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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


- Deep tech skills in flutter
- Good programming knowledge of DART
- Knowledge of REST API and JSON
- Self start and dynamic
Certa is looking for an enthusiastic sales development representative to generate quality leads provide creative ideas to help achieve our goals. You will have administrative duties in developing and implementing sales & marketing strategies. As a sales development representative, you will collaborate with our team in all stages of marketing campaigns. Your insightful contribution will help develop, expand and maintain our marketing channels.
Job Type: Remote
Shift Timings: UK hours
Responsibilities:
- Lead generation via LinkedIn sales navigator, LinkedIn & email automation tool
- Collect quantitative and qualitative data from campaigns using tools like SalesLoft, ZoomInfo and LinkedIn Sales Navigator.
- Help organize marketing events and campaigns
Requirements
- Solid understanding of outreach techniques
- Strong LinkedIn base
- Excellent verbal and written communication skills
- Familiarity with marketing computer software and online applications (e.g. CRM tools, Online analytics, basic Excel, and LinkedIn Sales Navigator)
- Minimum 1 year of work experience in international pre-sales/sales
- MBA in marketing/sales would be preferred


About OJ Commerce:
OJ Commerce is a fast-growing, profitable online retailer based in Florida, USA with a full-fledged India office based in Chennai driven by a sophisticated, data-driven system to run the operations with virtually no human intervention. We strive to be the best-in-class ecommerce company delivering exceptional value to customers by leveraging technology, innovation and brand-partnerships to provide a seamless & enjoyable shopping of high-quality products at the best prices to our customers.
Responsibilities:
Work with business-stakeholders to understand requirements, prototype, build and deploy it.
CRUD the backend code you own keeping maintenance, performance and security in mind.
Keep up breast of latest technologies and its ecosystem and adopt ones that aid safe product delivery at speed.
Automate the boring and mundane stuff for you prefer to be productive than being busy.
We are flat. Be responsible for professional growth of self and the team.
- Tune application for performance.
- Take initiatives and manage change to work towards business goals at speed without compromising safety.
- Coach full-stack developers on backend skills.
- Provides problem resolution support, specific to application issues, identifies and resolves problems in application software, determines symptoms and ensures accurate problem definition
Develop functional, architectural and other documentation as required for productive functioning of teams.
- Be the brand ambassador for OJ Commerce by speaking at meetups, conferences, etc.
- We are fluid. Be ready for changing dynamics in responsibilities from time to time. Exciting isn't?
- Take the lead in digital transformation of legacy applications.
What you need to shine?
- You have the prior experience in modernising legacy applications.
- You are a passionate hands-on developer with deep experience in building enterprise grade software in Microsoft ASP.NET Core, ASP.NET MVC, Web API, SOA, Micro-Services and RESTful Services with knowledge of SQL Server database.
- You have the ability to see and work on the big picture (Application Architecture) and devilish details (Complex Code).
- Strong experience in developing web applications using C#, VB.Net, .NET, LINQ, Net Framework 4.0, MVC 3/4/5, ASP.NET Web API, .Net Core etc.
- You are Cloud savvy, preferably Google Cloud.
- You have rich experience in Object-Oriented Programming (OOP) with good knowledge of practical design-patterns and its applications.
Hands-on experience in building SOA or Micro-services preferably on .NET Core.
Proven Architectural skills with high standards in Code quality
Knowledge of ReactJS/Typescript would be added advantage.
Practical experience in Agile development methodologies of using CI/CD.
Extreme Programming (TDD) experience is sought after by us.
What we Offer
- Greenfield opportunity to transform legacy backend applications to latest technology stack.
- Fast-paced start-up environment: This is not for the faint hearted; you need grit and passion as much as you need the core skills.
- Work in an interdisciplinary team where learning from one another and developing solutions cross-functionally is a key part of our culture.
- Golden opportunity to make history by making big business impact.
- Competitive salary to take good care of self and family.
- Insurance Benefits: Medical and Accident cover.
- Flexible Working Hours


Job Description:
- Must have knowledge in developing web applications in PHP/MySQL
- Knowledge of Codeigniter Framework/LARAVEL
- Strong knowledge of Core PHP, OOPS and any PHP framework(Codeigniter)
- Strong knowledge of relational databases (MySQL, SQL)
Skills Required:
Excellent Communication skills, Positive attitude, Flexible, Quick learner.
Candidates who have completed training in PHP / Codeigniter Framework
Actively seeks to apply technology to appropriate tasks.
Shows willingness to learn new technology.
· Promote/Sell various IT training/certifications to the working professionals/students.
· Intensely following up with the prospects clients/students and closing the sales within the sales cycle.
· Generate new leads, create sales pipeline and following with the closure.
· Obtaining client information Counsel Professional for trainings/certifications.
· Reaching out professionals/clients by making outbound calls, emails and if also face to face meetings/counseling if required.
· Selling Advertising Different s in the different geographies like India, U.S, Canada, Singapore, Malaysia, Middle East and few European boundaries
· Negotiating and closing the deals.
· Diligently communicating, aggressive follow up and priming the lead through different channels.


