Job Summary

Join our dynamic team as a Claims Specialist where you will leverage your expertise in claims adjudication and payer domain to ensure accurate and efficient processing of claims. With a focus on MS Excel proficiency you will contribute to optimizing workflows and enhancing data management. This hybrid role offers the opportunity to work in a collaborative environment driving impactful results in the healthcare sector.

Responsibilities

• Analyze and adjudicate healthcare claims with precision to ensure compliance with payer policies and procedures
• Utilize MS Excel to manage and organize claim data facilitating efficient processing and reporting
• Collaborate with cross-functional teams to identify and resolve discrepancies in claims processing
• Implement strategies to streamline claims adjudication processes enhancing overall operational efficiency
• Provide insights and recommendations based on data analysis to improve claims management practices
• Monitor and evaluate claim trends to identify areas for improvement and implement corrective actions
• Ensure adherence to regulatory requirements and industry standards in all claims processing activities
• Support the development and maintenance of documentation related to claims adjudication processes
• Assist in training and mentoring junior team members to foster a culture of continuous learning and improvement
• Engage with stakeholders to understand their needs and deliver solutions that enhance customer satisfaction
• Contribute to the development of innovative solutions that address challenges in claims adjudication
• Participate in regular team meetings to share insights and collaborate on process improvement initiatives
• Drive the implementation of best practices in claims management to achieve organizational goals. Qualifications
• Demonstrate proficiency in MS Excel for data analysis and reporting
• Exhibit strong knowledge of claims adjudication processes and payer domain expertise
• Possess excellent analytical skills to identify trends and make data-driven decisions
• Show ability to work collaboratively in a hybrid work model adapting to both remote and in-office environments
• Display effective communication skills to interact with stakeholders and team members
• Have a keen eye for detail to ensure accuracy in claims processing
• Demonstrate problem-solving skills to address challenges in claims management
• Exhibit a proactive approach to learning and adapting to new technologies and processes
• Show commitment to maintaining high standards of quality and compliance in all tasks
• Possess the ability to manage multiple priorities and meet deadlines in a fast-paced environment
• Demonstrate a customer-focused mindset to enhance satisfaction and service delivery
• Show willingness to contribute to team goals and support organizational objectives
• Display a strong sense of responsibility and accountability in all aspects of work.

Certifications Required

Certified Professional Coder (CPC) MS Excel Certification

The Cognizant community:
We are a high caliber team who appreciate and support one another. Our people uphold an energetic, collaborative and inclusive workplace where everyone can thrive.

• Cognizant is a global community with more than 300,000 associates around the world.
• We don’t just dream of a better way – we make it happen.
• We take care of our people, clients, company, communities and climate by doing what’s right.
• We foster an innovative environment where you can build the career path that’s right for you.

About us:
Cognizant is one of the world's leading professional services companies, transforming clients' business, operating, and technology models for the digital era. Our unique industry-based, consultative approach helps clients envision, build, and run more innovative and efficient businesses. Headquartered in the U.S., Cognizant (a member of the NASDAQ-100 and one of Forbes World’s Best Employers 2025) is consistently listed among the most admired companies in the world. Learn how Cognizant helps clients lead with digital at www.cognizant.com

Cognizant is an equal opportunity employer. Your application and candidacy will not be considered based on race, color, sex, religion, creed, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, veteran status or any other characteristic protected by federal, state or local laws.

Disclaimer:
Compensation information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law.

Applicants may be required to attend interviews in person or by video conference. In addition, candidates may be required to present their current state or government issued ID during each interview.