Senior Claims Analyst (remote)

Senior Claims Analyst (remote)

This is a remote position open to any qualified applicant in the United States...

Job Summary

We are seeking a dedicated Senior Claims Analyst to join our team. The ideal candidate will have 2 to 3 years of experience and a strong proficiency in MS Excel. Experience with healthcare claims- adjustment/adjudication. This role involves managing and optimizing processes to ensure efficient operations and high-quality service delivery.

Responsibilities
• Claims Adjudication / Adjustment
• Review and scrutinize claims and process claims into the computer system as per the provided DLPs /guidelines
• Determine accurate claims payment or denial, identify, and elevate dubious claims or system issues to process the claim accurately.
• Process claims in a timely manner, as per the required TAT
• Correct errors or omissions on claim and investigate questionable data
• To maintain Quality as per the SLA
• To maintain Productivity as per the SLA
• Continuously meet and exceed the assigned Targets
• Performance should be maintained in accordance with the process performance parameters
• To maintain confidentiality of work done
• To follow all regulatory requirements and procedures as per the company policy
• Display high levels of professionalism in the work delivered and overall conduct
• Qualifications
• High school Diploma or GED is REQUIRED
• Possess strong technical skills in MS Excel including data analysis and reporting.
• Have experience in the healthcare claims
• Demonstrate excellent communication and interpersonal skills.
• Show strong attention to detail and organizational skills.
• Exhibit the ability to work independently and as part of a team.
• Display a proactive approach to problem-solving and process improvement.

Salary and Other Compensation:

Applications will be accepted until September 27, 2024.

The hourly rate for this position is between $17.00 – 18.00 per hour, depending on experience and other qualifications of the successful candidate.

This position is also eligible for Cognizant’s discretionary annual incentive program, based on performance and subject to the terms of Cognizant’s applicable plans.

Benefits: Cognizant offers the following benefits for this position, subject to applicable eligibility requirements:

· Medical/Dental/Vision/Life Insurance

· Paid holidays plus Paid Time Off

· 401(k) plan and contributions

· Long-term/Short-term Disability

· Paid Parental Leave

· Employee Stock Purchase Plan

Disclaimer: The hourly rate, other compensation, and benefits 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

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