- The candidate should have 1+ years of full-stack PHP Laravel VueJs development experience
- He/she will be involved in to end to end development of web applications
- Highly proficient with the Vue.js framework and its core principles such as components, reactivity, and the virtual DOM.
- Very good experience creating attractive and responsive web design using HTML5, CSS, JavaScript, JQuery, Ajax, Bootstrap
- Expert in backend development using PHP, Laravel, MySQL
- Third-party integration and API development
- The candidate must have good communication skills and coordination skills
Mandatory Technical skills required:
- PHP
- Laravel
- Vue Js
- HTML, CSS, JavaScript
- Databases and APIs
Employee Benefits:
- Career growth and opportunity to build your team
- Flexible working hours and open culture
- Competitive salaries and bonus structure
- Paid leaves / Leave encashment
- Employee-friendly HR policies
Education & Qualification:
- Any Graduate / Post graduate in IT preferable MCA / MscIT / ME IT / M.Tech IT/ B.E IT / B.E Computer / BCA
Job Timing: 09:00 AM to 06:00 PM and every Saturday off
Job Type: Full-time
Salary: Best in the industry

- Build fluid, scalable, responsive, and consumer-centric web platforms that target users across a wide array of devices
- Collaborate closely with designers & backend developers and contribute to the full product development life-cycle from design and development to roll out
Take ownership of work and deliver quality results consistently - Own the delivery of multiple features in a fast-paced work environment
- Build optimized and modular components to provide performance-oriented solutions
- Work in a dynamic and collaborative culture ensuring good teamwork and communication with remote team members when needed
Qualifications
- 4+ Years of experience in frontend web development (1+ in ReactJS)
- Strong past experience of building, scaling and maintaining feature-rich customer-facing single-page applications
- Ability to translate designs into UI elements with accuracy and an eye for fluidity and responsiveness; strong grasp of any of CSS / sass / less
- Proven ability to implement key concepts of state management, security, and caching practices in enterprise-level web applications used at scale
- Proficient understanding of compatibility issues across different browsers and web and mobile devices and available ways to work around them
- Familiarity with the react ecosystem and popular libraries in that ecosystem
- Strong grasp over core web development concepts like HTML5, JavaScript, CSS3, general Web 2.0 techniques, and working without modern component libraries
- Experience with designing secure web applications with a strong understanding of common security vulnerabilities and best practices
- Understanding of data structures, algorithms and object-oriented programming
- Strong grasp over concepts of performance, optimization, lighthouse, etc
- Strong handle over Git, following best practices to facilitate collaboration
Skills that will give you an edge
- Hands-on experience with supporting payments and integrating payment gateways
- Experience with progressive web apps, service workers
- Strong grasp over frontend unit and end-to-end testing frameworks

Parikshram is a Bangalore based tech startup company, building the world's first career success platform for QA-Testing professionals around the world. Currently running through the social media channels with the name of “Software Testing Studio" (soon to be renamed as Parikshram), it has an active user base of ~0.2 million testing professionals and focuses on recruitment, upskilling and community building. The company is growing at a rapid pace and is hiring aggressively.
Qualifications
- 5+ years experience in PHP and Wordpress development, WordPress CMS Installation, theme customizations.
- Should possess strong knowledge of SEO, Secure sites, Wordpress, Web Design
- Good knowledge of WordPress development and life cycle (theme hierarchy, plugins, etc
- Strong understanding of PHP back-end development. Experience in front-end technologies like HTML5,CSS3,Bootstrap4,JavaScript,PHP.
- Basic Knowledge of Core PHP, MySQL Database.
- Experience in designing and developing responsive design websites.
- Ability to understand CSS changes and their ramifications to ensure consistent style across platforms and browsers.
- Ability to convert comprehensive layout and wireframes into working HTML pages. Payment Gateway integration for WooCommerce (eg: Paypal, Razorpay, etc).
- Ability to build and manage a team.
- Good communication skills.
- He should hire marketing candidates in his district both physically and digitally.
- He will recruit potential candidates for Block Sales Manager and District Sales Manager.
- He will physically screen, verify and scrutinize prospective candidates on field and then forward the same to the company’s HR cell if found eligible.
- He shall be responsible to make them aware of their job role and responsibilities.
- He shall be responsible to send eligible candidates to this office through the HR Coordinators.
- Other Field recruitment processes as and when instructed.

