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Carelon Global Solutions Interview Questions and Answers
120 Interview questions
Deductibles and copays are cost-sharing mechanisms in health insurance that affect how much patients pay for services.
A deductible is the amount a patient must pay out-of-pocket before insurance coverage kicks in.
For example, if a plan has a $1,000 deductible, the patient pays the first $1,000 of their medical expenses.
A copay is a fixed amount a patient pays for a specific service, usually at the time of service.
...
PBM, or Pharmacy Benefit Management, optimizes prescription drug benefits for health plans and employers.
PBM acts as an intermediary between insurers, pharmacies, and drug manufacturers.
They negotiate discounts and rebates on medications, reducing costs for health plans.
Examples include Express Scripts and CVS Caremark, which manage drug formularies.
PBMs implement cost-control measures like prior authorization and...
TAT stands for Turnaround Time, indicating the time taken to complete a process or task.
TAT is crucial in underwriting to assess efficiency and customer satisfaction.
For example, a shorter TAT in insurance claims processing can enhance client trust.
TAT can vary by industry; in healthcare, it may refer to lab test results.
Monitoring TAT helps identify bottlenecks in workflows and improve operations.
IPA stands for Independent Practice Association, a network of independent physicians who contract with health plans.
Network of Physicians: IPA consists of independent doctors who collaborate to provide services while maintaining their own practices.
Contracting with Health Plans: IPAs negotiate contracts with insurance companies to provide care to their members, often at reduced rates.
Shared Resources: Members of a...
What people are saying about Carelon Global Solutions
HMO stands for Health Maintenance Organization, a type of health insurance plan that provides a range of healthcare services.
HMO plans require members to choose a primary care physician (PCP).
Members need referrals from their PCP to see specialists.
HMO plans often have lower premiums and out-of-pocket costs compared to other plans.
Examples of HMOs include Kaiser Permanente and Aetna.
HIPAA stands for the Health Insurance Portability and Accountability Act, ensuring patient data privacy and security.
Established in 1996 to protect patient health information.
Requires healthcare providers to implement safeguards for data security.
Patients have rights to access their medical records.
Violations can result in significant fines and penalties.
Expectations for a Claims Associate role vary depending on the company and industry.
Expectations may include accurately processing claims within a specified timeframe
Communicating effectively with customers and colleagues
Adhering to company policies and procedures
Resolving customer complaints and issues in a timely manner
Experience with Agile methodologies in software development
Utilized Scrum framework for project management
Participated in daily stand-up meetings to discuss progress and roadblocks
Worked in sprints to deliver incremental value to stakeholders
Collaborated closely with cross-functional teams to prioritize and deliver features
Adapted quickly to changing requirements and feedback
Object-oriented programming paradigm that focuses on objects and classes for code organization and reusability.
Encapsulation: Bundling data and methods that operate on the data into a single unit (object)
Inheritance: Ability of a class to inherit properties and behavior from another class
Polymorphism: Ability to present the same interface for different data types
Abstraction: Hiding the complex implementation detai...
DL uses neural networks with multiple layers to learn complex patterns, while ML uses algorithms to learn from data.
DL uses deep neural networks with multiple layers, while ML uses simpler algorithms like decision trees or SVMs.
DL requires large amounts of data to train effectively, while ML can work with smaller datasets.
DL is more computationally intensive and requires more processing power compared to ML.
DL is ...
Carelon Global Solutions Interview Experiences
380 interviews found
Anonymous
Selected
Their hiring managers are incompetent
Interview Preparation Tips
Senior Software Engineer Interview Questions asked at other Companies
Harshavardhan Teja
(1 Question)
- Q1. It was a casual conversation with upcoming roles and responsibilities from the company.
(2 Questions)
- Q1. On sql queries focusing on foundations.
- Q2. On programming language
Associate Software Engineer Interview Questions asked at other Companies
(1 Question)
- Q1. Na na na da ga ga ha
(1 Question)
- Q1. Na na na da ga ga
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- Q1. Na na na ga ga ga
Technical Lead Interview Questions asked at other Companies
Selected
I appeared for an interview in Dec 2024.
(1 Question)
- Q1. Nothing to say worst experience
(1 Question)
- Q1. Nothing to say worst experience
(1 Question)
- Q1. Nothing to say worst experience
Informatica Administrator Interview Questions asked at other Companies
(2 Questions)
- Q1. Basic questions
- Q2. Self introduction and scheduling for interview
Little bit difficult but we can
(2 Questions)
- Q1. Manager round or Team lead round
- Q2. Self introduction and questions about company etc...
Interview Preparation Tips
Associate Analyst Interview Questions asked at other Companies
Selected
I applied via Approached by Company and was interviewed in Jul 2024. There were 3 interview rounds.
