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Category Archives: Insurance IT

Project Management for Insurance & HealthCare

Posted on March 18, 2016 | Categories: Account Manager, Agency Systems, ALIP, Analytics, Change Management, Claims, Clinical Services, Consulting, Development Project Manager, Document Management, EMR / EHR, ePrescription, eRx, Health Insurance, HealthCare, HealthCare IT, Insurance IT, IT Services, Medicare, MLTC, Mobile Health, PACE, Payers, PBMs | Posted by: admin

Project Management for Insurance & HealthCare

 

  • Casualty Insurance
  • Health System
  • Hospital Care
  • Life & Annuity Insurance
  • Property Insurance
  • Physicians Group
  • Inpatient
  • Out-Patient
  • Emergency Room

 

PMI approved Project Management – Scope, Time and Cost

 

  • Change Request Management – identifies and develops strategy for changes in scope, schedule, and cost.
  • Communications Management – creates and manages communications with stakeholders providing relevant details for informing and decision making in status reporting.
  • Cost Management – develops, monitors, and assesses project budgets through the entire project life cycle providing full transparency to stakeholders.
  • Documentation Management – Creates appropriate project documentation. Effectively negotiates tradeoffs between scope, schedule, and budget
  • Communication Management – Excellent communication, interpersonal, Presentation and written skills.
  • Implementation and Transition Management – creates transition plan, identifies lessons learned, and applies the lessons learned to future projects.
  • Integration Management – identifies and manages project interdependencies.
  • Quality Management – identifies relevant quality standards and defines governance, communication, and quality processes across SDLC – Dev, QA and Prod stages
  • Resource Management – identifies appropriate staff, defines roles and responsibilities, develop project organization chart and governance structure.
  • Risk & Issue Management – identifies and creates mitigation plans for risks and issues. Utilizes available tools for identifying and tracking issues.
  • Schedule Management – creates, manages, and understands impacts to project scope, constraints, and schedule via MS Project Plan and CA – Clarity
  • Organizational Management – Ability to work well on cross functional project teams including IT and business subject matter experts

Call us for Project Management & Program Management

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Sr. Program Manager – Insurance

Posted on December 15, 2015 | Categories: Insurance, Insurance IT, Policy Admin System (PAS), Program and Project Management | Posted by: admin

Sr. Program Manager – Insurance

 

Our Insurance Program Manager has the

  • Ability to interact well with senior management; strong presentation skills.
  • Ability to manage multiple projects in a dynamic environment
  • Assess and provide estimates for new requirements and integrations
  • Deep Years of experience with Policy Admin Systems like Duck Creek, Guidewire etc.
  • Develop a strong team of skilled onshore & offshore resources in relevant technologies, Web Services with appreciation for insurance domain
  • Excellent written/verbal skills; ability to effectively communicate across all levels is required.
  • Experience in understanding and communicating technical concepts to a non-technical audience.
  • Facilitate team meetings and work sessions; drive efficiencies through automation
  • Hands on capability and deep knowledge of technologies including Microsoft .NET, Databases, Web Services, XML/XSL
  • Knowledge of Insurance preferably P&C; knowledge of ACORD and other insurance standards
  • Leading a team of developers onsite & offshore
  • Leading implementation of new products, rating algorithms, rules, forms in policy admin systems
  • Manage and maintain relationships with multiple service providers and software providers
  • Organize and facilitate architecture & design sessions among groups within the enterprise
  • Prepare formal presentations on architectures, designs & drive strategy discussions with business and technology leadership
  • Review SOWs (Statement of Work) from vendors & partners and manage relationships
  • Strong ability to identify, understand and communicate system needs from business discussions.
  • Strong analytical skills; ability to influence change and drive results
  • Work with enterprise technology, security and compliance groups to align with corporate standards, policies & procedures

 

Pls. reach out to

 

Manish Jaiswal

Sr. Director – Program Management

6466443049

manish@techcusp.com

 

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IT Staff Engineer – By Techcusp.com

Posted on June 9, 2015 | Categories: Banking IT, HealthCare IT, Insurance IT, IT Staff Engineer | Posted by: admin

IT Staff Engineer – By Techcusp.com

 

We are Insurance, Healthcare & Banking focused Technology Services & IT Consulting firm with sweet spot into Software Development, Mobile Applications, BI, Portal & System Integration.

