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60+ Loopr AI Interview Questions and Answers

Updated 8 Sep 2024
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Q1. What do you know about insurance

Ans.

Insurance is a contract between an individual and an insurance company to protect against financial loss.

  • Insurance provides financial protection against unexpected events such as accidents, illnesses, and natural disasters.

  • Premiums are paid to the insurance company in exchange for coverage.

  • There are different types of insurance such as health, auto, home, and life insurance.

  • Insurance claims are filed when a covered event occurs and the insurance company pays out benefits.

  • Insu...read more

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Q2. how to access amazon page directly directly with out using driver.get how to get the last secong window in selenium (get window handles) how to select mulptiple values in drop downs swap numbers between without...

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Ans.

A list of questions asked in a QA Engineer interview covering topics such as Selenium, Java, and TestNG.

  • Accessing Amazon page without using driver.get

  • Getting the last second window in Selenium using getWindowHandles()

  • Selecting multiple values in drop downs

  • Swapping numbers without using a third variable

  • Working with collections and strings

  • Removing spaces in a string

  • Printing words in a sentence on separate lines

  • Understanding exceptions and using throw vs throws

  • Working with inter...read more

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Q3. What are claims

Ans.

Claims are requests made by policyholders to insurance companies for compensation for damages or losses incurred.

  • Claims are requests for compensation for damages or losses

  • They are made by policyholders to insurance companies

  • Claims can be related to property damage, theft, accidents, or injuries

  • Insurance companies investigate claims to determine their validity

  • Valid claims are paid out to the policyholder

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Q4. explain about data scrapping,computer vision,agile methodologies,change request,testing methods

Ans.

Data scraping, computer vision, agile methodologies, change request, and testing methods are all important aspects of software engineering.

  • Data scraping involves extracting data from websites or other sources.

  • Computer vision involves using algorithms to interpret and analyze visual data.

  • Agile methodologies are a set of principles for software development that prioritize flexibility and collaboration.

  • Change requests are requests for modifications to software that have already ...read more

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Q5. Can i explain url borrower information form

Ans.

The URL borrower information form is a document used to collect personal and financial details of a borrower through an online link.

  • The form typically includes fields for the borrower's name, contact information, employment details, income, and credit history.

  • It may also request information about the borrower's assets, liabilities, and any co-borrowers or guarantors.

  • The form is often used by lenders or financial institutions to assess the borrower's eligibility for a loan or ...read more

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Q6. what is HIPPA Act and objective of HIPPA Act ?

Ans.

HIPAA Act is a US law that protects sensitive patient health information.

  • HIPAA stands for Health Insurance Portability and Accountability Act

  • It sets national standards to protect individuals' medical records and other personal health information

  • HIPAA ensures the confidentiality, integrity, and availability of protected health information

  • It also gives patients more control over their health information and sets boundaries on the use and release of health records

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Q7. what is embedded plan and aggregate plan ? what is the difference bewteen both ?

Ans.

Embedded plan and aggregate plan are two types of benefit plans offered by employers.

  • Embedded plan refers to a benefit plan where each employee has their own individual plan within a group plan.

  • Aggregate plan refers to a benefit plan where all employees are covered under a single plan.

  • The main difference is that in an embedded plan, each employee has their own unique plan details, while in an aggregate plan, all employees have the same plan.

  • Embedded plans are more customizabl...read more

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Q8. what is timely filing limit ?

Ans.

Timely filing limit is the deadline by which a claim must be submitted to an insurance company for reimbursement.

  • Timely filing limit varies by insurance company and can range from 90 days to one year.

  • Claims submitted after the timely filing limit may be denied by the insurance company.

  • It is important for healthcare providers to submit claims within the timely filing limit to ensure reimbursement.

  • For example, if an insurance company has a timely filing limit of 120 days, a hea...read more

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Q9. what are different types of member benefits ?

Ans.

Different types of member benefits include health insurance, retirement plans, paid time off, and wellness programs.

