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Job Description

JOB DESCRIPTION: Looking for Claims experienced candidates As a claims processor, you will be responsible for delivering business solutions that support the healthcare claim function, leveraging a knowledge of the processes and systems to receive, edit, price, adjudicate, and process payments for claims WORK LOCATION - MDC7 WORK STYLE - WFO. SHIFT - 4 PM to 2 PM.

Responsibilities

Key Responsibilities Receive, review, and process healthcare claims (professional, institutional, or pharmacy) in accordance with payer guidelines. Perform claims editing, pricing, and adjudication using payer systems and tools. Validate member eligibility, provider credentials, benefits, and authorization requirements. Identify and resolve claim discrepancies, denials, and exceptions. Apply correct coding (CPT, ICD-10, HCPCS) and reimbursement methodologies. Ensure accurate payment processing and coordination of benefits (COB). Maintain compliance with HIPAA, CMS, and internal policies. Work with internal teams, providers, and stakeholders to resolve claim-related issues. Meet productivity, quality, and turnaround time (TAT) metrics. Required Skills & Experience Proven experience in healthcare claims processing/adjudication. Strong understanding of the claims lifecycle: intake → editing → pricing → adjudication → payment. Experience with payer systems (e.g., Facets, QNXT, Amisys, Epic, or similar). Working knowledge of medical terminology and coding standards. Ability to analyze claim data and identify root causes of errors or denials. High attention to detail and strong problem-solving skills. Preferred Qualifications Experience with Medicare, Medicaid, or Commercial claims. Knowledge of provider contracts and fee schedules. Prior experience in claims quality audits or denial management. Certification such as CPC, CCS, or equivalent (a plus).
  • Salary : As per industry standard.
  • Industry :IT-Software / Software Services
  • Functional Area : IT Software - Application Programming , Maintenance
  • Role Category :Programming & Design
  • Role :Transaction Processing Representative

Job Description

**Job Description – Voice-Heavy Blended Process (Calls + Chats + Emails) ** Important Note: This role is a Voice-Heavy Blended Support Process. While you will handle chats and emails as well, the majority of the work involves phone-based (inbound/outbound) customer and employee interactions. Please apply only if you are fully comfortable with calling responsibilities. Role Overview Provide assistance in resolving customer and employee problems, incidents, issues, requests, and queries through a combination of calls, chats, and emails, with a strong emphasis on voice support. Coordinate with support teams to ensure timely and effective issue resolution. Key Responsibilities Handle majority voice interactions (calls) along with supporting chat and email channels as needed. Log and document incidents accurately; ensure timely follow-up, tracking, escalation, and closure. Collaborate with cross-functional support teams to resolve requests efficiently. Maintain a customer-centric approach focusing on live communication (primarily calls). Qualifications Excellent verbal and written communication skills in English (strong speaking ability is mandatory). Good interpersonal skills with a customer-first mindset. Detail-oriented with strong organizational and multitasking skills. Analytical and logical problem-solving skills. Prior experience in customer or employee support (voice or blended) is an advantage.

Responsibilities

Work Requirements 100% Work from Office Night Shifts Only | Shift Hours: 9.5 Hours Must be comfortable working in a voice-heavy blended (Calls + Chat + Email) process environment. Comments for Suppliers: 100% Work from Office Only Night Shifts | Shift Hours: 9.5Hrs Good English Communication Skills
  • Salary : As per industry standard.
  • Industry :IT-Software / Software Services
  • Functional Area : IT Software - Application Programming , Maintenance
  • Role Category :Programming & Design
  • Role :Customer Service Representative

Job Description

Job Summary: We are seeking an experienced HR professional with expertise in Employee Data Management (EDM) to support and execute HR strategies, programs, and services across the employee lifecycle. The role focuses on maintaining accurate employee records, ensuring data integrity in SAP, and supporting HR operations through efficient data management practices. Key Responsibilities: Employee Data Management (Primary Responsibility): Create, update, and maintain employee records in SAP HR systems Ensure accuracy, consistency, and completeness of employee data across systems Manage employee lifecycle data including onboarding, transfers, promotions, role changes, and exits Perform regular audits and validations to ensure data integrity and compliance Handle employee data changes in line with company policies and SLA timelines

