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HC & Insurance Operations Associate at NTT DATA
Coimbatore, tamil nadu, India - Full Time
Skills Needed
Claims Processing, Adjudication, Authorization Handling, Cob, Duplicate Claims, Pricing Claims, Corrected Claims, Healthcare Insurance Knowledge, Client Sla Management, Analytic Skills, Communication Skills, Independent Work, Facets Experience, Hcfa Claims, Ub Claims
Specialization
Candidates should have 1-3 years of experience in processing claims adjudication and adjustment processes. A solid understanding of healthcare insurance policy concepts is essential, along with good communication and analytic skills.
HC & Insurance Operations Associate at NTT DATA
Coimbatore, tamil nadu, India - Full Time
Skills Needed
Claims Processing, Adjudication, Authorization Handling, Cob, Duplicate Claims, Pricing Claims, Corrected Claims, Healthcare Insurance Policy, In Network Providers, Out Of Network Providers, Deductible, Coinsurance, Co Pay, Out Of Pocket, Client Slas, Communication Skills
Specialization
1-3 years of experience in processing claims adjudication and adjustment process is required. Both undergraduates and postgraduates can apply, with good communication skills necessary.
BOUCHER (H/F) at Groupement Mousquetaires
Valence, Occitania, France - Full Time
Skills Needed
Boucher, Traditional Butchery, Carcass Work, Team Collaboration, Customer Service
Specialization
You should have recognized skills in butchery and experience in traditional methods. A commitment to quality local products and teamwork is essential.
Experience Required
Minimum 2 year(s)
Auxiliaire de vie - job étudiant (H/F) at Ouihelp
Saint-Malo, Brittany, France - Full Time
Skills Needed
Meal Assistance, Personal Care, Companionship, Administrative Support
Specialization
Candidates must be students in the health or social care sector with at least two years of study completed. Relevant diplomas such as BEP or Bac Professionnel are accepted.
Associate Territory Manager - NC Triad at ZOLL Medical Corporation
Winston-Salem, North Carolina, United States - Full Time
Skills Needed
Sales, Clinical Support, Customer Management, Education, Training, Communication, Influencing, Territory Management, Data Analysis, Medical Devices, Cardiology, Patient Management, Team Collaboration, Problem Solving, Presentation Skills, Ethical Representation
Specialization
Candidates must have a Bachelor's Degree and meet specific experience criteria in sales or clinical support within the medical device or pharmaceutical fields. A valid state driver's license is also required.
Experience Required
Minimum 2 year(s)
Auxiliaire de vie - job étudiant H/F at Ouihelp
Rennes, Brittany, France - Full Time
Skills Needed
Meal Assistance, Personal Care, Companionship, Administrative Support
Specialization
Candidates must be students in the health or social care sector with at least two years of study completed. Relevant diplomas such as BEP or Bac Professionnel are accepted.
Lead Psychotherapist at The Ohio State University
Petah Tikva, Center District, Israel - Full Time
Skills Needed
Psychotherapy, Clinical Evaluation, Treatment Planning, Group Therapy, Family Therapy, Mental Health, Behavioral Disorders, Leadership, Community Advocacy, Evidence Based Practices, Interdisciplinary Teamwork, Patient Care, Documentation, Supervision, Addiction Counseling, Trauma Informed Care
Specialization
A Master's Degree in Social Work or Counseling is required, along with relevant licensure and supervision designation. Candidates should have at least 2 years of relevant experience, with a preference for 4-6 years.
Experience Required
Minimum 2 year(s)
Staff Scientist - Nanofabrication Facility at Lawrence Berkeley National Laboratory
Berkeley, California, United States - Full Time
Skills Needed