  • Health insurance

  • Retirement plans

  • Paid time off

  • Wellness programs

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Q10. what is agile and how business analyst work

Ans.

Agile is an iterative approach to software development that emphasizes flexibility and collaboration. Business analysts work closely with stakeholders to identify and prioritize requirements.

  • Agile involves breaking down projects into smaller, more manageable chunks called sprints

  • Business analysts work with stakeholders to define user stories and prioritize them based on business value

  • They also work closely with developers and testers to ensure that requirements are met and th...read more

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Q11. How much expecting CTC

Ans.

I am expecting a competitive salary based on industry standards and my experience.

  • I have researched the industry standards for this position and my level of experience

  • I am open to negotiation based on the specific responsibilities and benefits offered

  • I am looking for a fair and competitive salary that reflects my skills and contributions to the company

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Q12. what is your expected CTC ?

Ans.

My expected CTC is based on my experience, skills, and industry standards.

  • I have researched the average salary range for Benefit Analysts in this industry

  • I am looking for a competitive salary that reflects my qualifications and contributions

  • I am open to negotiation based on the overall compensation package offered

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Q13. what is difference between medicaid and medicare

Ans.

Medicaid is a state-run program for low-income individuals, while Medicare is a federal program for seniors and those with disabilities.

  • Medicaid is based on income and eligibility varies by state

  • Medicare is based on age and disability

  • Medicaid covers a wider range of services, including long-term care

  • Medicare is divided into parts A, B, C, and D, each covering different services

  • Both programs are funded by taxes

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Q14. What is O-Auth ? Which type of authentication/security used in ur project ?

Ans.

O-Auth is an open standard for authorization. Our project uses token-based authentication for security.

  • O-Auth is used to allow users to grant access to their resources without sharing their credentials.

  • It uses tokens for authentication instead of passwords.

  • Our project uses token-based authentication for security purposes.

  • Token-based authentication involves generating a unique token for each user that is used to authenticate their requests.

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Q15. What is mortgage insurance

Ans.

Mortgage insurance is a type of insurance policy that protects a lender or investor in case the borrower defaults on their mortgage payments.

  • Mortgage insurance is typically required for borrowers who put down less than 20% of the home's purchase price.

  • There are two types of mortgage insurance: private mortgage insurance (PMI) for conventional loans and mortgage insurance premium (MIP) for FHA loans.

  • Mortgage insurance allows lenders to offer loans with lower down payments, mak...read more

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Q16. what is COB and different types of COBs ?

Ans.

COB stands for Coordination of Benefits. It refers to the process of determining which insurance plan is primary and which is secondary when a patient is covered by multiple insurance plans.

  • COB helps prevent overpayment by ensuring that the total amount paid by all insurance plans does not exceed the total cost of the claim.

  • Types of COBs include non-duplication of benefits, traditional COB, and maintenance of benefits.

  • Non-duplication of benefits means that the secondary plan ...read more

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Q17. How to implemented dependency injection in ur projects ?

Ans.

Dependency injection is implemented by creating interfaces for dependencies and injecting them into the class constructor.

  • Identify dependencies and create interfaces for them

  • Create a class constructor that accepts the interfaces as parameters

  • Use a dependency injection framework like Spring or Guice

  • Avoid using static methods or singletons to access dependencies

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Q18. How to use request specification using rest assured

Ans.

Request specification in Rest Assured is used to define the request details like base URI, path, headers, etc.

  • Create a RequestSpecification object using given() method

  • Set base URI using baseUri() method

  • Set path using basePath() method

  • Add headers using header() method

  • Add query parameters using queryParam() method

  • Example: given().baseUri("https://api.example.com").basePath("/users").header("Authorization", "Bearer token").queryParam("name", "John")

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Q19. what is in and out of network providers ?

Ans.

In-network providers are contracted with the insurance company to provide services at a discounted rate, while out-of-network providers are not contracted and may result in higher out-of-pocket costs for the insured.