Responsibilities

HR Operations Support: Support HR processes across one or more stages of the employee lifecycle Coordinate with internal HR teams (Payroll, Talent Acquisition, HRBP, Compliance) Respond to employee queries related to personal and employment data Support reporting and MIS requirements related to employee data Ensure adherence to data privacy, confidentiality, and compliance standards Process Improvement & Compliance: Follow standard operating procedures (SOPs) for data management Identify opportunities for process improvements and automation Support internal and external audits as required Ensure compliance with HR policies and statutory requirements
  • Salary : Rs. 0.0 - Rs. 25,000.0
  • Industry :IT-Software / Software Services
  • Functional Area : IT Software - Application Programming , Maintenance
  • Role Category :Programming & Design
  • Role :EMPLOYEE DATA MANAGEMENT

Job Description

Required profiles for Linux Admin

Responsibilities

  • Salary : As per industry standard.
  • Industry :IT-Software / Software Services
  • Functional Area : IT Software - Application Programming , Maintenance
  • Role Category :Programming & Design
  • Role : Required profiles for Linux Admin

Job Description

Infosys Consulting | Multiple Req - 23rd Jan

Responsibilities

Infosys Consulting | Multiple Req - 23rd Jan
  • Salary : As per industry standard.
  • Industry :IT-Software / Software Services
  • Functional Area : IT Software - Application Programming , Maintenance
  • Role Category :Programming & Design
  • Role :Infosys Consulting | Multiple Req - 23rd Jan

Job Description

SAP ARIBA

Responsibilities

  • Salary : As per industry standard.
  • Industry :IT-Software / Software Services
  • Functional Area : IT Software - Application Programming , Maintenance
  • Role Category :Programming & Design
  • Role :SAP ARIBA

Job Description

JOB DESCRIPTION: Looking for Claims experienced candidates As a claims processor, you will be responsible for delivering business solutions that support the healthcare claim function, leveraging a knowledge of the processes and systems to receive, edit, price, adjudicate, and process payments for claims WORK LOCATION - MDC7 WORK STYLE - WFO. SHIFT - 4 PM to 2 PM.

Responsibilities

Key Responsibilities Receive, review, and process healthcare claims (professional, institutional, or pharmacy) in accordance with payer guidelines. Perform claims editing, pricing, and adjudication using payer systems and tools. Validate member eligibility, provider credentials, benefits, and authorization requirements. Identify and resolve claim discrepancies, denials, and exceptions. Apply correct coding (CPT, ICD-10, HCPCS) and reimbursement methodologies. Ensure accurate payment processing and coordination of benefits (COB). Maintain compliance with HIPAA, CMS, and internal policies. Work with internal teams, providers, and stakeholders to resolve claim-related issues. Meet productivity, quality, and turnaround time (TAT) metrics. Required Skills & Experience Proven experience in healthcare claims processing/adjudication. Strong understanding of the claims lifecycle: intake → editing → pricing → adjudication → payment. Experience with payer systems (e.g., Facets, QNXT, Amisys, Epic, or similar). Working knowledge of medical terminology and coding standards. Ability to analyze claim data and identify root causes of errors or denials. High attention to detail and strong problem-solving skills. Preferred Qualifications Experience with Medicare, Medicaid, or Commercial claims. Knowledge of provider contracts and fee schedules. Prior experience in claims quality audits or denial management. Certification such as CPC, CCS, or equivalent (a plus).
  • Salary : As per industry standard.
  • Industry :IT-Software / Software Services
  • Functional Area : IT Software - Application Programming , Maintenance
  • Role Category :Programming & Design
  • Role :Claims Process

Job Description

As a Custom Software Engineer, you will engage in the development of custom software solutions that are designed to meet specific business needs. Your typical day will involve coding, enhancing components across various systems or applications, and collaborating with team members to implement modern frameworks and agile practices, ensuring the delivery of scalable and high-performing solutions. Roles & Responsibilities: - Expected to perform independently and become an SME.- Required active participation/contribution in team discussions.- Contribute in providing solutions to work related problems.- Assist in the design and implementation of software components to enhance system functionality.- Collaborate with cross-functional teams to gather requirements and translate them into technical specifications. Professional & Technical Skills: - Must To Have Skills: Proficiency in SUSE Linux Administration.- Good To Have Skills: Experience with Unix Architecture and Design.- Strong understanding of software development methodologies and best practices.- Experience with scripting languages to automate tasks and improve efficiency.- Familiarity with version control systems to manage code changes effectively. Additional Information: - The candidate should have minimum 3 years of experience in SUSE Linux Administration.- This position is based at our Mumbai office.- A 15 years full time education is required.

