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SPE-Claims HC

SPE-Claims HC

Cognizant

2 - 4 years

Coimbatore

Posted:7 months ago

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Job Description

Job Summary

Join our dynamic team as a Claims Specialist where you will leverage your expertise in claims adjudication and pre-adjudication processes to enhance our commercial claims operations. With a focus on accuracy and efficiency you will play a crucial role in ensuring seamless claims processing contributing to the companys success and positively impacting the healthcare industry.

Responsibilities

Analyze and process commercial claims with precision to ensure compliance with company policies and industry standards.

Collaborate with cross-functional teams to streamline pre-adjudication processes enhancing operational efficiency.

Utilize your expertise in claims adjudication to identify discrepancies and implement corrective actions.

Maintain up-to-date knowledge of healthcare regulations and policies to ensure accurate claims processing.

Provide detailed reports and insights on claims trends to support strategic decision-making.

Engage in continuous improvement initiatives to optimize claims processing workflows.

Communicate effectively with stakeholders to resolve claims-related inquiries and issues.

Monitor claims processing metrics to identify areas for improvement and implement solutions.

Ensure timely and accurate processing of claims to meet organizational goals.

Support the development and implementation of new claims processing technologies.

Participate in training sessions to stay current with industry best practices and advancements.

Contribute to the development of policies and procedures to enhance claims processing efficiency.

Foster a collaborative work environment to achieve team objectives and improve overall performance.

Qualifications

Demonstrate proficiency in claims adjudication processes with a strong attention to detail.

Possess in-depth knowledge of pre-adjudication and commercial claims operations.

Exhibit excellent communication skills in English both written and spoken.

Show ability to work effectively in a night shift office environment.

Display strong analytical skills to assess and resolve claims discrepancies.

Have experience in collaborating with cross-functional teams to achieve common goals.

Demonstrate commitment to continuous learning and professional development.

Skills Required

pre process commercial analytical strong analytical skills claims adjudication professional development corrective action adjudication claims processing operations continuous improvement writing claims solution implementation communication skills

Work Mode

Work from Office

Job Type

Full Time

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SPE-Claims HC