Your browser does not support javascript! Please enable it, otherwise web will not work for you.

SPE-Claims HC @ Cognizant

Home > Non Voice

Cognizant  SPE-Claims HC

Job Description



Job Summary

Join our team as a Claims Specialist where you will leverage your expertise in claims adjudication to ensure accurate and efficient processing of claims. With a focus on detail and precision you will contribute to the seamless operation of our claims department enhancing customer satisfaction and supporting the companys mission to deliver exceptional service. This role offers a work-from-home model with day shifts providing flexibility and work-life balance.


Responsibilities

  • Analyze and adjudicate claims with precision to ensure compliance with company policies and regulations.
  • Collaborate with cross-functional teams to resolve complex claims issues and enhance operational efficiency.
  • Utilize your expertise in claims adjudication to identify trends and recommend process improvements.
  • Maintain accurate records of claims processing activities to support audits and reporting requirements.
  • Provide exceptional customer service by addressing inquiries and resolving claims-related concerns promptly.
  • Monitor claims processing metrics to ensure timely and accurate completion of tasks.
  • Implement best practices in claims adjudication to optimize workflow and reduce processing time.
  • Communicate effectively with stakeholders to ensure alignment and understanding of claims processes.
  • Develop training materials and conduct sessions to enhance team knowledge and skills in claims adjudication.
  • Ensure adherence to industry standards and regulations in all claims processing activities.
  • Participate in regular team meetings to discuss challenges and strategize solutions for claims management.
  • Support the companys mission by contributing to the improvement of claims processing systems and tools.
  • Drive innovation by suggesting new approaches to streamline claims adjudication processes.

    • Qualifications

  • Possess a strong background in claims adjudication with a minimum of 2 years of experience.
  • Demonstrate proficiency in claims processing systems and tools.
  • Exhibit excellent analytical skills to identify and resolve claims discrepancies.
  • Have a good understanding of the payer domain and claims processes.
  • Show strong communication skills to interact effectively with team members and stakeholders.
  • Display a commitment to continuous learning and improvement in claims adjudication.
  • Be detail-oriented with the ability to manage multiple tasks efficiently.

    • Certifications Required

    Bsc Nursing with min 2-3 years of experience

    Job Classification

    Industry: IT Services & Consulting
    Functional Area / Department: Customer Success, Service & Operations
    Role Category: Non Voice
    Role: Technical Support - Non Voice
    Employement Type: Full time

    Contact Details:

    Company: Cognizant
    Location(s): Bengaluru

    + View Contact

    Keyskills:   project management analytical customer service claims adjudication operational efficiency detail-oriented process improvements claims processing system operations customer satisfaction claims management strong communication skills regulations communication skills

     Fraud Alert to job seekers!

    ₹ Not Disclosed

    Similar positions

    US Healthcare | Medical Billing | Payment posting

    • Omega Healthcare
    • 1 - 5 years
    • Chennai
    • 1 month ago
    ₹ Not Disclosed

    Customer Support Non Voice - Us Healthcare - Freshers 2025 - Us Shift

    • Trigent
    • 0 years
    • Mumbai
    • 3 mths ago
    ₹ 2-2.75 Lacs P.A.

    Cognizant

    Cognizant Softvision Cognizant Softvision creates impactful end-to-end digital products and solutions that result in relevant, memorable and rewarding interactions between brands and consumers. With a unique approach, we deliver sustainable innovation and business transformation for the world's...

    IneoJobs.com © 2026

    For enquiries: contact(at)indigojobs.in

    We are in open beta version of website, please let us know if any issues, at: info(at)indigojobs.in