Nanofabrication, Quantum Computing, Quantum Sensing, Superconducting Devices, Materials Characterization, Machine Learning, Collaboration, Research Program Development, User Support, Safety Practices, Instrumentation, Data Architecture, Mentoring, Publication, Interdisciplinary Research, Analytical Skills
Specialization
A Ph.D. in a relevant field is required, along with a willingness to support users in nanofabrication. Candidates should have a proven track record in nanoscale materials research and the ability to conduct independent research.
Experience Required
Minimum 5 year(s)
Customer Engineer I Senior_iTeam - Pre-graduation at Applied Materials
Hsinchu, , Taiwan - Full Time
Skills Needed
Mechanical Aptitude, Electrical Schematics, Diagnostic Techniques, Customer Communication, Preventative Maintenance, Corrective Maintenance, Field Service Support, Pneumatics, Hydraulics, Electronics, Vacuum Systems, Thermodynamics, Hand Tools, Digital Multimeters, Written Communication, Verbal Communication
Specialization
Completion of an Associate degree or equivalent experience is required. Candidates should have basic mechanical aptitude and effective communication skills.
Cloud Windows Engineer at NTT DATA
Austin, Texas, United States - Full Time
Skills Needed
Windows, Cloud Operations, Aws, Azure, Gcp, Oci, Powershell, Python, Ansible, Active Directory, Security Best Practices, Incident Management, Backup Strategies, Disaster Recovery, Performance Tuning, Troubleshooting
Specialization
A bachelor's degree in a related field and at least 7 years of hands-on experience in Public Cloud Windows engineering are required. Candidates should also have experience with provisioning and securing cloud-native workloads in AWS, Azure, GCP, or OCI.
Experience Required
Minimum 5 year(s)
Engineering Services Project Manager - Product Integrity, Hardware Engineer at Apple
Bengaluru, karnataka, India - Full Time
Skills Needed
Project Management, Vendor Management, Engineering Services, Technical Expertise, Risk Mitigation, Financial Forecasting, Compliance, Process Improvement, Contract Negotiation, Cross Functional Collaboration, Quality Assurance, Documentation, Sourcing, Performance Metrics, Stakeholder Engagement, Presentation Skills
Specialization
Candidates should have a BS/BA degree and a minimum of 10 years of relevant industry experience, including 5+ years in large-scale vendor management. Proficiency in English and experience with statements of work for engineering projects are also required.
Experience Required
Minimum 10 year(s)
ENERGIAKESKUSTE HOOLDUSSPETSIALIST (Põltsamaa, Lõuna-Eesti) at Adven Group
Põltsamaa linn, , Estonia - Full Time
Skills Needed
Technical Education, Experience In Energy Sector, Knowledge Of Electricity, Knowledge Of Automation, English Language Skills, B Category Driving License, Willingness To Learn, Independent Learning Ability, Ability To Participate In On Call Duty
Specialization
Technical education and previous experience in the energy or technical field are required. Knowledge of electricity and automation, as well as English language skills, are advantageous.
Experience Required
Minimum 2 year(s)
Senior iOS/Cross-Platform Developer - Find My/AirTag Team at Apple
Cupertino, California, United States - Full Time
Skills Needed
Swift, Multithreading, Non Blocking Io, Qa Methodologies, Debugging, Automating, Testing, Cross Team Collaboration, Communication, Problem Solving, Object Oriented Code, Frameworks, C, C++, Cryptography, Ai/Ml
Specialization
Candidates should have a BS or MS in Computer Science or related field, plus 8+ years of equivalent work experience. Strong expertise in Swift and experience in programming, system design, and problem solving are required.
Experience Required
Minimum 10 year(s)
JUHTIMISKESKUSE SPETSIALIST (tähtajaline) at Adven Group
Tallinn, Harju, Estonia - Full Time
Skills Needed