 

Techcusp.com provides the following IT services:

 

Techcusp.com has deep domain knowledge on the above three services and also has the ability to understand your growing business & operational needs. Our IT Staff Engineers and Consultants are on stand-by to help you deliver your IT vision & projects. Reach out to us for our seasoned & domain rich IT Consultants; Developers & Software Engineers for short term or long term projects.

 

Key Skills required:

  • Must have extensive experience in supporting large Exchange and Lync environments.
  • Primary responsibilities include interfacing with other infrastructure teams.
  • Evaluation/Design/Implementation of highly available/large metro clusters, and or long distance Exchange clusters experience required.
  • Other operational duties include evaluation/design/implementation of software product and utilities, system administration, performance analysis and tuning, system upgrades and patching, monitoring.
  • Experience with anti-spam and anti-virus technologies is required.
  • Must also have extensive experience and knowledge of Active Directory.
  • Need to provide Tier3+ support as required.
  • Ability to analyze the environment and implement performance tuning measures.
  • Develop and implement long term strategies and interface with peers to build solutions.
  • Providing technical leadership to system administrators and/or other of equivalent seniority.

 

Preferred Skills required:

  • Should acquire strong inter-personal and communication skills, and be able to work effectively in a team environment.
  • Must be able to interact with all levels of management, serving in the capacity of an advisor/consultant and looked upon as a technology leader within IT.
  • Should be able to contribute to the development of innovative ideas and applications.
  • Ability to support and troubleshoot client side issues, with emphasis on Outlook and Lync.
  • Experience with corporate anti-virus management and spam management.
  • Ability to balance multiple Projects and tasks.
  • Should be capable of writing proposals or papers, acting as vendor liaison, making presentation to customer or management or peers.

 

Potential Candidates, leave your resume here – http://www.techcusp.com/get-a-quote.php

Potential Clients, leave your requirements here – http://www.techcusp.com/get-a-quote.php

 

Why Techcusp.com?

  • Latest & Greatest IT solutions.
  • Guaranteed Delivery.
  • Scalable Partner.
  • Onshore, Onsite & Offshore Team.
  • Competitive Pricing.

 

Contact – Careers with Techcusp.com or

Debanuj Sengupta

Manger Sales – IT Consulting & Technology Services

debanuj@Techcusp.com

Phone: +1 646.644.3049 / 201.258.4704 / 201.589.5962

www.TechCusp.com

Insurance IT | HealthCare IT | Banking IT | Staffing

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Portal Development – HealthCare & Insurance by Techcusp.com

Posted on May 19, 2015 | Categories: HealthCare IT, Insurance IT, Portal | Posted by: admin

Portal Development – HealthCare & Insurance by Techcusp.com

 

We are Insurance, HealthCare & Banking focused Technology Services & IT Consulting firm with sweet spot into Software Development, Mobile Applications, BI, Portal & System Integration.

 

Tecucusp.com has deep experience in the development and management of Portals for Insurance, HealthCare and Banking space. The Web 2.0 has seen dramatic changes over the years and it continues to be modified with every passing day due to advancement in technological innovation. Portal is designed for the purpose of intake and secured sharing the information (KT) from diverse sources to conduct online & real time business.

 

Tech Cusp delivers the following Health Portal Features:

  • Access – Instant access to your policies, payment history and claim information.
  • Appointments & Scheduling.
  • Bill Pay – Automatic bank withdrawal or credit card.
  • EHR/PM Integration.
  • Employee Benefits.
  • Health Analytics – Health Tracker.
  • HIE/HIX Integration.
  • Mobile Apps.
  • Personal Health Record (PHR).
  • Prescription renewal.

 

We also deliver the following Insurance Portal Features:

  • Access invoices and commission statements instantly.
  • Access to product & service information.
  • Claims.
  • Co-branding – Personalized portal welcome screen and co-branding for each agent.
  • Premium Calculation.
  • Renewals – Process renewals with notification and alerts.
  • Workflow management – business rules for Straight-Through-Processing.

