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4536089-Manager
EXL Service —Noida, Uttar Pradesh
- Full-time
- Microsoft Excel
- Microsoft Access
- Data analysis skills
Software Programmer (SE/SSE)
Plasma Computing Group —Noida, Uttar Pradesh
- Oracle
- Software troubleshooting
- SQL
ASP.Net Developer
AKS WebSoft Consulting —Gautam Buddha Nagar District, Uttar Pradesh
- SQL
PHP Programmers / Team Leaders
Infolative —Noida, Uttar Pradesh
Sr. Developer - Automation N
Genpact India Pvt. Ltd. —Noida, Uttar Pradesh
- Full-time
- Azure
- Oracle
- Computer Science
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Developer - Application Development JAVA N 4A
Genpact India Pvt. Ltd. —Noida, Uttar Pradesh
- Full-time
- Hybrid work
- Oracle
- Computer Science
- Software troubleshooting
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10d
Sr. Tech Lead - Application Development Microsoft N 4D
Genpact India Pvt. Ltd. —Noida, Uttar Pradesh
- Full-time
- Hybrid work
- Azure
- Oracle
- Computer Science
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Tech Lead - Application Development Microsoft S 4C
Genpact India Pvt. Ltd. —Noida, Uttar Pradesh
- Full-time
- Hybrid work
- Microsoft Access
- Azure
- Oracle
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Tech Lead - Application Development JAVA S 4C
Genpact India Pvt. Ltd. —Noida, Uttar Pradesh
- Full-time
- Hybrid work
- Azure
- Oracle
- Computer Science
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Software Programmer (SE/SSE)
Plasma Computing Group —Noida, Uttar Pradesh
Must have worked and delivered on at least 4-5 web based projects and excellent understanding of SDLC. More than 3 years of strong technical work experience in…

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4536089-Manager

EXL Service -
Noida, Uttar Pradesh

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Job details

Full-time

Qualifications

Microsoft Excel
Microsoft Access
Data mining
Data analysis skills
English
SQL
Analysis skills
Bachelor's degree
Macros
VBA
Leadership
Communication skills
Python

Full job description

Job Description: Claims Data Mining/Programmer – JD Job Description: Ø Collect, clean and process large volumes of claims data using advance data mining tools. Ø Perform data mining and identify trends, patterns and correlations within the claims data. Ø Identify discrepancies and inconsistencies in claim payments by analyzing data in comparison to the historical claims data. Ø Design and implement automated data extraction and reporting processes. Ø Develop Python/VBA macros and applications to automate reporting. Ø Reporting and presenting findings in a clear and actionable manner. Skills/Experience: Ø Good experience with data mining and data analysis. Ø Proficiency in data analysis tools such as Python, SQL, VBA. Ø Knowledge of health insurance and claim processes is highly preferred. Ø Strong analytical and problem-solving skills with keen attention to detail. Ø Should understand VBA object model for Excel and Access very well. Ø Experience in designing user form-based applications in MS Access and MS Excel. Ø Should have good logical skills and should be able to translate a manual process flow to a Python/VBA code. Ø Identifying overpayment opportunities by: Reviewing claims processing policies and guidelines. Reviewing provider contracts. Analyzing historical overpayment trends. Analyzing claims data to identify outliers. Ø Contribute toward team’s yearly target of overpayment identification. Ø Review and validate claims. Ø Assist team members and as and when required. Ø Maintain and track overpayment projects in an organized and timely manner. Ø Adhere to all client and company policies without exceptions. Candidate Profile: Education/Qualification: Any graduate/post-graduate Work Experience: 2 years+ as Python, SQL and VBA Programmer. Functional Skills: Python, SQL, VBA, MS Access and MS Excel. Behavioral/ Leadership Skills: Good English communication, very good logical skills, should be able perform as an individual contributor without much supervision. Should be able to understand and follow instructions, ask questions and make suggestions for processing improvement when required.

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