Energy Management, Technical Support, Communication Skills, Problem Solving, Automation Systems, Heat Engineering, Operational Coordination, Client Advisory
Specialization
A background in thermal engineering or relevant experience in the field is essential. Strong communication skills, a willingness to learn, and the ability to work independently in emergency situations are also required.
Experience Required
Minimum 2 year(s)
Bindery Operator 1- Apprenticeship at RR Donnelley
Durham, North Carolina, United States - Full Time
Skills Needed
Bindery Equipment, Machine Operation, Quality Monitoring, Paper Identification, Mathematics, Tool Usage, Safety Inspection, Adjustments, Production Direction, Adhesive Binding, Folding, Cutting, Collating, Stitching, Drilling, Gluing
Specialization
Familiarity with different paper weights, sizes, and conditions is essential. Knowledge of operating procedures for bindery equipment and the ability to make adjustments using standard and specialized tools are required.
Senior Java Web Backend Engineer at BlueOptima
Bangalore, karnataka, India - Full Time
Skills Needed
Java, J2ee, Spring, Springboot, Microservices, Agile, Sql, Postgres, Cloud Platforms, Aws, Azure, Google Cloud Platform, Kafka, Rabbitmq, Prometheus, Grafana
Specialization
Candidates must have a minimum of a Bachelor's degree in Computer Science or equivalent and at least 5 years of experience with Java and related technologies. Strong problem-solving skills and familiarity with Agile methodologies are also required.
Experience Required
Minimum 5 year(s)
Associate Data Scientist at Software Finder
201 District, Virginia, United States - Full Time
Skills Needed
Python, Excel, Google Sheets, Web Scraping, Data Cleaning, Data Enrichment, Workflow Automation, Analytical Skills, Attention To Detail, Collaboration, Fast Paced Environment, Lead Generation, Data Accuracy, Crm Systems, Campaign Objectives, Data Workflows
Specialization
Candidates should have proficiency in Python, Excel/Google Sheets, and web scraping tools. Strong analytical skills and experience with data cleaning and workflow automation are preferred.
Light Equipment Operator 1 at RR Donnelley
Durham, North Carolina, United States - Full Time
Skills Needed
Equipment Operation, Machine Setup, Troubleshooting, Maintenance, Clerical Tasks, Team Coordination, Training
Specialization
Familiarity with routine operating procedures and the ability to perform minor clerical tasks are required. Candidates should also be able to identify improper machine operation and make basic adjustments.
Senior Data Scientist at Thoughtworks
Bengaluru, karnataka, India - Full Time
Skills Needed
Statistical Modeling, Machine Learning, Deep Learning, Optimization, Data Science Techniques, Nlp, Computer Vision, Generative Ai, R, Python, Data Quality, Data Privacy, Stakeholder Management, Coaching, Mentoring, Ethical Guidelines
Specialization
You have experience with statistical modeling, machine learning, and data science techniques to implement end-to-end projects. You understand AI specializations and can gather and preprocess large volumes of data while ensuring quality and integrity.
Experience Required
Minimum 5 year(s)
Юрисконсульт at Syngenta Group
Москва, Tver Oblast, Russia - Full Time
Skills Needed
Legal Education, International Law Firm Experience, Negotiation Skills, Project Management, Teamwork, Analytical Skills, English Proficiency, Relationship Building, Conflict Resolution, Result Orientation, Problem Solving
Specialization
A higher legal education is required along with at least 6 years of experience in an international law firm or similar organization. Candidates should have experience in providing legal support in complex negotiations and possess strong analytical and relationship-building skills.
Experience Required
Minimum 5 year(s)
HC & Insurance Operations Associate at NTT DATA
Coimbatore, tamil nadu, India -
Full Time