  • In-network providers have agreed upon rates with the insurance company

  • Out-of-network providers do not have a contract with the insurance company

  • Using in-network providers typically results in lower out-of-pocket costs for the insured

  • Out-of-network providers may re...read more

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Q20. How to calculate YTD attrition percentage

Ans.

YTD attrition percentage is calculated by dividing the number of employees who have left during the year by the average number of employees during the year, multiplied by 100.

  • Calculate the total number of employees who have left during the year

  • Calculate the average number of employees during the year

  • Divide the number of employees who have left by the average number of employees, then multiply by 100 to get the YTD attrition percentage

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Q21. What type of challenges have you faced during requirement elicitation?

Ans.

During requirement elicitation, I have faced challenges related to understanding client needs, managing conflicting requirements, and dealing with changing priorities.

  • Understanding client needs: Sometimes clients may have difficulty articulating their requirements clearly, requiring additional probing and clarification.

  • Managing conflicting requirements: Different stakeholders may have conflicting needs and priorities, requiring negotiation and compromise.

  • Dealing with changing...read more

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Q22. State management techniques in realtime ? How to use them??

Ans.

Realtime state management techniques include WebSockets, Server-Sent Events, and GraphQL Subscriptions.

  • WebSockets allow bidirectional communication between client and server, enabling real-time updates.

  • Server-Sent Events allow the server to push updates to the client without the client having to request them.

  • GraphQL Subscriptions allow clients to subscribe to specific data and receive updates when that data changes.

  • Other techniques include polling, long polling, and Comet.

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Q23. Write a program to reverse a string with using any string functions

Ans.

Program to reverse a string without using string functions

  • Create a function that takes a string as input

  • Initialize an empty string to store the reversed string

  • Iterate through the input string in reverse order and append each character to the new string

  • Return the reversed string

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Q24. What is closure in js

Ans.

Closure in JavaScript is the combination of a function and the lexical environment within which that function was declared.

  • Closure allows a function to access variables from its outer scope even after the outer function has finished executing.

  • It is created whenever a function is defined within another function.

  • Closure is commonly used to create private variables and functions in JavaScript.

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Q25. what is claims adjudication process ?

Ans.

Claims adjudication process is the evaluation of a claim to determine its validity and payment amount.

  • Claims are submitted by healthcare providers for services rendered to patients.

  • The claim is reviewed by the insurance company to ensure it meets coverage criteria.

  • Adjudication involves verifying the patient's eligibility, the provider's credentials, and the service's necessity.

  • The claim is then processed and a payment amount is determined based on the insurance policy.

  • If the ...read more

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Q26. what is RCM ?

Ans.

RCM stands for Revenue Cycle Management, which is the process of managing claims, payments, and revenue generation in healthcare organizations.

  • RCM involves tracking a patient's journey from scheduling an appointment to receiving payment for services rendered.

  • It includes verifying insurance coverage, submitting claims, and following up on unpaid claims.

  • Efficient RCM can help healthcare organizations improve cash flow and reduce denials.

  • Examples of RCM software include Epic Sys...read more

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Q27. Pmi and mpi different

Ans.

PMI stands for Private Mortgage Insurance while MPI stands for Mortgage Protection Insurance.

  • PMI is typically required for conventional loans with a down payment of less than 20% to protect the lender in case of default.

  • MPI is an optional insurance that pays off your mortgage in the event of death, disability, or involuntary unemployment.

  • PMI is usually paid monthly as part of your mortgage payment, while MPI is a one-time premium or added to your monthly mortgage payment.

  • PMI ...read more

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Q28. what is HMO and PPO plans ?

Ans.

HMO and PPO plans are types of health insurance plans that differ in terms of network coverage and cost-sharing.

  • HMO (Health Maintenance Organization) plans require members to choose a primary care physician and get referrals to see specialists.

  • PPO (Preferred Provider Organization) plans offer more flexibility in choosing healthcare providers and do not require referrals to see specialists.

