Claims Rejection Jobs in Gurgaon
9 Jobs Found
Senior Analyst, Rejection Management
Commure
Senior Analyst, Rejection Management Location: Gurugram, India Employment Type: Full-time Department: Global Operations About Commure Commure builds AI-powered healthcare technology to reduce administrative burden, helping providers focus on patient care. Our suite of tools includes revenue cycle management, clinical documentation, patient engagement, and more supporting over 250,000 clinicians nationwide. Role Overview As a Senior Analyst on the Rejection Management team, you will manage claim rejections by identifying issues, collaborating with insurers and billing teams, and driving timely resolution. Your efforts will improve revenue cycle efficiency and help ensure accurate claim submissions. Key Responsibilities Analyze rejected claims to determine reasons for rejection and gather info for resubmission. Work with insurance companies to obtain additional documentation, correct errors, and resubmit claims. Maintain thorough knowledge of payer-specific guidelines, policies, and procedures. Track and document claim rejections, resolutions, and resubmissions in internal systems. Monitor claim rejection trends and suggest process improvements to reduce future rejections. Educate and train staff on best practices for claims submissions and billing procedures. Participate in team meetings to discuss issues, share insights, and improve revenue cycle performance. Requirements 2-3+ years of experience in medical billing, coding, or revenue cycle management. Basic understanding of medical billing and coding practices (ICD-10, CPT, HCPCS). Familiarity with payer-specific guidelines and billing policies. Strong communication, interpersonal, and problem-solving skills. Detail-oriented with excellent organizational and time management abilities. Proficient with billing software and Microsoft Office Suite. Ability to thrive in a fast-paced, high-pressure environment. Mission-Driven: Work to transform healthcare and support providers. Strong Backing: Supported by top investors like Sequoia, Y Combinator, and General Catalyst. Rapid Growth: Over 500% YoY growth pre-merger with strong funding and runway. Competitive Benefits: Flexible PTO, healthcare coverage, parental leave (location dependent).
Risk Manager (underwriting)
Oxyzo Financial Services
Risk Manager (Underwriting) Location: Gurugram, India Employment Type: Full-Time Experience: 1 3 Years About OXYZO Financial Services Ltd. OXYZO Financial Services Ltd., a leading Fintech NBFC, is a part of the OfBusiness Group and is transforming B2B lending for SMEs and Emerging Corporates across India. With a strong presence in 20+ cities and an AUM of 7,700 Cr, OXYZO has backed innovative growth across Manufacturing, Engineering, Textiles, Logistics, and more. We are committed to building efficient, transparent, and reliable financial services with top-tier investors like Creation Investments, Matrix Partners, Norwest, Tiger Global, and Alpha Wave. Role Overview We are seeking a Risk Manager to join our Underwriting team. This role involves analyzing and assessing the financial risk of loan proposals for SMEs, ensuring alignment with company policy and mitigating potential risks through careful analysis and scrutiny. You will play a key role in decision-making processes by conducting detailed quantitative, qualitative, and legal analyses to assess the safety of unsecured loans. Key Responsibilities Credit Proposal Underwriting: Review and assess credit proposals following internal policies and guidelines, ensuring adherence to turnaround time (TAT). Financial Analysis: Assess the financial health of clients by analyzing financial statements, cash flow, bank statements, and ratio analysis for working capital, term loans, and other funding requirements. Quantitative & Qualitative Analysis: Conduct in-depth financial analysis (e.g., creditworthiness, past trends, net worth). Perform banking analysis to verify supplier relationships, EMI repayments, etc. Execute statutory checks (e.g., GST filing, tax obligations, liquidity issues). Conduct qualitative analysis to evaluate external business conditions (e.g., verifying customer claims by visiting sites, meeting customers for internal and external reference checks). Perform legal analysis to