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PE-Claims HC

Cognizant

2 - 5 years

Chennai

Posted: 05/08/2025

Job Description



Job Summary

Join our dynamic team as a PE-Claims HC specialist where you will play a crucial role in processing and adjudicating claims with precision and efficiency. This hybrid role requires a keen understanding of Medicare and Medicaid claims ensuring compliance and accuracy. With a focus on night shifts you will contribute to our mission of delivering exceptional healthcare solutions without the need for travel.


Responsibilities

  • Process claims with a high degree of accuracy ensuring compliance with Medicare and Medicaid regulations.
  • Analyze claims data to identify discrepancies and resolve issues promptly.
  • Collaborate with team members to streamline claims adjudication processes.
  • Maintain up-to-date knowledge of industry standards and regulatory changes.
  • Utilize technical skills to enhance claims processing efficiency.
  • Communicate effectively with stakeholders to ensure clarity and understanding of claims processes.
  • Implement best practices to improve overall claims management.
  • Monitor claims processing metrics to ensure timely and accurate adjudication.
  • Provide feedback and suggestions for process improvements.
  • Support the team in achieving departmental goals and objectives.
  • Ensure all claims are processed within established timelines.
  • Assist in the development of training materials for new team members.
  • Contribute to a positive work environment by fostering collaboration and teamwork.

    • Qualifications

  • Possess strong analytical skills to assess and adjudicate claims accurately.
  • Demonstrate proficiency in claims adjudication processes and tools.
  • Exhibit a solid understanding of Medicare and Medicaid claims requirements.
  • Show excellent communication skills to interact with various stakeholders.
  • Have the ability to work effectively in a hybrid work model.
  • Display a keen attention to detail to ensure compliance and accuracy.

    • Certifications Required

    N / A

    About Company

    Cognizant is a global leader in technology and consulting services, helping businesses transform their operations through digital solutions. Specializing in IT services, including software development, business process outsourcing, and consulting, Cognizant supports clients across industries such as healthcare, financial services, manufacturing, and retail. With a focus on innovation, Cognizant assists organizations in modernizing their technology, improving operational efficiency, and enhancing customer experiences. Headquartered in the U.S., it is consistently ranked among the most admired companies in the world and is a member of the NASDAQ-100.

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