  • HMO plans typically have lower out-of-pocket costs but limited provider networks, while ...read more

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Q29. Explain serialisation and de serialisation in API automation

Ans.

Serialisation is the process of converting an object into a format that can be easily stored or transmitted, while deserialisation is the reverse process.

  • Serialisation is used to convert complex data structures into a string format that can be sent over a network or stored in a file.

  • De-serialisation is the process of converting the serialized data back into its original form.

  • In API automation, serialisation is often used to convert request and response data into JSON or XML f...read more

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Q30. Explain couple of best practices you have implemented

Ans.

Implemented automated testing and code reviews for better quality assurance

  • Implemented automated testing using Selenium for regression testing

  • Introduced code reviews to catch bugs early in the development process

  • Utilized continuous integration tools like Jenkins to automate testing processes

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Q31. How to analyze attrition trend and reduce it

Ans.

To analyze attrition trend and reduce it, one can use data analysis, employee feedback, and implementing retention strategies.

  • Collect and analyze data on employee turnover rates over time

  • Conduct exit interviews to understand reasons for attrition

  • Implement retention strategies such as career development opportunities, competitive compensation, and work-life balance initiatives

  • Monitor employee engagement and satisfaction levels regularly

  • Provide ongoing training and support for ...read more

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Q32. If you know the process , how to manage MVC and microservices and basics all good

Ans.

Understanding of managing MVC and microservices is good

  • MVC is a design pattern that separates an application into three components: Model, View, and Controller

  • Microservices is an architectural style that structures an application as a collection of small, independent services

  • Understanding of RESTful APIs, containerization, and orchestration tools like Docker and Kubernetes is important

  • Experience with frameworks like Spring Boot, Node.js, and Ruby on Rails is beneficial

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Q33. do u have any constraint in wfo

Ans.

No, I do not have any constraint in WFO.

  • I am proficient in using WFO tools and have experience in optimizing workforce management.

  • I am familiar with the best practices and industry standards in WFO.

  • I am adaptable and can work with different WFO systems and processes.

  • I am open to learning new WFO technologies and techniques.

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Q34. Does HMO requires referral ?

Ans.

Yes, HMO typically requires a referral for specialist care.

  • HMO plans usually require a primary care physician (PCP) referral for specialist visits.

  • Referrals are needed to ensure that the care is medically necessary and cost-effective.

  • Without a referral, the HMO may not cover the specialist visit or procedure.

  • Some exceptions may apply for emergency situations or certain preventive services.

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Q35. Type of insurance

Ans.

Various types of insurance include health, auto, home, life, and travel insurance.

  • Health insurance covers medical expenses

  • Auto insurance covers damages to vehicles

  • Home insurance covers damages to property

  • Life insurance provides financial protection to beneficiaries

  • Travel insurance covers trip cancellations and medical emergencies

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Q36. What types of analysis have you come across

Ans.

Various types of analysis include SWOT, PESTLE, GAP, Root Cause, Cost-Benefit, and Trend analysis.

  • SWOT analysis - Strengths, Weaknesses, Opportunities, and Threats

  • PESTLE analysis - Political, Economic, Sociological, Technological, Legal, and Environmental factors

  • GAP analysis - Identifying the gap between current and desired state

  • Root Cause analysis - Identifying the underlying cause of a problem

  • Cost-Benefit analysis - Evaluating the costs and benefits of a decision

  • Trend analy...read more

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Q37. What is Authorization

Ans.

Authorization is the process of granting or denying access to resources based on the user's identity and privileges.

  • Authorization determines what actions a user can perform on a system or application.

  • It involves verifying the user's identity and checking if they have the necessary permissions.

  • Authorization can be role-based, where access is granted based on predefined roles, or rule-based, where access is determined by specific rules.

  • Examples of authorization mechanisms inclu...read more

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Q38. What is the purpose of the report which you generate ?

Ans.

The report serves to provide insights and information on a specific topic or area of interest.

  • The report is generated to communicate important information to stakeholders.

