Caliberated Health System Ltd Gurgaon : Claims Adjudication

[Admin]

Caliberated Health System India Ltd Gurgaon : Claims Adjudication
Website: www.calibratedgroup.com

Keywords: Claims Adjudication

Designation: Claims Adjudication
Experience: 2 - 4 Years
Location: Gurgaon
Compensation:
As per the industry standards
Education:
UG - Any Graduate - Any Specialization
PG - Any PG Course - Any Specialization,Post Graduation Not Required
Industry Type: BPO/ITES /CRM/Transcription
Functional Area: ITES/BPO/KPO, Customer Service, Ops.
Posted Date: 29 Apr 2009

Job Description:
Adjudication of US Healthcare Insurance Claims
Knowledge of US Healthcare
HMO Plan
PPO Plan
HIPAA

Desired Candidate Profile:
Minimum 2 years experience in Claims Adjudication Process.
Well versed with US Healthcare especially HMO plans.
Graduation Must. Preferably Science Stream
Good Analytical and Communication skills
Well versed with Micresoft office.

Company Profile:
CHS provides the people, processes, management structure and supporting technologies to help our healthcare companies reduce costs and improve efficiencies.

Our process co-sourcing structure is intended to stabilize workforces, provide a single point for accountability, and deliver measurable process savings.

Executive Name: Shadab Khan

Address:
Caliberated Health System India Ltd
516 Udyog Vihar
Phase 3
Near Rai Foundation
Gurgaon,Haryana,INDIA 122015

Email Address: s_khan@calibratedgroup.com

Telephone: 91-0124-4171500

Reference ID:
CL_AD_1

Keywords: Claims Adjudication

[Jasbir Kumar]

Hi,
Below is my updated resume , i am looking for job change probably in Health care sector. Looking for your positive response.

Thanks & Regards,
Jasbir kumar

CURRICULAM VITAE
Jasbir Kumar
Address: R/Z/G-455,Gali No.17,
Raj Nagar, Part-II, Palam Colony,
Palam,New Delhi-110045
E-mail: bony_bhatia AT yahoo.co.in
jasbir.bonny AT gmail.com
- 09871964682
Objective:
To work in a competitive and coordinate all my efforts and talent
Towards be success of the organization

Academic Qualification:
- Graduate from DELHI UNIVERSITY
- 12TH passed from C.B.S.E
- 10TH passed from C.B.S.E

Working Experience:
- Working Currently at United Health Group, Gurgaon as a Claim Associate from 19th may’08 to till date.

Personal Details:
Name : Jasbir Kumar
Father Name : Shri Amar Chand
Date of Birth : 23/11/1983
Nationality : Indian
Sex : Male
Marital Status : Single
Language Known : English Hindi & Punjabi
Interests : Playing Cricket,Listening music, reading news paper

Date:
Place: NEW DELHI ( JASBIR KUMAR )

[Guest]

Hi,
Below is my updated resume , i am looking for a job change only at Gurgaon in BPO.
Thanks
Hemant Singh
Hemant Singh
_______________________________
P-293, Main Budh Bazaar Road,
Behind MCD Primary School,
Mohan Garden,
New Delhi - 110059
Mobile No. : 9717007118
E-mail ID : h.srawat AT rediffmail.com

Objective :
-----------
To work in a professionally driven organization, integrating my aptitude, skills and create a symbolic relationship with organization where my efforts would be rewarded with career growth.
Education Qualifications :
-------------------------
1. B.A. Pass from Delhi University (Corr.) in 2002.
2. 12th from U. P. Board in 1999
3. 10th from U. P. Board in 1997.
Work Experience :
-----------------
1. 2.6 years Experience in General Insurance Process, Currently working as Client Support Representative in (Property & Casualty Insurance) for a US Client in CSC India Pvt. Ltd.
2. 7 Months in Health care Process with Fiserv India Pvt. Ltd.

