existing content into buckets that can be reposted on different platforms
- Brainstorm (along with the Account Manager) about how to drive traffic to the existing content and to improve overall KPIs for the client
- Diligent tracking and analytics of what's working and what's not working, and how to optimiz content for the next cycle
- Interact with IT & BFSI companies for recruitment of trained candidates from the company.
- Develop and maintain top-level relationships with designated accounts to establish a clear and comprehensive understanding of customer needs
- Develop, expand, maintain and report on a pipeline of qualified recruitment opportunities.
- Design and implement strategies for expanding the company’s B2B segment.
- Build, mentor, and lead an effective B2B sales team.
- Conduct and host talks with Senior Management of corporates.
- Prepare operational, recruitment reports fortnightly and present them to senior management.
- Work closely with the Training Team and provide inputs on the latest requirements.
- Take initiatives, identify pain points, improvement areas, and work towards achieving a solution
Job Qualifications:
- Proficient Key Accounts portfolio management
- 4-6 years of B2B Sales experience
- Proficiency in CRM and lead management
- Education - MBA from premier institutes
- Efficient project management skills
- Excellent verbal and written communication skills
- Leadership alignment and experience, mentor and lead team
- Ability to work with data and uncover insights into the consumer mindset
Requirement::
• Must Have worked with Flutter / Android Application development.
• Excellent ability to develop & understand algorithms
• Excellent verbal & written communication.
• Strong knowledge in Restful web services. Experience in interacting with web services from the Flutter mobile platform
• Experience with Offline Storage, Threading, And Performance Tuning
• Strong knowledge in Push Notifications
• Analytical, Problem Solving and Decision Making Skills.
• Should have knowledge on client requirements analysis.
Website - https://praxinfo.com/">https://praxinfo.com/