CTS Recruitment 2023 Apply Online Senior Process Executive Job vacancy

CTS Recruitment 2023: CTS has released Recruitment 2023 notification to fill up Senior Process Executive Vacancy. Interested candidates may apply online on before the last date.
Free Job Alert to Your Email

Last updated: Feb 27, 2023 04:14 PM | Abisha Muthukumar

CTS Recruitment 2023 Apply Online Senior Process Executive Job vacancy

CTS Recruitment 2023 Notification Overview

Company Name CTS
Post Name Senior Process Executive
No of Posts Various
Job Location Bangalore
Last Date to Apply 02/02/2023

CTS Recruitment 2023 Eligibility Details

Senior Process Executive


  • Graduate (exclusion:
  • BE/BTech/MCA)
  • For Medical Management Bachelor’s degree in Nursing or any health science related field.
  • For NA High School Equiv.

Data Processes:

  • Efficiently Process predefined number of transactions as assigned with highest level of accuracy as agreed upon by the client.
  • Provide highest level of customer satisfaction.
  • Strive to understand and resolve issues/queries at the first instant.
  • Maintain the business controls as per the requirement.
  • Articulate/ communicate in a manner which is understood by clients / endusers.
  • Connect & provide highest level of satisfaction to the customer.

For Member Management:

  • Generate clientspecified reports relating to operations.
  • Respond to data requests and other inquiries from the client.
  • Release WCUM determinations to claim stakeholders following clientestablished protocols.
  • Identify the medical flags in the client system.
  • Provide reports and other data requests specified by the client.
  • Serve as first level contact for customer complaint resolution.
  • Provide reports and other data requests specified by the client.

For Medical Management:

  • Identify cases eligible for medical reviews and assign these to appropriate reviewers.
  • Reach out to the client for any problems identified in the cases for review.
  • Adhere to Utilization Review Accreditation Commission (URAC), jurisdictional, and/or established MediCall best practice UM time frames, as appropriate.
  • Adhere to federal, state, URAC, client, and established MediCall best practice WCUM time frames, as appropriate.
  • Develop a complete understanding of the Medical management Procedures.
  • Perform medical review assessment (MRA) on utilization of health services (eg healthcare plans, workers compensation products etc) in an accurate, efficient and timely manner while ensuring compliance with utilization management regulations and adherence to state and federal mandates.
  • Provide succinct negotiable points based on the submitted medical records that identify necessary medical treatment, casually related care, response or lack of response to treatment, etc.
  • Identify missing records and information that are necessary in the completion of the medical review assessment.

Employee Status : Full Time Employee

Shift : Day Job

Selection Process for CTS Recruitment 2023

Selection Will be Based either Written Exam/Interview

How to Apply CTS Recruitment 2023 at cognizant.com?

Interested and Eligible Candidates can apply the post on or before last date

FreshersLIVE.com wishes you best of luck. Keep following our Freshers LIVE web site for latest Fresher Jobs, Govt Jobs 2022, Walk-In interviews, Current Affairs, Mock Test and many more. Thank You. To Apply for the job posting from CTS, please click on the Apply Now button below.
Alert : FreshersLIVE Employees will not call any candidates towards Job Offer or Job assistance. FreshersLIVE will never charge any candidates for Jobs. Please be aware of fraudulent calls or emails. Please write to [email protected] for any assistance.

Free Job Alert to your Email

FreshersLive is a one-stop destination for engaging and inspiring content that covers a wide range of topics. Our brands are known for sparking conversations and inspiring audiences to watch, read, buy, and explore what's next. Born on the internet in 2010, FreshersLIVE is committed to making a positive impact on the world by providing trusted, quality, and brand-safe news and entertainment to millions of people. Our dedication to creating a more inclusive, empathetic, and creative online space is reflected in the content we produce. We believe that informative and engaging content has the power to inspire people to live better lives, and we strive to make that a reality every day. Whether you're a student, a professional, or simply looking for something to brighten your day, FreshersLIVE has something for everyone. Join us on our journey to provide the world with inspiring and engaging content that makes a difference.
DMCA.com Protection Status