(1 Question)
- Q1. Python Coding Questions. Question related to projects I have been part of.
(1 Question)
- Q1. Questions specific to AWS, Snowflake and interaction between them.
(1 Question)
- Q1. Compensation and expectations discussion
Interview Preparation Tips
- Python
- AWS
- Snowflake
Software Engineer Interview Questions asked at other Companies
I applied via Naukri.com and was interviewed in Aug 2024. There were 3 interview rounds.
(2 Questions)
- Q1. What is Testng and how it is helpful to the project
- Ans.
TestNG is a testing framework for Java that helps in organizing and running test cases efficiently.
TestNG allows for grouping of test cases, prioritizing them, and running them in parallel.
It provides annotations for setting up preconditions and postconditions for test cases.
TestNG generates detailed test reports and logs for easy debugging and analysis.
It supports data-driven testing using parameters and data provider...
- Q2. Java related questions
Selenium related questions
(1 Question)
- Q1. Related to job and QA
Skills evaluated in this interview
QA Engineer Interview Questions asked at other Companies
(2 Questions)
- Q1. What are different data structures?
- Ans.
Data structures are ways to organize and store data in a computer system.
Arrays: a collection of elements stored in contiguous memory locations
Linked Lists: a sequence of elements where each element points to the next one
Stacks: a Last In First Out (LIFO) data structure
Queues: a First In First Out (FIFO) data structure
Trees: hierarchical data structures with a root node and child nodes
Graphs: a collection of nodes conn...
- Q2. What are different types of databases
- Ans.
Different types of databases include relational, NoSQL, graph, and time-series databases.
Relational databases: store data in tables with rows and columns (e.g. MySQL, PostgreSQL)
NoSQL databases: flexible, schema-less databases (e.g. MongoDB, Cassandra)
Graph databases: store data in nodes and edges to represent relationships (e.g. Neo4j)
Time-series databases: optimized for storing and querying time-stamped data (e.g. In...
Interview Preparation Tips
Skills evaluated in this interview
Data Engineer Interview Questions asked at other Companies
Selected
I appeared for an interview in Mar 2025, where I was asked the following questions.
- Q1. Where do you envision yourself in the next five years?
- Q2. Why do you want to work for Carelon?
Claims Associate Interview Questions asked at other Companies
Selected
I applied via Referral and was interviewed in Jun 2024. There were 2 interview rounds.
Coding test, on basic skills was covered
(2 Questions)
- Q1. Java basics and Oops concepts
- Q2. Prior experience and questions about that
System Engineer Interview Questions asked at other Companies
Carelon Global Solutions Interview FAQs
Some of the top questions asked at the Carelon Global Solutions interview -
The duration of Carelon Global Solutions interview process can vary, but typically it takes about less than 2 weeks to complete.
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Carelon Global Solutions Interviews By Designations
- Carelon Global Solutions Claims Associate Interview Questions
- Carelon Global Solutions Associate Software Engineer Interview Questions
- Carelon Global Solutions Software Engineer Interview Questions
- Carelon Global Solutions QA Engineer Interview Questions
- Carelon Global Solutions Senior Software Engineer Interview Questions
- Carelon Global Solutions Associate Interview Questions
- Carelon Global Solutions Process Associate Interview Questions
- Carelon Global Solutions Senior System Analyst Interview Questions
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Interview Questions for Popular Designations
- Claims Associate Interview Questions
- Associate Software Engineer Interview Questions
- Software Engineer Interview Questions
- QA Engineer Interview Questions
- Associate Interview Questions
- Senior Software Engineer Interview Questions
- Process Associate Interview Questions
- Senior System Analyst Interview Questions
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Overall Interview Experience Rating
based on 298 interview experiences
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Carelon Global Solutions Reviews and Ratings
based on 3.5k reviews
Rating in categories
Hyderabad / Secunderabad
10-15 Yrs
Not Disclosed
Hyderabad / Secunderabad,
Gurgaon / Gurugram
+13-4 Yrs
Not Disclosed
Hyderabad / Secunderabad,
Gurgaon / Gurugram
+13-4 Yrs
Not Disclosed
|
Software Engineer
3.4k
salaries
|  ₹5 L/yr - ₹16.6 L/yr |
|
Senior Software Engineer
3.3k
salaries
| ₹9.6 L/yr - ₹30 L/yr |
|
Claims Associate
2.6k
salaries
| ₹1.5 L/yr - ₹5 L/yr |
|
Associate Software Engineer
1.4k
salaries
| ₹3 L/yr - ₹9.6 L/yr |
|
Technical Lead
1k
salaries
| ₹14 L/yr - ₹40.2 L/yr |
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