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SME / Team Lead @ Cognizant

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 SME / Team Lead

Job Description

Roles and Responsibilities

  • Manage a team of Adjudicators to ensure efficient claims processing and resolution.
  • Oversee daily operations, ensuring timely completion of tasks and meeting productivity targets.
  • Develop and implement process improvements to enhance efficiency, quality, and customer satisfaction.
  • Collaborate with cross-functional teams to resolve complex issues related to health insurance claims.
  • Ensure compliance with regulatory requirements, industry standards, and company policies.

Desired Candidate Profile

  • 5-10 years of experience in US Healthcare Adjudication (Claims) or equivalent experience in Insurance Claims handling.
  • Strong understanding of health claims processing, including medical terminology, regulations, and guidelines.
  • Excellent communication skills for effective collaboration with internal stakeholders and external customers.
  • Ability to work independently as well as lead a team towards achieving common goals.

Valid PAN Number - _____________________(Why PAN Required > Mandatory to Process Candidature & Find Duplicity in Internal PAN Validation Process and also to initiate a screening call.

Please reach out in case of any queries.

Sonali Chattopadhyay I Associate People Success
Orcapod Consulting Services Pvt Ltd.
Email I so*****************y@or****d.work
www.orcapodservices.com
9548431***

Job Classification

Industry: BPM / BPO
Functional Area / Department: BFSI, Investments & Trading
Role Category: BFSI, Investments & Trading - Other
Role: BFSI, Investments & Trading - Other
Employement Type: Full time

Contact Details:

Company: Orcapod Consulting
Location(s): Kochi

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Keyskills:   Team Handling Claims claim adjudication Adjudication US Healthcare Health Claims Insurance Claims

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