ensure no pending legal complaints against clients. Underwriting Decisions: Based on comprehensive analysis, recommend approval or rejection of credit cases, ensuring risk mitigation is aligned with organizational goals. Collaboration with Teams: Work closely with the sales and operations teams to ensure smooth document processing and timely disbursement of loans. Portfolio Risk Management: Continuously assess the existing portfolio and suggest or implement policy changes to mitigate risk and ensure loan performance. Policy Improvements: Contribute insights for potential policy revisions based on portfolio analysis and risk trends. What We Are Looking For Educational Background: Strong academic pedigree in Finance, Economics, or related fields. Experience: 1 3 years of experience in credit risk analysis, underwriting, or related roles within NBFCs or banks. Analytical Skills: Strong ability to conduct both quantitative and qualitative analyses of creditworthiness, financial statements, and business operations. Communication Skills: Excellent verbal and written communication skills, with the ability to explain complex concepts in a simple, understandable manner. Self-Motivated: Highly driven, self-reliant, and results-oriented with the ability to lead and manage projects under pressure. Attention to Detail: Strong focus on ensuring accuracy and risk mitigation in loan approvals. Language Skills: Fluency in Hindi and English (both written and spoken). Travel Flexibility: Willingness to travel as needed to meet clients and perform site visits. Fast-track Career Growth Excellent opportunities for professional development and leadership roles. High-Impact Roles Take on meaningful responsibilities with a clear impact on business growth. Ownership & Autonomy Ability to make key decisions and drive the underwriting process. Exceptional Peer Group Collaborate with top talent in a dynamic work environment. Enjoyable Workplace Culture Join a company that fosters a supportive and fun culture. Competitive Pay & Rewards Attractive compensation package with performance-based incentives. Qualification : Strong academic pedigree in Finance, Economics, or related fields.
Medical Coder, Revenue Cycle Management (RCM)
Commure
Medical Coder, Revenue Cycle Management (RCM) Location: Gurugram, India Employment Type: Full-time Department: Global Operations About Commure Commure develops AI-powered healthcare solutions to reduce administrative burdens on providers, enabling them to focus on patient care. Our technologies cover clinical documentation, revenue cycle management, patient engagement, and more supporting over 250,000 clinicians across hundreds of care sites nationwide. Role Overview We are looking for an experienced Inpatient Medical Coder with expertise in ICD-10-PCS, DRG assignment, and facility-based Emergency Department (ED) coding. The ideal candidate is detail-oriented, quality-focused, and adept at delivering accurate and compliant coding aligned with regulatory and payer guidelines. Key Responsibilities Assign accurate ICD-10-PCS and DRG codes for inpatient and facility-based ED records. Ensure coding compliance with regulations and payer-specific rules. Collaborate with onshore and India teams to resolve coding queries and ensure timely processing. Keep updated on coding guidelines, regulatory changes, and payer requirements. Consistently meet daily productivity and quality targets. Required Qualifications CCS (Certified Coding Specialist) credential (mandatory). Minimum 1 year of inpatient facility coding experience (preferably 2-3 years). Strong knowledge of: DRG assignment ICD-10-PCS coding Facility-based ED coding Experience with US inpatient medical records. Excellent attention to detail and documentation review skills. Preferred Qualifications Dual certification with CPC (AAPC) along with CCS. CIC (AAPC) certification holders must also have CPC and inpatient coding expertise. Familiarity with coding software platforms and EMR systems. Mission-Driven: Impact healthcare by simplifying provider workflows. Strong Investor Support: Backed by General Catalyst, Sequoia, Y Combinator, and more. Rapid Growth: Achieved over 500% YoY growth before merger; continuing fast scaling. Competitive Benefits: Flexible PTO, medical, dental, vision, parental leave (location dependent).