 

Why Techcusp.com?

  • Access & Identity Management (AIM).
  • Custom Solutions for Wellness, Agency, Personal Portal & Health Exchanges.
  • Improve your ROI.
  • Integrated Portals – Insurance, HealthCare & Banking.
  • Onsite/Onshore/Offshore Delivery.
  • Secure Communication.
  • Third-Party Application Integration.

 

Potential Clients, leave your requirements here – http://www.techcusp.com/get-a-quote.php

 

Contact

Debanuj Sengupta

Manger Sales – IT Consulting & Technology Services

debanuj@Techcusp.com

Phone: +1 646.644.3049 / 201.258.4704 / 201.589.5962

www.TechCusp.com

Insurance IT | HealthCare IT | Banking IT | Staffing

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Claims System – By Techcusp.com

Posted on May 18, 2015 | Categories: Claims, HealthCare IT, Insurance IT | Posted by: admin

Claims System – By Techcusp.com

 

Tech Cusp is Insurance, HealthCare & Banking focused Technology Services & IT Consulting firm with sweet spot into Software Development, Mobile Apps, BI, Portal and System Integration.

 

We at Techcusp.com can help build – ground up & comprehensive, web based Claims Management System.

 

We can custom build claims system for P&C Insurance, Workers Comp Insurance, Insurance Brokerage, Health Insurance, TPA’s and Reinsurance firms. Claims Management System (CMS) will be designed to support all phases of the policy lifecycle, which includes:

  • Application Processing.
  • Issuance.
  • Commissions.
  • Billing.
  • Audits.
  • Reporting.
  • Cancellations & Reinstatements.

 

Browser based multi-line system will be designed to support carriers, third-party administrators, public entities and self-insured organizations in administering claims for all lines of business. Its interface will be intuitive and easy to use.

 

Claims System for Insurance & HealthCare Includes:

  • Affordable Care Organizations (ACOs).
  • Auto Insurance.
  • Casualty Insurance.
  • Commercial Insurance.
  • Dental Insurance.
  • Employee benefits.
  • Excess Lines Insurance.
  • Health Coop.
  • Managed Care Organization (MCOs).
  • Medicaid (MMIS).
  • Medicare Advantage (MA/PDP).
  • Private Health Exchanges.
  • Property Insurance.
  • Self-funded plans.
  • Workers Comp (WC) Insurance.

 

Tech Cusp delivers the following Software Features for Claims System:

  • 360-degree view of customers/members.
  • Authorizations.
  • Automated Re-Pricing.
  • Capitation.
  • Claims Adjudications.
  • Case Management for complex claims & processes like fraud and subrogation.
  • Claims Analytics – Dashboard.
  • Data Warehouse.
  • Easy link to all external documents.
  • EDI Interfaces.
  • HIPAA, ACA, PHI Compliant.
  • Mail Merge Letter generation, PDF and form filler and design flexibility.
  • Multi-client support.
  • Open source or Microsoft SQL database for simple.
  • Reporting and Data Exports – Canned, Ad hoc, Statutory or Custom Reporting.

 

Tech Cusp does deliver one of the best Claims Services. We believe that our Software Engineers & Consultants have deep exposure & understanding of Claims Services for both Insurance and HealthCare. Reach out to us for our seasoned & domain rich IT Consultants; Developers & Software Engineers for short term or long term projects.

 

Potential Clients, leave your requirements here – http://www.techcusp.com/get-a-quote.php

 

Contact – Careers with Techcusp.com or

Debanuj Sengupta

Manger Sales – IT Consulting & Technology Services

debanuj@Techcusp.com

Phone: +1 646.644.3049 / 201.258.4704 / 201.589.5962

www.TechCusp.com

Insurance IT | HealthCare IT | Banking IT | Staffing

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Our Location

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425 Washington Blvd.,
Jersey City, New Jersey 07302, USA

Phone: +1 201.258.4704
Fax: +1 201.604.3480
E-mail: Contact@TechCusp.com

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