Process Executive

2 days ago

Coimbatore Tamil Nadu, India Cognizant Full time

**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 mínimal 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.

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