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 14, 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.

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 345,000 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 (Nasdaq-100: CTSH) is one of the world's leading professional services companies, helping organizations modernize technology, reimagine processes and transform experiences so they stay ahead in a fast-changing world.

Our commitment to diversity and inclusion:
Cognizant is an equal opportunity employer that embraces diversity, champions equity and values inclusion. We are dedicated to nurturing a community where everyone feels heard, accepted and welcome. 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 protected characteristic as outlined 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.