10+ Kapsons Worldwide Interview Questions and Answers

My plans in Thryve Digital involve utilizing my process analysis skills to optimize workflows and improve efficiency.

• Identifying bottlenecks in current processes

• Developing and implementing solutions to streamline workflows

• Collaborating with cross-functional teams to ensure smooth operations

• Continuously monitoring and analyzing processes to identify areas for improvement

• Leveraging data and analytics to make data-driven decisions

• Providing regular reports and updates on process ...read more

Medicare Advantage Plan (MAPD) is a type of Medicare health plan offered by private companies approved by Medicare. EOB stands for Explanation of Benefits.

• MAPD is an alternative to Original Medicare and provides additional benefits like prescription drug coverage, dental, vision, and hearing services.

• Private insurance companies administer MAPD plans and must follow Medicare guidelines.

• EOB is a statement sent by health insurance companies to explain what medical treatments and...read more

Managed care products involve coordinating healthcare services to improve quality and control costs.

• Managed care products focus on coordinating healthcare services for members

• They often involve networks of providers who agree to provide services at a discounted rate

• Examples include HMOs, PPOs, and EPOs

• Utilization management and care coordination are key components of managed care products

Processing claims from top to down approach involves prioritizing high-value claims and resolving them first.

• Claims are sorted based on their value and urgency

• High-value claims are given priority and processed first

• Claims are reviewed for completeness and accuracy before processing

• Claims are processed in a timely manner to ensure customer satisfaction

• Claims are closed once they are resolved or denied

Copay, coinsurance, and deductible are terms used in health insurance to describe the amount a patient pays for medical services.

• Copay is a fixed amount paid by the patient for a specific medical service, such as a doctor's visit or prescription medication.

• Coinsurance is a percentage of the cost of a medical service that the patient is responsible for paying, after the deductible has been met.

• Deductible is the amount the patient must pay out of pocket before the insurance com...read more

Claim product development involves identifying customer needs, designing products, pricing, marketing, and handling claims.

• Identify customer needs and market trends

• Design products that meet customer requirements

• Price products competitively in the market

• Develop marketing strategies to promote products

• Establish processes for handling claims efficiently

Our current test environment management tool is Jenkins, which helps automate our testing processes and streamline our daily activities.

• Jenkins allows us to schedule and run automated tests, saving time and effort.

• It provides detailed reports on test results, helping us identify and fix issues quickly.

• We can integrate Jenkins with other tools like Jira for seamless workflow management.

EOB contains information about medical claims and payments.

• EOB stands for Explanation of Benefits.

• It includes details about medical services provided, charges, and payments.

• It also shows the patient's responsibility for payment, such as deductibles or co-pays.

• EOBs are typically sent to patients after their insurance company processes a claim.

• They can be used to verify that the insurance company paid the correct amount for services rendered.

Swift payment flows refer to the process of transferring funds quickly and securely between financial institutions globally.

• Swift payment flows involve the sender initiating a payment instruction through their bank.

• The instruction is then sent to the recipient's bank via the SWIFT network.

• The recipient's bank verifies the payment details and credits the recipient's account.

• An example of an end-to-end payment flow is when a company in the US sends a wire transfer to a supplier...read more

Yes, I am aware of JIRA and have experience using ticketing tools in previous projects.

• Yes, I have used JIRA extensively in previous projects for tracking tasks and issues.

• I am familiar with creating, assigning, and tracking tickets in JIRA.

• I have also used other ticketing tools like Trello and Asana for project management.

Agile testing is a software testing methodology that follows the principles of agile software development. Regression testing is the process of testing changes to ensure that previously developed and tested software still performs correctly. Waterfall model and V model are software development models.

• Agile testing involves continuous testing throughout the software development lifecycle

• Regression testing ensures that changes to software do not affect previously developed and ...read more