  • It can be used to identify trends, patterns, and areas for improvement.

  • The report may also be used to make informed decisions and develop strategies.

  • Examples include sales reports, financial reports, and performance reports.

  • The report should be clear, concise, and easy to understand.

  • It should also be tailore...read more

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Q39. How would you manage if multiple people are working on Same web page/Component

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Q40. explain US healthcare (this is optional)

Ans.

US healthcare is a complex system that involves private and public insurance, healthcare providers, and government regulations.

  • The US healthcare system is primarily based on private insurance, with some government-funded programs like Medicare and Medicaid.

  • Healthcare providers include hospitals, clinics, and individual practitioners such as doctors and nurses.

  • Government regulations include laws like the Affordable Care Act and the Health Insurance Portability and Accountabili...read more

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Q41. Do you have power backup and WiFi in your hostel?

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Q42. explain different ceremonies of scrum

Ans.

Scrum has 4 ceremonies: Sprint Planning, Daily Scrum, Sprint Review, and Sprint Retrospective.

  • Sprint Planning: Plan the work to be done in the upcoming sprint.

  • Daily Scrum: A daily stand-up meeting to discuss progress and plan for the day.

  • Sprint Review: A meeting to review the work completed during the sprint.

  • Sprint Retrospective: A meeting to reflect on the sprint and identify areas for improvement.

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Q43. Difference between HMO and PPO plans

Ans.

HMO plans require members to choose a primary care physician and get referrals for specialists, while PPO plans offer more flexibility in choosing healthcare providers.

  • HMO plans require members to choose a primary care physician

  • HMO plans require referrals for specialists

  • PPO plans offer more flexibility in choosing healthcare providers

  • PPO plans do not require referrals for specialists

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Q44. Exception handling in realtime ?

Ans.

Realtime exception handling requires quick identification, logging, and resolution of errors.

  • Use try-catch blocks to handle exceptions in real-time

  • Log exceptions with detailed information to aid in debugging

  • Implement automated error reporting to quickly identify and resolve issues

  • Use monitoring tools to detect and alert on errors in real-time

  • Ensure error messages are clear and actionable for developers and end-users

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Q45. How to manage conflict resolution and external system dependencies

Ans.

Conflict resolution and managing external system dependencies are crucial for a Senior Scrum Master.

  • Encourage open communication and collaboration among team members to address conflicts early on

  • Facilitate discussions to understand different perspectives and find mutually agreeable solutions

  • Establish clear communication channels with external systems and stakeholders to manage dependencies effectively

  • Regularly review and update dependency maps to identify potential risks and ...read more

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Q46. do you have any idea Akamai Security configuration and CDN

Ans.

Akamai Security configuration involves setting up rules and policies to protect web applications, while CDN helps in delivering content efficiently.

  • Akamai Security configuration includes setting up WAF rules, access control policies, and threat intelligence feeds.

  • CDN (Content Delivery Network) helps in caching content closer to end-users for faster delivery and reducing server load.

  • Akamai offers various security features like DDoS protection, bot management, and SSL/TLS encry...read more

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Q47. 4 types of Medicare A,B,C and D

Ans.

There are 4 types of Medicare: A, B, C, and D.

  • Medicare A covers hospital stays and some home health care.

  • Medicare B covers doctor visits, outpatient care, and medical equipment.

  • Medicare C (also known as Medicare Advantage) is a combination of A, B, and sometimes D, offered by private insurance companies.

  • Medicare D covers prescription drugs.

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Q48. What is tuple? In c#

Ans.

Tuple is an ordered set of values of different types in C#.

  • Tuples are immutable and can be used to return multiple values from a method.

  • Tuple can be created using the Tuple class or by using the tuple syntax.

  • Example: Tuple tuple = new Tuple(1, "hello");

  • Example: var tuple = (1, "hello");

  • Tuple elements can be accessed using Item1, Item2, etc. properties or by deconstructing the tuple.

