Jobs

Interviews
Job Alerts
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 Path AI insights for smarter career decisions

AI Job Match Score AI-Powered Job Match Against Your Resume and Optimize Your Resume

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

Co-Pilot (Chrome Extension) Your AI Assistant for Seamless Browsing Efficiency

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

Home
>
Jobs in Bangalore Urban
>
Cognizant
>
SME-Claims HC

SME-Claims HC

Cognizant

5 years

0 Lacs

Bangalore Urban Karnataka India

Posted:1 day ago| Platform:

Apply

Skills Required

processing efficiency compliance analysis optimization integration resolve documentation support training service audits analyze data development drive management communication certifications certification

Work Mode

On-site

Job Type

Full Time

Job Description

Job Summary

Join our team as a Subject Matter Expert in Claims HC where you will leverage your expertise in Facets Claims and Claims Adjudication to optimize our claims processing systems. With a focus on Dental and Commercial Claims you will play a pivotal role in enhancing operational efficiency and ensuring compliance with industry standards. This office-based role offers the opportunity to work in a dynamic environment contributing to impactful projects that benefit both the company and society.

Responsibilities

Lead the analysis and optimization of claims processing workflows to enhance efficiency and accuracy.
Oversee the implementation of Facets Claims and Claims Adjudication systems to ensure seamless integration and functionality.
Provide expert guidance on Dental and Commercial Claims processes to ensure compliance with industry standards.
Collaborate with cross-functional teams to identify and resolve system issues improving overall operational performance.
Develop and maintain documentation for claims processing procedures to support training and knowledge sharing.
Monitor and evaluate system performance recommending improvements to enhance service delivery.
Conduct regular audits of claims processes to ensure adherence to regulatory requirements and company policies.
Facilitate training sessions for team members to enhance their understanding of claims systems and processes.
Analyze data trends to identify opportunities for process improvements and cost savings.
Support the development of new claims processing initiatives to drive innovation and efficiency.
Communicate effectively with stakeholders to provide updates on project progress and system enhancements.
Ensure that all claims processing activities align with the companys strategic goals and objectives.
Contribute to the development of best practices for claims management to support continuous improvement. Qualifications
Demonstrate proficiency in Facets Claims and Claims Adjudication with a strong understanding of system functionalities.
Possess in-depth knowledge of Dental and Commercial Claims processes and industry standards.
Exhibit excellent analytical skills to identify and resolve complex system issues.
Show strong communication skills in English both written and verbal to effectively collaborate with team members.
Display a proactive approach to problem-solving and process improvement.
Have a minimum of 5 years of experience in claims processing with a focus on Dental and Commercial Claims.
Be able to work independently and manage multiple tasks in a fast-paced environment.

Certifications Required

Certified Professional Coder (CPC) or equivalent certification in claims processing.

More Jobs at Cognizant

Workday: Walk-in drive 10th May Pune with CTS(Full time)

Pune, Mumbai (All Areas)

3 - 8 yrs

INR 7 - 17 Lacs

Java Full Stack Developer

Chennai

5 - 10 yrs

INR 10 - 20 Lacs

Walkin For Freshers @hyderabad

Hyderabad

Experience: Not specified

INR 0 - 2 Lacs

React JS Developer

Hyderabad

2 - 7 yrs

INR 9 - 14 Lacs

Java Developer

Bengaluru

5 - 10 yrs

INR 15 - 30 Lacs

Mock Interview

Practice Video Interview with JobPe AI

Start Job-Specific Interview

Start Your Job Search Today

Browse through a variety of job opportunities tailored to your skills and preferences. Filter by location, experience, salary, and more to find your perfect fit.

Job Application AI Bot

Apply to 20+ Portals in one click

Download Now

Download the Mobile App

Instantly access job listings, apply easily, and track applications.

Enhance Your Skills

Practice coding challenges to boost your skills

Start Practicing Now

Cognizant

IT Services and IT Consulting

Teaneck New Jersey

Login to

Please Verify Your Phone or Email

Confirm Action

Search

Profile

Upskill and Grow with AI

SME-Claims HC