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Process Executive - HC

Cognizant

2 - 5 years

Coimbatore

Posted: 4/18/2025

Job Description



Job Summary

As a Process Executive - HC you will be responsible for handling claims adjudication processes utilizing MS Office and UiPath tools. You will work in a hybrid model with night shifts ensuring efficient and accurate processing of provider and payer claims. This role requires attention to detail and the ability to work independently with minimal supervision.


Responsibilities

  • Handle claims adjudication processes with precision and accuracy.
  • Utilize MS Office tools to manage and document claims information.
  • Employ UiPath automation tools to streamline claims processing.
  • Ensure compliance with provider and payer guidelines during claims adjudication.
  • Maintain up-to-date knowledge of industry standards and regulations.
  • Collaborate with team members to resolve complex claims issues.
  • Provide timely and accurate updates on claims status to stakeholders.
  • Identify and escalate any discrepancies or issues in claims processing.
  • Participate in continuous improvement initiatives to enhance process efficiency.
  • Adhere to company policies and procedures while handling sensitive information.
  • Ensure all claims are processed within the specified turnaround time.
  • Conduct regular audits to ensure the accuracy and completeness of claims data.
  • Support team members in achieving departmental goals and objectives.

    • Qualifications

  • Possess strong knowledge and experience in claims adjudication processes.
  • Demonstrate proficiency in using MS Office tools for documentation and reporting.
  • Have hands-on experience with UiPath automation tools.
  • Exhibit understanding of provider and payer domain requirements.
  • Show excellent attention to detail and problem-solving skills.
  • Display the ability to work independently and manage time effectively.
  • Maintain strong communication skills for effective collaboration.
  • Demonstrate adaptability to work in a hybrid model with night shifts.
  • Have a commitment to maintaining confidentiality and data security.
  • Show willingness to participate in continuous learning and development.
  • Possess a proactive approach to identifying and resolving issues.
  • Exhibit the ability to work under pressure and meet deadlines.
  • Demonstrate a customer-centric mindset in all interactions.

    • 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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