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SPE-Claims HC @ Cognizant

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Cognizant  SPE-Claims HC

Job Description

 


 

Job Summary

Join our team as a Claims Specialist where you will leverage your expertise in MS Excel and Claims Adjudication to enhance our claims processing efficiency. With a hybrid work model and night shifts you will play a crucial role in ensuring accurate and timely adjudication of claims contributing to the companys mission of delivering exceptional service to our clients.


 

Responsibilities

  • Analyze and process claims using MS Excel to ensure accuracy and compliance with company standards
  • Collaborate with team members to resolve complex claims issues and improve adjudication processes
  • Utilize your knowledge of claims adjudication to identify discrepancies and implement corrective actions
  • Maintain detailed records of claims processed and ensure all documentation is complete and accurate
  • Communicate effectively with stakeholders to provide updates on claims status and resolve any queries
  • Participate in regular training sessions to stay updated on industry trends and best practices
  • Contribute to the development of new strategies to enhance claims processing efficiency
  • Support the team in achieving departmental goals and objectives through proactive problem-solving
  • Ensure adherence to company policies and procedures in all aspects of claims processing
  • Provide insights and recommendations to improve claims adjudication workflows
  • Assist in the preparation of reports and analysis for management review
  • Engage in continuous learning to enhance your skills and knowledge in claims and payer domain
  • Foster a collaborative work environment to achieve team success. Qualifications
  •  
  • Demonstrated proficiency in MS Excel for data analysis and reporting
  • Proven experience in claims adjudication with a focus on accuracy and efficiency
  • Familiarity with claims and payer domain is advantageous
  • Strong analytical skills to identify and resolve discrepancies in claims processing
  • Excellent communication skills to interact with stakeholders and team members
  • Ability to work effectively in a hybrid work model and adapt to night shifts

Job Classification

Industry: IT Services & Consulting
Functional Area / Department: Finance & Accounting
Role Category: Accounting & Taxation
Role: Accountant / Accounts Executive
Employement Type: Full time

Contact Details:

Company: Cognizant
Location(s): Chennai

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Keyskills:   data analysis analytical workflow quality control payments strong analytical skills documentation us healthcare claims adjudication corrective action excel claims processing fmea compliance quality assurance claims medical billing ppap reporting communication skills

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Cognizant

Cognizant