Senior Executive - Payroll & Operations
Louis Dreyfus Company
HR Operations Specialist Company Description: Louis Dreyfus Company is a leading merchant and processor of agricultural goods. Our operations span the entire value chain from farm to fork, across various business lines. Leveraging our global reach and extensive asset network, we serve customers and consumers worldwide. Structured as a matrix organization with six geographical regions and ten platforms, Louis Dreyfus Company operates in over 100 countries, employing approximately 18,000 people globally. Job Description: We are seeking a detail-oriented and organized HR Operations Specialist to join our team. The role will primarily focus on managing payroll inputs, leave and attendance tracking, employee reimbursements, and compliance with statutory regulations, ensuring smooth HR operations across our India branches. Key Responsibilities: Prepare and share monthly salary inputs for payroll consultants for both permanent employees (PE) and third-party contractual employees (TPP), ensuring accurate and timely payments. Manage full and final (F&F) settlements for direct employees and third-party contractual employees. Maintain and regularly update the Leave & Attendance Database, including actuarial audits, leave encashment exercises, and leave audits. Coordinate with branch offices and assets of LDC across PAN India to manage payroll and reimbursements for permanent employees and third-party employees. Provide remote HR support to permanent employees and TPP at various locations. Maintain and update personal files for employees, ensuring data is accurate and current. Support the annual bonus and increment processes for permanent employees and TPP. Manage payroll-related compliance activities such as PF withdrawal, transfers, SAF & NPS payments. Ensure compliance with statutory regulations related to S&E (compliance with monthly, annual, etc.). Handle insurance claims, both cashless and reimbursement. Maintain MIS reports related to employee details. Basic knowledge of managing car lease contracts and related processes. Manage the renewal and payment process for contract and service agreements. Hands-on experience working with HR databases like Workday. Process payments and reimbursements according to internal HR policies and procedures. Oversee onboarding, lifecycle updates, and other HR-related activities. Qualifications: Bachelor's degree in Human Resources, Business Administration, or a related field. Proven experience in HR operations, payroll management, and statutory compliance. Knowledge of HR software, especially Workday. Strong attention to detail and ability to manage multiple tasks simultaneously. Good communication and interpersonal skills for collaborating with internal teams and external partners. Additional Information: Diversity & Inclusion: Louis Dreyfus Company is committed to diversity and inclusion and provides a working environment that values diversity, equity, and inclusion. We encourage applicants from all backgrounds to apply. Sustainability: Sustainability is at the heart of our purpose. We are passionate about creating fair and sustainable value for our business, stakeholders, and the communities we touch. What We Offer: A dynamic and stimulating international work environment with opportunities for professional growth. Employee recognition programs and wellness initiatives. Certified Great Place to Work. Career development opportunities in one of the largest private companies globally. Qualification : Bachelor's degree in Human Resources, Business Administration, or a related field.
Customer Service Assistant
Allianz
Position Summary: Claims Inquiry Associate As a Claims Inquiry Associate, you will be responsible for efficiently and effectively handling incoming calls, emails, faxes, and requests from customers, providers, underwriters, and internal associates. You will resolve customer service issues, respond to inquiries, and provide information within targeted timeframes. This role requires maintaining confidentiality, adhering to business ethics, and meeting monthly performance objectives. Key Responsibilities: Customer Service Support: Respond to incoming calls, emails, faxes, and requests from customers, providers, underwriters, and internal associates. Perform follow-up calls to clients and providers to provide information and resolve service issues. Policy Interpretation: Interpret insurance policies and explain benefit coverage to customers regarding claims status, benefits, and other related matters. Payment Management: Process stop payments and re-issue cheques to ensure the customer or provider has received the correct payment. Administrative Tasks: Open shortcut cases, print daily reports, send forms, and update deferral codes to ensure quality control in claims processing. Qualifications and Education Requirements: Experience: A minimum of 6-12 months in a customer service-related role. Skills: Attention to detail and ability to multitask. Excellent verbal communication skills, particularly in handling phone and email communication with clients and colleagues. Ability to use initiative and independent judgment in solving customer issues. What We Offer: Personal and Professional Development: Opportunities for career growth with a wide variety of courses and development programs. Encouragement for international mobility and career progression in a global environment. Work-Life Balance: Flexible programs designed to improve work-life balance and provide peace of mind, ensuring your health and wellbeing are prioritized. Inclusive Culture: Allianz is a diverse and inclusive employer, committed to hiring individuals from all walks of life and backgrounds. We welcome applications from people regardless of ethnicity, age, gender, nationality, religion, disability, or sexual orientation. About Allianz Group: Allianz is one of the world s most trusted insurance and asset management companies. Our employees are integral to our success, and we care about your professional development and wellbeing. We foster a culture where everyone feels empowered to explore, grow, and shape a better future for our customers. Join us today. Let's care for tomorrow.
