Jobs

Tools

Upskill and Grow with AI

Mock Interview Practice interviews in realistic simulations

Coding Practice Improve your coding skills with challenges

Certification Earn certifications to validate your skills

AI Learning Get trained with AI expert sessions

Career Guru AI insights for smarter career decisions

Career Tools and Resources

Resume Builder Build Professional Resume with Ease

ATS Friendliness Check Check Resume Friendliness for Applicant Tracking Systems

Auto Apply Apply to hundreds of jobs on any platform effortlessly

Interview Questions Streamline interviews with ready-to-use questions

Salaries Discover market-driven salary insights across skillsets and geographies

Companies Explore leading companies actively hiring talent
For Employers

Home

Jobs

Companies

Resume

Home
>
Jobs in Bangalore Urban
>
Cognizant
>
Process Specialist - HC

Process Specialist - HC

Cognizant

5 - 8 years

0 Lacs

Bangalore Urban Karnataka India

Posted:3 weeks ago| Platform:

Apply

Skills Required

writing compliance regulations processing analyze resolve efficiency effectiveness report audits service development support communication training mentoring optimization management software certifications certification

Work Mode

On-site

Job Type

Full Time

Job Description

Job Summary We are seeking a Process Specialist with 5 to 8 years of experience in Facets - Claims and Claims Adjudication. The ideal candidate will have expertise in Dental Claims and Commercial Claims. This role requires working from the office during day shifts. The candidate must be a native English speaker with strong reading writing and speaking skills. Responsibilities Oversee the claims adjudication process to ensure accuracy and compliance with company policies and regulations. Provide expertise in Facets Claims to streamline and optimize claims processing workflows. Analyze and resolve complex claims issues related to Dental Claims and Commercial Claims. Collaborate with cross-functional teams to improve claims processing efficiency and effectiveness. Develop and implement best practices for claims adjudication to enhance overall process quality. Monitor and report on key performance indicators to track the effectiveness of claims processing. Conduct regular audits of claims to identify and address any discrepancies or errors. Train and mentor junior team members on claims adjudication processes and best practices. Ensure all claims are processed within the established turnaround times and service level agreements. Participate in continuous improvement initiatives to enhance the claims processing function. Maintain up-to-date knowledge of industry trends and regulatory changes impacting claims adjudication. Provide exceptional customer service by addressing and resolving claims-related inquiries and issues. Contribute to the development of policies and procedures to support the claims adjudication process. Qualifications Possess strong technical skills in Facets Claims and Claims Adjudication. Have in-depth knowledge and experience in Dental Claims and Commercial Claims. Demonstrate excellent analytical and problem-solving abilities. Exhibit strong communication skills both written and verbal in English. Show proficiency in training and mentoring team members. Display a commitment to continuous improvement and process optimization. Maintain a high level of attention to detail and accuracy in all tasks. Have the ability to work effectively in a fast-paced dynamic environment. Demonstrate strong organizational and time management skills. Possess a customer-focused mindset with a dedication to providing exceptional service. Show proficiency in using relevant software and tools for claims processing. Exhibit a strong understanding of industry regulations and compliance requirements. Demonstrate the ability to work collaboratively with cross-functional teams. Certifications Required Certified Professional Coder (CPC) or equivalent certification in claims processing. Show more Show less

More Jobs at Cognizant

Service Desk Engineer

Bengaluru

Experience: Not specified

INR 0 - 2 Lacs

Opening For Sound Engineer/Audio engineer

Hyderabad, Gurgaon

1 - 6 yrs

INR 2 - 6 Lacs

Process Executive - Walk in For Freshers at Hyderabad

Hyderabad

Experience: Not specified

INR 1 - 2 Lacs

Walkin Drive For Java MSB, Java FSE + Angular, Java FSE + React

Pune

4 - 9 yrs

INR 5 - 15 Lacs

Process Specialist - Mortgage Underwriting

Chennai, Navi Mumbai, Mumbai (All Areas)

5 - 10 yrs

INR 5 - 7 Lacs

Mock Interview

Practice Video Interview with JobPe AI

Start Writing Interview Now

My Connections Cognizant

Download Chrome Extension (See your connection in the Cognizant )

Download Now

Cognizant

www.cognizant.com

IT Services and IT Consulting

Teaneck New Jersey

10001 Employees

2577 Jobs

Key People

Brian Humphries

CEO
Gina Schaefer

CFO
Ranjan Kalia

President, Cognizant North America
Katherine H. (Katie) Talarico

Chief Marketing Officer

Login to

Please Verify Your Phone or Email

Confirm Action

Search

Profile

Bookmarks

Process Specialist - HC

Experience & Salary

Skills Required

Work Mode

Job Type

Job Description

More Jobs at Cognizant

Mock Interview

Download Chrome Extension (See your connection in the Cognizant )

RecommendedJobs for You

Process Specialist - HC

Process Specialist - HC

Process Specialist - HC

Process Specialist - HC

Process Specialist - HC

Process Specialist - HC

Process Specialist - HC

Process Specialist - HC

Process Specialist - HC

Process Specialist - HC

Login to

Please Verify Your Phone or Email

Confirm Action

Contact Us

Search

Profile

Bookmarks

Personal Settings

Process Specialist - HC

Experience & Salary

Skills Required

Work Mode

Job Type

Job Description

More Jobs at Cognizant