TL-Claims HC

16 hours ago

India Cochin Kochi Ernakulam Cognizant Full time

Job Description Job Summary We are seeking a dedicated professional for the role of TL-Claims HC with 5 to 7 years of experience. The candidate will be responsible for overseeing claims adjudication processes ensuring accuracy and efficiency. This hybrid role requires expertise in MS Office and UiPath with a strong understanding of payer and provider domains. The position involves night shifts offering an opportunity to contribute to our mission of enhancing healthcare services. Responsibilities - Oversee the claims adjudication process to ensure accuracy and compliance with industry standards. - Implement and optimize automation solutions using UiPath to streamline claims processing. - Collaborate with cross-functional teams to enhance the efficiency of claims management. - Analyze claims data to identify trends and areas for improvement in the adjudication process. - Provide training and support to team members on best practices in claims adjudication. - Develop and maintain documentation for claims processing procedures and automation workflows. - Ensure adherence to payer and provider guidelines to maintain compliance and quality standards. - Utilize MS Office tools to generate reports and presentations for management review. - Monitor and evaluate the performance of claims processing systems to identify potential enhancements. - Coordinate with IT teams to resolve technical issues related to claims processing systems. - Engage with stakeholders to gather feedback and implement process improvements. - Support the development of strategies to reduce claim processing times and improve customer satisfaction. - Maintain up-to-date knowledge of industry regulations and trends to ensure compliance. Qualifications - Demonstrate proficiency in MS Office applications for data analysis and reporting. - Exhibit expertise in UiPath for developing and managing automation solutions. - Possess in-depth knowledge of claims adjudication processes and best practices. - Showcase experience in the payer and provider domains to ensure effective claims management. - Display strong analytical skills to identify and address process inefficiencies. - Communicate effectively with team members and stakeholders to drive process improvements.

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