Process Associate- Finance And Administration Delivery
International Business Machines Corporation
Job Title: Finance & Admin Business Analyst IBM Introduction As a Finance & Admin Business Analyst at IBM, you will play a crucial role in ensuring the profitable operations of one of the world's most recognized and respected technology companies. Your work will support IBM s continued innovation in Artificial Intelligence, Cloud Infrastructure, Cognitive Solutions, and Blockchain Technologies. If you thrive in a dynamic, collaborative workplace, IBM provides an environment where you will be challenged and inspired every day. If you enjoy solving complex financial challenges and bringing creative solutions to the table, there s no limit to what you can accomplish here. Your Role and Responsibilities As a Delivery Practitioner, you will be responsible for transaction processing in Accounts Payable and Accounts Receivable while ensuring compliance with IBM s financial standards. Key Responsibilities: Oversee General Ledger activities, including fixed assets, inter-company transactions, inventory, cash & bank, indirect tax, and accruals. Identify risks and opportunities related to revenue, costs, and profitability, and propose appropriate actions. Ensure compliance with client Service Level Agreements (SLAs) and maintain deadlines. Detect and resolve duplicate records and payment errors. Process vendor invoices efficiently and ensure accurate payments. Handle manual and automated payment requests, along with payment run verification. Manage Travel & Expense (T&E) claims, vendor statement reconciliations, and resolve duplicate payments. Provide support via calls and email follow-ups for financial queries. Required Technical and Professional Expertise 0-1 year of work experience in Finance & Accounting. Ability to handle order fulfillment, cash collection, and cash application. Strong skills in invoice verification, exception resolution, and reducing invoice aging. Knowledge of SOX compliance (e.g., document approvals before posting). Experience in expense management and payment processing. Ability to identify duplicate transactions and errors in financial records. Preferred Technical and Professional Expertise Proficiency in Microsoft Office (Excel, Word, Outlook) and familiarity with accounting terminologies. Experience handling queries via calls and emails. Ability to adapt to business transformations and follow standard procedures. A collaborative mindset with a problem-solving approach. Strong time management skills and ability to work under tight deadlines. Eagerness to learn and grow by attending educational workshops and industry training. Work in a collaborative and innovative environment. Gain hands-on experience with cutting-edge financial technologies. Build a career with continuous learning and development opportunities. Be part of a diverse and inclusive global workforce. At IBM, we value your unique skills and expertise. We encourage you to bring your best self to work and take your career to the next level!
Assistant Manager - Execution
Louis Dreyfus Company
Company Overview: Louis Dreyfus Company (LDC) is a leading global merchant and processor of agricultural goods. With a broad range of business lines spanning the entire value chain from farm to fork, LDC is present in over 100 countries and employs around 18,000 people worldwide. Leveraging its extensive asset network and global reach, LDC serves customers and consumers across the globe, making it a key player in the agricultural industry. Job Description: As a Shipment & Documentation Manager at Louis Dreyfus Company, you will be responsible for handling and monitoring shipments in containers for India and third-country execution, ensuring compliance with contractual requirements and conditions. Your expertise in logistics, documentation, and coordination will be crucial to ensuring timely and accurate shipment processing. Key Responsibilities: Shipment Handling & Coordination: Monitor and manage container shipments, ensuring compliance with all contractual terms and conditions. Coordinate with the shipping line, manage freight bookings, and oversee customs formalities and logistics procedures. Letters of Credit (LC): Verify and check letters of credit in accordance with the terms and conditions of contracts. Handle the issuance and presentation of required shipping documents within the specified time frame. Pre and Post-Shipment Documentation: Oversee all documentation related to shipments, including but not limited to customs filings, Bill of Lading, Certificate of Origin, Phytosanitary Certificate, Fumigation Certificate, and BRC issuance. Ensure the closure of Outward Remittance (ORM) with banks. Stakeholder Management: Effectively manage relationships with key stakeholders, including overseas offices, shippers, buyers, and service providers. Communicate clearly and professionally, ensuring smooth coordination across all parties involved. Claims & Insurance Management: Handle claims and insurance matters related to shipments to ensure the protection of company assets and minimize risks. Reporting & MIS: Maintain accurate records and reports, providing insights into shipment progress and highlighting potential delays or issues. Prepare and present timely MIS reports to senior management. Team Management: Lead and manage a team of professionals, ensuring smooth operations and team