TL-Claims HC

3 - 7 years

0 Lacs

Posted:2 days ago| Platform: Shine logo

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Work Mode

On-site

Job Type

Full Time

Job Description

As an experienced Claims Adjudication Specialist, your role will involve overseeing the claims adjudication process to guarantee accuracy and compliance with industry standards. You will be responsible for implementing and enhancing automation solutions using UiPath to streamline claims processing. Collaboration with cross-functional teams will be essential to improve the efficiency of claims management. Analyzing claims data to identify trends and areas for improvement in the adjudication process will also be a key part of your responsibilities. Your key responsibilities will include: - Overseeing the claims adjudication process to ensure accuracy and compliance - Implementing and optimizing automation solutions using UiPath - Collaborating with cross-functional teams to enhance claims management efficiency - Analyzing claims data to identify trends and areas for improvement - Providing training and support to team members on best practices - Developing and maintaining documentation for claims processing procedures and automation workflows - Utilizing MS Office tools to generate reports and presentations for management review - Monitoring and evaluating the performance of claims processing systems - Coordinating with IT teams to resolve technical issues related to claims processing systems - Engaging with stakeholders to gather feedback and implement process improvements - Supporting the development of strategies to reduce claim processing times and improve customer satisfaction - Maintaining up-to-date knowledge of industry regulations and trends To excel in this role, you should demonstrate proficiency in MS Office applications for data analysis and reporting. You must exhibit expertise in UiPath for developing and managing automation solutions. In-depth knowledge of claims adjudication processes and best practices is essential, along with strong analytical skills to identify and address process inefficiencies. Effective communication with team members and stakeholders will be crucial in driving process improvements.,

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Cognizant

IT Services and IT Consulting

Teaneck New Jersey

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