CSC India Pvt. Ltd. (28 Feb 2008 to till Date)
--------------------------------------------------
Company Profile :
CSC is a leading global IT Services company. CSC provides innovative solutions for customers around the world by applying leading technologies and CSC’s own advanced capabilities. These include systems design, integration, IT, Business Process Outsourcing (BPO), applications software development, web application hosting, management and technology consulting.
Job Profile :
------------
Analysing information about insurance applicants.
Processing the requests based on the data gathered by onshore through E-Mails & Internet Eg. Change of Mortgage, Change in Insured Name, Premium Payment, Audits of the Policy, Renewal of the policy etc.
Attending customer issues/concerns & resolving them after considering the complexity involved.
Work Distribution, sending reports, taking quality hurdles meeting, updating sheet about new updates and checking queues to ensure timely delivery.
Achievements :
--------------
Won the Giraffe Award.
Appreciated by Quality Department as BPO’s Top Performers for the Several Months.
Fiserv India Pvt. Ltd. (06 August 2007 - 27 February 2008)
------------------------------------------------------------
Job Profile :
Responsible for the accurate processing of medical claims.
Maintain provider (Physician) records and update their information as name, address, billing addresses, specialty, Degree etc.
Achievements :
--------------
Rewarded with Quality Award for the Month of October 2007 for my Hard Work & Quality Work at Fiserv India Pvt. Ltd.
Got an Appreciation letter from Senior Manager for my outstanding Performance for whole month of November & December 2007 at Fiserv India Pvt. Ltd.


Personal Details :
------------------
Date of Birth : 08th May 1981
Sex : Male
Languages Known : English, Hindi
Computer/It Skills : MS Office-DOS, World, excel, power point, HTML, Internet
Marital Status : Married

Date :
Place : (Hemant Singh)

[bhargavah@rocketmail.com]

Himanshu Bhargava
E-Mail- bhargavah AT rocketmail.com

SYNOPSIS :
Process an experience of Three years and Eight Months in BPO industry.
CURRENTLY EMPLOYED AT :
Genpact- Senior Process Associate (Healthcare Process Bupa International) (Date of Joining -21st Nov 07 till date)
Genpact manages business processes for companies around the world, combining its process expertise, information technology and analytical capabilities with operational insight derived from experience in diverse industries to provide a wide range of services using its global delivery platform. Genpact’s goal is to help clients improve the ways in which they do business by using Lean Six Sigma principles, as well as cutting-edge technology, to continuously improve business processes.
Role and Responsibilities :
- Deal and finalize all International health claims from all over the world in all the languages.
- Collaborate with Assistant Manager-Operations to create strategic plans for management and customer satisfaction.
- Worked in improving client satisfaction by providing quality appointments.
- Enhanced productivity of the teammates by mentoring and filing lean ideas to improve quality as well.
- Organizing trainings for new hires as well as refreshers for vintage assessors.
Achievements : -

Awarded with title like Bronze Awards for “Rising star” and “Star Performer”, “Three Star Lean Aces”.
Always provided utmost client satisfaction, by providing quality appointments and received appreciation several times.
Always exceeded daily, weekly and monthly targets on different campaigns.
ACADEMIC :
UNIVERSITY OF RAJASTHAN
Bachelors of Science (2003-2007)

Board of Secondary Education, Rajasthan
Sr. Secondary (10+2) (2002-2003)
Board of Secondary Education, Rajasthan
Secondary (2000-2001)
(Matriculation)
EXTRA CURRICULAR ACTIVITIES :
- Actively participating in organizing fun activities.
- Actively participated in adventure sports during schooling.
- Participated in various sports like Cricket, Volleyball, and Table Tennis.
HOBBIES & AREA OF INTEREST :
- Listening Soft and Slow Music.
- Interacting with People.
COMPUTER LITERACY :
Operating systems : Windows 2000, Windows XP.
Applications : Complete suite of MS office applications

DATE : -
PLACE : - (Himanshu Bhargava)

[Guest]

Hi,
I am looking job in the field of medical insurance . I saw few vacancies related to medical insurance in your concern. I have 5+ years experience in this field. I have enclosed my resume with this mail.Kindly consider this mail and please let me contact in the below number. I will give all the necessary information what you need.
Regards,
Parimalam.C