development. Qualifications & Skills: Experience: 6-8 years of experience in container shipment execution, specifically dealing with Letters of Credit and shipping logistics. Education: Graduate or MBA in a relevant field (Logistics, Business, or International Trade). Skills & Knowledge: In-depth knowledge of operations at Container Freight Stations. Strong understanding of the shipping process, customs regulations, and international trade documentation. Proficiency in managing Letters of Credit and shipping documentation. Ability to effectively manage stakeholders and communicate with overseas offices and service providers. Key Attributes: Proactive, solution-oriented, and able to handle high-pressure situations. Strong team player with the ability to take ownership of tasks. Excellent written and verbal communication skills in English. Ability to maintain positive rapport with clients, buyers, and internal teams. Additional Information: Should be able to work under immense pressure while ensuring timely and accurate documentation. Proactive approach in managing potential shipment issues before they arise. Ability to manage a team and collaborate effectively across functions. Qualification : Graduate / MBA
Contract Desk Coordinator
Cargill
Job Purpose and Impact The Contract Desk Coordinator, under direct supervision, will assist in coordinating import/export processes, managing customs documentation, and ensuring timely shipping and receiving of foreign merchandise. This role involves issuing import licenses and managing monetary transactions related to imports. Key Accountabilities 1. Data Reconciliation Manage data related to inventory, warehouse transfers, loading orders, quality, claims, demurrage, and dispatch cases. 2. Relationship Management Maintain and foster relationships with small accounts, customers, clients, suppliers, and other business partners. 3. Customs Compliance Collaborate with external authorities to ensure adherence to customs requirements and regulations. Comply with government laws and regulations in both home and foreign countries. 4. Document Management Prepare, review, approve, and maintain import and export documentation. 5. Problem-Solving Address basic issues under supervision and escalate more complex problems to the appropriate teams. 6. Additional Duties Perform other duties as assigned to support business objectives. Qualifications Preferred Qualifications: Education: Minimum of a bachelor s degree in a related field. Experience: At least 3 years of relevant working experience. Qualification : Minimum bachelor's degree in related field
Analyst - Global Travel & Expense (t&e)
Blackrock
Position: T&E (Travel and Expense) Team Member Business Unit Overview: BlackRock Finance is made up of finance professionals across multiple disciplines, including Financial Planning and Analysis (FP&A), Treasury, Tax, Financial Controls, Sourcing and Vendor Management, Finance Platform Support, and Controllers. Within the Controllers' Group, the Global T&E team is responsible for maintaining the T&E corporate card program, relevant policies, and controls. Purpose/Background: The T&E team ensures employee compliance and the strategic direction of BlackRock s Travel and Expense Reimbursement policy. Responsibilities include: Facilitating reporting of employee non-compliance with policy. Ensuring modifications to the T&E Reimbursement policy are supported by the necessary oversight infrastructure. Implementing the T&E Reimbursement Policy via an automated workflow system and ensuring timely employee reimbursements. Conducting internal employee training and providing reporting to ensure compliance with policies and external reporting obligations. Key Responsibilities: Review T&E Reports: Review T&E reports in Concur per the Global T&E policy, ensuring expenses align with both internal and external tax requirements. Stakeholder Inquiries: Resolve inquiries related to claim submissions and payments from employees. Business Reporting: Create business reports and manage various processes, including the corporate card management program. SLAs and T&E Controls: Ensure all processes adhere to agreed SLAs and T&E controls. Corporate Card Applications: Process corporate card applications and manage timely payments to corporate card vendors. Reconciliation: Prepare monthly reconciliations of corporate card statements with Concur and Oracle. Metrics Development: Develop and maintain key metrics that drive the success of the T&E program. Continuous Improvement: Drive continuous improvement of T&E processes. Internal Relationships: Establish a relationship framework with internal customers for ongoing feedback. Ad Hoc Projects: Participate in ad hoc projects as required. Experience/Competencies: A Master's degree in finance or a related field with 3-4 years of T&E experience in a large setup. Experience working with the Concur platform and Oracle is desirable. Strong accounting knowledge. Ability to apply independent judgment to resolve or highlight issues. Self-motivated and able to work effectively as part of a team. Excellent attention to detail and accuracy. Good stakeholder management skills. Flexible and adaptable approach to tasks. Strong verbal and written communication skills. Qualification : A master's degree in finance or related field with 3-4 years of T&E experience in a large setup.
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