  • Example: int num = tuple.Item1; string str = tuple.Item2;

  • Example: (int num, string str) = tuple...read more

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Q49. How many types of Medicare

Ans.

There are four types of Medicare: Part A, Part B, Part C, and Part D.

  • Medicare Part A covers hospital stays and skilled nursing care.

  • Medicare Part B covers doctor visits and outpatient care.

  • Medicare Part C, also known as Medicare Advantage, is an alternative to traditional Medicare and includes additional benefits.

  • Medicare Part D covers prescription drugs.

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Q50. what is Safe agile

Ans.

Safe agile is a framework for scaling agile practices to large enterprises.

  • Safe stands for Scaled Agile Framework

  • It provides a structured approach to scaling agile practices

  • It includes roles, ceremonies, and artifacts for large-scale agile development

  • It is used by many large organizations such as IBM, Ericsson, and Siemens

  • It emphasizes continuous delivery and customer-centricity

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Q51. Explain OOps concepts

Ans.

Object-oriented programming concepts focus on creating objects that interact with each other to solve complex problems.

  • Encapsulation: Bundling data and methods that operate on the data into a single unit (object)

  • Inheritance: Allowing a new class to inherit properties and behavior from an existing class

  • Polymorphism: Objects of different classes can be treated as objects of a common superclass

  • Abstraction: Hiding the complex implementation details and showing only the necessary ...read more

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Q52. How to measure productivity of kanban teams

Ans.

Productivity of kanban teams can be measured through cycle time, lead time, throughput, and work in progress limits.

  • Measure cycle time - the time taken for a task to move from start to finish.

  • Measure lead time - the time taken from a task being requested to its completion.

  • Calculate throughput - the number of tasks completed in a given time period.

  • Set work in progress limits - to ensure focus and efficiency.

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Q53. explain brd and use case

Ans.

BRD stands for Business Requirements Document and Use Case is a technique used to identify, clarify and organize system requirements.

  • BRD is a formal document that outlines the business requirements of a project

  • It includes the project scope, objectives, stakeholders, functional and non-functional requirements

  • Use Case is a technique used to identify, clarify and organize system requirements

  • It involves creating scenarios of how users interact with the system to achieve specific ...read more

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Q54. Tell me something about Agile

Ans.

Agile is an iterative approach to software development that emphasizes flexibility and collaboration.

  • Agile values individuals and interactions over processes and tools

  • It emphasizes working software over comprehensive documentation

  • Agile encourages customer collaboration and responding to change

  • Scrum and Kanban are popular Agile methodologies

  • Agile ceremonies include daily stand-ups, sprint planning, and retrospectives

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Q55. Reflextions concept in c# ?

Ans.

Reflections in C# allow for runtime inspection and modification of types, objects, and assemblies.

  • Reflections can be used to dynamically load assemblies and types at runtime.

  • Reflections can be used to inspect and modify properties, fields, and methods of objects.

  • Reflections can be used to create new instances of types and invoke their methods.

  • Reflections can be used to generate code dynamically using System.Reflection.Emit namespace.

  • Reflections can be slow and should be used ...read more

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Q56. How would you respond to priority requests

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Q57. How to manage associate feedback process

Ans.

Associate feedback process can be managed by setting clear expectations, providing regular opportunities for feedback, and following up on action items.

  • Set clear expectations for feedback process

  • Provide regular opportunities for associates to give feedback

  • Follow up on action items from feedback sessions

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Q58. explain PI planning

Ans.

PI planning is a collaborative event where Agile teams align their work with the organization's goals for the upcoming Program Increment.

  • PI planning is a two-day event that involves all members of the Agile team, including stakeholders and product owners.

  • The goal of PI planning is to create a shared understanding of the work that needs to be done in the upcoming Program Increment.

  • During PI planning, teams create a plan for the upcoming PI, including identifying dependencies a...read more

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Q59. How do we find out root cause

Ans.

Root cause can be found through a systematic approach of identifying and analyzing the problem.