Start Date

Immediate

Expiry Date

03 Feb, 26

Salary

0.0

Posted On

05 Nov, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Claims Processing, Adjudication, Authorization Handling, COB, Duplicate Claims, Pricing Claims, Corrected Claims, Healthcare Insurance Knowledge, Client SLA Management, Analytic Skills, Communication Skills, Independent Work, Facets Experience, HCFA Claims, UB Claims

Industry

IT Services and IT Consulting

Description
Process Adjudication claims and resolve for payment and Denials Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations Ensuring accurate and timely completion of transactions to meet or exceed client SLAs Organizing and completing tasks according to 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 1-3 years of experience in processing claims adjudication and adjustment process Experience of Facets is an added advantage. Experience in professional (HCFA), institutional (UB) claims (optional) Both under graduates and post graduates can apply Good communication (Demonstrate strong reading comprehension and writing skills) Able to work independently, strong analytic skills
Responsibilities
The role involves processing adjudication claims and resolving issues related to payment and denials. It requires ensuring accurate and timely completion of transactions to meet or exceed client SLAs.
HC & Insurance Operations Associate at NTT DATA
Coimbatore, tamil nadu, India - Full Time
Skills Needed
Claims Processing, Adjudication, Authorization Handling, Cob, Duplicate Claims, Pricing Claims, Corrected Claims, Healthcare Insurance Knowledge, Client Sla Management, Analytic Skills, Communication Skills, Independent Work, Facets Experience, Hcfa Claims, Ub Claims
Specialization
Candidates should have 1-3 years of experience in processing claims adjudication and adjustment processes. A solid understanding of healthcare insurance policy concepts is essential, along with good communication and analytic skills.
HC & Insurance Operations Associate at NTT DATA
Coimbatore, tamil nadu, India - Full Time
Skills Needed
Claims Processing, Adjudication, Authorization Handling, Cob, Duplicate Claims, Pricing Claims, Corrected Claims, Healthcare Insurance Policy, In Network Providers, Out Of Network Providers, Deductible, Coinsurance, Co Pay, Out Of Pocket, Client Slas, Communication Skills
Specialization
1-3 years of experience in processing claims adjudication and adjustment process is required. Both undergraduates and postgraduates can apply, with good communication skills necessary.
BOUCHER (H/F) at Groupement Mousquetaires
Valence, Occitania, France - Full Time
Skills Needed
Boucher, Traditional Butchery, Carcass Work, Team Collaboration, Customer Service
Specialization
You should have recognized skills in butchery and experience in traditional methods. A commitment to quality local products and teamwork is essential.
Experience Required
Minimum 2 year(s)
Auxiliaire de vie - job étudiant (H/F) at Ouihelp
Saint-Malo, Brittany, France - Full Time
Skills Needed
Meal Assistance, Personal Care, Companionship, Administrative Support
Specialization
Candidates must be students in the health or social care sector with at least two years of study completed. Relevant diplomas such as BEP or Bac Professionnel are accepted.
Associate Territory Manager - NC Triad at ZOLL Medical Corporation
Winston-Salem, North Carolina, United States - Full Time
Skills Needed
Sales, Clinical Support, Customer Management, Education, Training, Communication, Influencing, Territory Management, Data Analysis, Medical Devices, Cardiology, Patient Management, Team Collaboration, Problem Solving, Presentation Skills, Ethical Representation
Specialization
Candidates must have a Bachelor's Degree and meet specific experience criteria in sales or clinical support within the medical device or pharmaceutical fields. A valid state driver's license is also required.
Experience Required
Minimum 2 year(s)
Auxiliaire de vie - job étudiant H/F at Ouihelp
Rennes, Brittany, France - Full Time
Skills Needed
Meal Assistance, Personal Care, Companionship, Administrative Support
Specialization
Candidates must be students in the health or social care sector with at least two years of study completed. Relevant diplomas such as BEP or Bac Professionnel are accepted.
