Work from Office
Full Time
Job Summary Join our dynamic team as a Claims Specialist focusing on insurance claims adjudication. Utilize your expertise in MS Excel to analyze and process claims efficiently. Work from our office during night shifts contributing to the accuracy and timeliness of claim resolutions. Your role will directly impact customer satisfaction and operational excellence. Responsibilities Analyze insurance claims using MS Excel to ensure accurate adjudication and processing. Collaborate with team members to review and verify claim information for completeness and accuracy. Provide detailed reports on claim status and discrepancies to management for further action. Communicate effectively with stakeholders to resolve claim issues and ensure customer satisfaction. Maintain up-to-date knowledge of adjudication processes and insurance regulations to ensure compliance. Utilize Excel functions to streamline claim processing and enhance data management efficiency. Monitor claim trends and identify areas for process improvement to optimize operations. Support the team in achieving departmental goals by contributing to high-quality claim adjudication. Ensure timely resolution of claims to meet service level agreements and enhance customer experience. Participate in training sessions to enhance skills and stay updated with industry best practices. Assist in developing strategies to improve claim processing accuracy and reduce errors. Engage in continuous learning to adapt to evolving insurance industry standards and technologies. Foster a collaborative work environment to achieve team objectives and drive company success. Qualifications Demonstrate proficiency in MS Excel for data analysis and reporting. Possess strong knowledge of insurance claims adjudication processes. Exhibit excellent communication skills in English for effective stakeholder interaction. Show attention to detail and problem-solving skills to ensure accurate claim processing. Have a minimum of 2 years of experience in insurance claims adjudication. Display ability to work night shifts in an office setting.
Cognizant
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