Job Vacancy Coimbatore, Tamil Nadu, India Position Property & Casualty Claims Examiner – Healthcare at Cognizant

Job Summary

Join our dynamic team as a PE-Claims HC specialist where you will play a crucial role in processing and adjudicating claims with precision and efficiency. This hybrid role offers the opportunity to work with Medicare and Medicaid claims ensuring compliance and accuracy. With a focus on night shifts you will contribute to our mission of delivering exceptional healthcare services.

Responsibilities

• Process and adjudicate claims with a focus on accuracy and compliance ensuring timely resolution.
• Collaborate with team members to review and analyze Medicare and Medicaid claims identifying discrepancies and resolving issues.
• Utilize technical skills in claims adjudication to streamline processes and enhance efficiency.
• Maintain up-to-date knowledge of industry regulations and standards to ensure compliance in all claims processing activities.
• Communicate effectively with internal and external stakeholders to facilitate smooth claims processing and resolution.
• Monitor and report on claims processing metrics identifying areas for improvement and implementing solutions.
• Provide support and guidance to team members fostering a collaborative and productive work environment.
• Participate in training sessions and workshops to enhance skills and stay informed about industry trends.
• Contribute to the development and implementation of best practices for claims processing and adjudication.
• Ensure all claims are processed in accordance with company policies and procedures maintaining high standards of quality.
• Assist in the preparation of reports and documentation related to claims processing activities.
• Engage in continuous learning and development to enhance technical and domain expertise.
• Support the companys mission by delivering exceptional service and contributing to the overall success of the healthcare claims department.

Qualifications

• Demonstrate proficiency in claims adjudication with a strong understanding of Medicare and Medicaid claims.
• Possess excellent analytical and problem-solving skills to identify and resolve claims discrepancies.
• Exhibit strong communication skills to effectively interact with team members and stakeholders.
• Show a commitment to continuous learning and professional development in the healthcare claims domain.
• Display attention to detail and accuracy in all aspects of claims processing.
• Have the ability to work independently and collaboratively in a hybrid work model.
• Be adaptable to night shift work ensuring consistent performance and productivity.

Certifications Required

N / A