Lead Psychotherapist at The Ohio State University
Petah Tikva, Center District, Israel - Full Time
Skills Needed
Psychotherapy, Clinical Evaluation, Treatment Planning, Group Therapy, Family Therapy, Mental Health, Behavioral Disorders, Leadership, Community Advocacy, Evidence Based Practices, Interdisciplinary Teamwork, Patient Care, Documentation, Supervision, Addiction Counseling, Trauma Informed Care
Specialization
A Master's Degree in Social Work or Counseling is required, along with relevant licensure and supervision designation. Candidates should have at least 2 years of relevant experience, with a preference for 4-6 years.
Experience Required
Minimum 2 year(s)
Staff Scientist - Nanofabrication Facility at Lawrence Berkeley National Laboratory
Berkeley, California, United States - Full Time
Skills Needed
Nanofabrication, Quantum Computing, Quantum Sensing, Superconducting Devices, Materials Characterization, Machine Learning, Collaboration, Research Program Development, User Support, Safety Practices, Instrumentation, Data Architecture, Mentoring, Publication, Interdisciplinary Research, Analytical Skills
Specialization
A Ph.D. in a relevant field is required, along with a willingness to support users in nanofabrication. Candidates should have a proven track record in nanoscale materials research and the ability to conduct independent research.
Experience Required
Minimum 5 year(s)
Customer Engineer I Senior_iTeam - Pre-graduation at Applied Materials
Hsinchu, , Taiwan - Full Time
Skills Needed
Mechanical Aptitude, Electrical Schematics, Diagnostic Techniques, Customer Communication, Preventative Maintenance, Corrective Maintenance, Field Service Support, Pneumatics, Hydraulics, Electronics, Vacuum Systems, Thermodynamics, Hand Tools, Digital Multimeters, Written Communication, Verbal Communication
Specialization
Completion of an Associate degree or equivalent experience is required. Candidates should have basic mechanical aptitude and effective communication skills.
Cloud Windows Engineer at NTT DATA
Austin, Texas, United States - Full Time
Skills Needed
Windows, Cloud Operations, Aws, Azure, Gcp, Oci, Powershell, Python, Ansible, Active Directory, Security Best Practices, Incident Management, Backup Strategies, Disaster Recovery, Performance Tuning, Troubleshooting
Specialization
A bachelor's degree in a related field and at least 7 years of hands-on experience in Public Cloud Windows engineering are required. Candidates should also have experience with provisioning and securing cloud-native workloads in AWS, Azure, GCP, or OCI.
Experience Required
Minimum 5 year(s)
Engineering Services Project Manager - Product Integrity, Hardware Engineer at Apple
Bengaluru, karnataka, India - Full Time
Skills Needed
Project Management, Vendor Management, Engineering Services, Technical Expertise, Risk Mitigation, Financial Forecasting, Compliance, Process Improvement, Contract Negotiation, Cross Functional Collaboration, Quality Assurance, Documentation, Sourcing, Performance Metrics, Stakeholder Engagement, Presentation Skills
Specialization
Candidates should have a BS/BA degree and a minimum of 10 years of relevant industry experience, including 5+ years in large-scale vendor management. Proficiency in English and experience with statements of work for engineering projects are also required.
Experience Required
Minimum 10 year(s)
ENERGIAKESKUSTE HOOLDUSSPETSIALIST (Põltsamaa, Lõuna-Eesti) at Adven Group
Põltsamaa linn, , Estonia - Full Time
Skills Needed
Technical Education, Experience In Energy Sector, Knowledge Of Electricity, Knowledge Of Automation, English Language Skills, B Category Driving License, Willingness To Learn, Independent Learning Ability, Ability To Participate In On Call Duty
Specialization
Technical education and previous experience in the energy or technical field are required. Knowledge of electricity and automation, as well as English language skills, are advantageous.
Experience Required
Minimum 2 year(s)
Senior iOS/Cross-Platform Developer - Find My/AirTag Team at Apple
Cupertino, California, United States - Full Time
Skills Needed
Swift, Multithreading, Non Blocking Io, Qa Methodologies, Debugging, Automating, Testing, Cross Team Collaboration, Communication, Problem Solving, Object Oriented Code, Frameworks, C, C++, Cryptography, Ai/Ml