  • Gather data and information about the problem

  • Identify possible causes through brainstorming or fishbone diagram

  • Analyze the data to determine the most likely cause

  • Verify the cause through testing or experiments

  • Implement corrective actions to address the root cause

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Q60. What is Anatomical modifer

Ans.

An anatomical modifier is a two-character code used in medical coding to indicate a specific location or aspect of a procedure or service.

  • Anatomical modifiers are used to provide additional information about a procedure or service.

  • They are typically used in surgical procedures to indicate the specific location or aspect of the procedure.

  • Examples of anatomical modifiers include LT (left side), RT (right side), and F1 (first digit).

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Q61. do you aware about the CNAME

Ans.

CNAME stands for Canonical Name and is used in DNS to alias one domain name to another.

  • CNAME records are used to point one domain name to another domain name.

  • They are often used for creating subdomains or pointing a domain to a CDN.

  • CNAME records cannot be used for the root domain (apex domain).

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Q62. What is Obstetrics package

Ans.

Obstetrics package is a bundled payment system for prenatal, delivery, and postpartum care.

  • It includes all services related to pregnancy, delivery, and postpartum care

  • The package may include prenatal visits, ultrasounds, delivery, and postpartum check-ups

  • The cost of the package is usually lower than paying for each service separately

  • Insurance companies may offer obstetrics packages as part of their coverage

  • Examples of obstetrics packages include Global Maternity Care Package ...read more

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Q63. Testing Skills of PBM

Ans.

PBM testing skills involve verifying drug formulary, claims processing, and member eligibility.

  • Verify drug formulary to ensure correct medications are covered

  • Test claims processing to ensure accurate billing and payment

  • Validate member eligibility to ensure proper access to benefits

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Q64. Explain about US Healthcare and PBM

Ans.

US Healthcare is a complex system that involves various stakeholders. PBM is a third-party administrator that manages prescription drug benefits for health plans.

  • US Healthcare involves multiple players such as patients, providers, payers, and pharmaceutical companies

  • PBM stands for Pharmacy Benefit Manager

  • PBM negotiates drug prices with manufacturers, manages formularies, and processes claims for prescription drugs

  • PBM also provides clinical programs such as medication therapy ...read more

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Q65. Life cycle of PBM CLAIMS

Ans.

PBM CLAIMS life cycle involves claim submission, adjudication, payment, and reconciliation.

  • Claim submission: Member or provider submits a claim to PBM.

  • Adjudication: PBM reviews the claim for eligibility and determines coverage and payment.

  • Payment: PBM pays the claim amount to the provider.

  • Reconciliation: PBM reconciles the claim with the plan sponsor and updates records.

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Q66. Healthcare functionality

Ans.

Healthcare functionality refers to the specific features and capabilities of a software system that cater to the needs of healthcare industry.

  • Ensure compliance with HIPAA regulations

  • Implement secure data encryption

  • Integrate with electronic health records (EHR) systems

  • Support telemedicine capabilities

  • Provide tools for medical billing and insurance claims processing

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Q67. Explain use of lookup

Ans.

Lookup is used in ETL processes to search for a specific value in a dataset and retrieve related information.

  • Lookup is used to search for a specific value in a dataset

  • It retrieves related information based on the search criteria

  • Lookup can be used to join data from different sources based on a common key

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Q68. Type of lookup transformation

Ans.

There are three types of lookup transformations: Connected, Unconnected, and Cached.

  • Connected lookup transformation is used to look up data from a relational table or view.

  • Unconnected lookup transformation is used to look up data from a flat file or external source.

  • Cached lookup transformation stores the lookup data in memory for faster access.

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Q69. Java programs with split

Ans.

Using split method in Java to split a string into an array of strings

  • Use the split() method in Java to split a string based on a delimiter

  • The split() method returns an array of strings

  • Example: String str = 'Hello,World'; String[] parts = str.split(',');

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Interview Process at Loopr AI

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Interview experience
4.2
Good
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Interview Tips & Stories
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