Responsibilities

As a Custom Software Engineer, you will engage in the development of custom software solutions that are designed to meet specific business needs. Your typical day will involve coding, enhancing components across various systems or applications, and collaborating with team members to implement modern frameworks and agile practices, ensuring the delivery of scalable and high-performing solutions. Roles & Responsibilities: - Expected to perform independently and become an SME.- Required active participation/contribution in team discussions.- Contribute in providing solutions to work related problems.- Assist in the design and implementation of software components to enhance system functionality.- Collaborate with cross-functional teams to gather requirements and translate them into technical specifications. Professional & Technical Skills: - Must To Have Skills: Proficiency in SUSE Linux Administration.- Good To Have Skills: Experience with Unix Architecture and Design.- Strong understanding of software development methodologies and best practices.- Experience with scripting languages to automate tasks and improve efficiency.- Familiarity with version control systems to manage code changes effectively. Additional Information: - The candidate should have minimum 3 years of experience in SUSE Linux Administration.- This position is based at our Mumbai office.- A 15 years full time education is required.
  • Salary : Rs. 0.0 - Rs. 10,00,001.0
  • Industry :IT-Software / Software Services
  • Functional Area : IT Software - Application Programming , Maintenance
  • Role Category :Programming & Design
  • Role :Custom Software Engineer

Job Description

We are looking for a skilled DevOps Engineer with strong experience in Google Cloud Platform (GCP), Google Kubernetes Engine (GKE), Liferay, and Elasticsearch, to support and manage CI/CD pipelines and production deployments for enterprise digital platforms. The role focuses on ensuring high availability, automation, performance, security, and operational stability across production environments. ________________________________________ Key Responsibilities Production Support & Operations • Provide end to end DevOps production support for applications hosted on GCP and GKE. • Ensure 24x7 availability, scalability, and performance of production environments. • Monitor production systems and handle incidents, alerts, and escalations within SLA. • Participate in major incident management (MIM) and post incident root cause analysis (RCA). • Continuously improve system reliability and reduce MTTR. ________________________________________ CI/CD & Deployment Management • Design, implement, and maintain CI/CD pipelines for Liferay and microservices/UI applications. • Perform production deployments, rollbacks, and hotfixes in a controlled and auditable manner. • Automate build, test, and deployment processes using CI/CD tools. • Support canary, rolling, and blue green deployment strategies. • Maintain deployment calendars and follow change management processes.

Responsibilities

We are looking for a skilled DevOps Engineer with strong experience in Google Cloud Platform (GCP), Google Kubernetes Engine (GKE), Liferay, and Elasticsearch, to support and manage CI/CD pipelines and production deployments for enterprise digital platforms. The role focuses on ensuring high availability, automation, performance, security, and operational stability across production environments. ________________________________________ Key Responsibilities Production Support & Operations • Provide end to end DevOps production support for applications hosted on GCP and GKE. • Ensure 24x7 availability, scalability, and performance of production environments. • Monitor production systems and handle incidents, alerts, and escalations within SLA. • Participate in major incident management (MIM) and post incident root cause analysis (RCA). • Continuously improve system reliability and reduce MTTR. ________________________________________ CI/CD & Deployment Management • Design, implement, and maintain CI/CD pipelines for Liferay and microservices/UI applications. • Perform production deployments, rollbacks, and hotfixes in a controlled and auditable manner. • Automate build, test, and deployment processes using CI/CD tools. • Support canary, rolling, and blue green deployment strategies. • Maintain deployment calendars and follow change management processes.
  • Salary : As per industry standard.
  • Industry :IT-Software / Software Services
  • Functional Area : IT Software - Application Programming , Maintenance
  • Role Category :Programming & Design
  • Role : Cloud DevOps~Digital : DevOps