Specialization
Candidates should have a BS or MS in Computer Science or related field, plus 8+ years of equivalent work experience. Strong expertise in Swift and experience in programming, system design, and problem solving are required.
Experience Required
Minimum 10 year(s)
JUHTIMISKESKUSE SPETSIALIST (tähtajaline) at Adven Group
Tallinn, Harju, Estonia - Full Time
Skills Needed
Energy Management, Technical Support, Communication Skills, Problem Solving, Automation Systems, Heat Engineering, Operational Coordination, Client Advisory
Specialization
A background in thermal engineering or relevant experience in the field is essential. Strong communication skills, a willingness to learn, and the ability to work independently in emergency situations are also required.
Experience Required
Minimum 2 year(s)
Bindery Operator 1- Apprenticeship at RR Donnelley
Durham, North Carolina, United States - Full Time
Skills Needed
Bindery Equipment, Machine Operation, Quality Monitoring, Paper Identification, Mathematics, Tool Usage, Safety Inspection, Adjustments, Production Direction, Adhesive Binding, Folding, Cutting, Collating, Stitching, Drilling, Gluing
Specialization
Familiarity with different paper weights, sizes, and conditions is essential. Knowledge of operating procedures for bindery equipment and the ability to make adjustments using standard and specialized tools are required.
Senior Java Web Backend Engineer at BlueOptima
Bangalore, karnataka, India - Full Time
Skills Needed
Java, J2ee, Spring, Springboot, Microservices, Agile, Sql, Postgres, Cloud Platforms, Aws, Azure, Google Cloud Platform, Kafka, Rabbitmq, Prometheus, Grafana
Specialization
Candidates must have a minimum of a Bachelor's degree in Computer Science or equivalent and at least 5 years of experience with Java and related technologies. Strong problem-solving skills and familiarity with Agile methodologies are also required.
Experience Required
Minimum 5 year(s)
Associate Data Scientist at Software Finder
201 District, Virginia, United States - Full Time
Skills Needed
Python, Excel, Google Sheets, Web Scraping, Data Cleaning, Data Enrichment, Workflow Automation, Analytical Skills, Attention To Detail, Collaboration, Fast Paced Environment, Lead Generation, Data Accuracy, Crm Systems, Campaign Objectives, Data Workflows
Specialization
Candidates should have proficiency in Python, Excel/Google Sheets, and web scraping tools. Strong analytical skills and experience with data cleaning and workflow automation are preferred.
Light Equipment Operator 1 at RR Donnelley
Durham, North Carolina, United States - Full Time
Skills Needed
Equipment Operation, Machine Setup, Troubleshooting, Maintenance, Clerical Tasks, Team Coordination, Training
Specialization
Familiarity with routine operating procedures and the ability to perform minor clerical tasks are required. Candidates should also be able to identify improper machine operation and make basic adjustments.
Senior Data Scientist at Thoughtworks
Bengaluru, karnataka, India - Full Time
Skills Needed
Statistical Modeling, Machine Learning, Deep Learning, Optimization, Data Science Techniques, Nlp, Computer Vision, Generative Ai, R, Python, Data Quality, Data Privacy, Stakeholder Management, Coaching, Mentoring, Ethical Guidelines
Specialization
You have experience with statistical modeling, machine learning, and data science techniques to implement end-to-end projects. You understand AI specializations and can gather and preprocess large volumes of data while ensuring quality and integrity.
Experience Required
Minimum 5 year(s)
Юрисконсульт at Syngenta Group
Москва, Tver Oblast, Russia - Full Time
Skills Needed
Legal Education, International Law Firm Experience, Negotiation Skills, Project Management, Teamwork, Analytical Skills, English Proficiency, Relationship Building, Conflict Resolution, Result Orientation, Problem Solving
Specialization
A higher legal education is required along with at least 6 years of experience in an international law firm or similar organization. Candidates should have experience in providing legal support in complex negotiations and possess strong analytical and relationship-building skills.
Experience Required
Minimum 5 year(s)