Senior Analyst Claims Adjudication

Key ResponsibilitiesDesign, develop, and implement solutions on Pega Smart Claims platform for insurance/healthcare domain.Configure and customize Pega rules, flows, case types, data pages, activities, decision tables, and integrations.Work closely with business stakeholders to gather requirements and translate them into functional and technical...

Claims Data Analyst We're Hiring: Claims Data Analyst ROLE SUMMARY Seeking a highly skilled and detail-oriented Senior Claims Data Analyst. Candidates considered for this role must have extensive experience with Guidewire ClaimCenter and ETL tools to ensure seamless data mapping, migration, and reporting. The analyst will also provide insights...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers,...

About the job:What makes Cognizant a unique place to work? The combination of rapid growth and an international and innovative environment This is creating many opportunities for people like YOU — people with an entrepreneurial spirit who want to make a difference in this world.At Cognizant, together with your colleagues from all around the world, you will...

Looking for freshers* Processing of Cashless Requests & Health Insurance Claims for TPA / Insurance company * Process and Provide Medical opinion for Health Insurance Claims* Understanding of Claims adjudication / Claims Processing

Job SummaryThe TL-Encounters role is pivotal in ensuring the seamless processing and adjudication of claims within our hybrid work model. With a focus on Facets and UiPath the candidate will leverage their expertise in Provider and Payer domains to optimize workflows and enhance operational efficiency. This night shift position requires a proactive approach...

Job Role : Healthcare AnalystNo. Of Positions : 4Location : HyderabadExperience : 5+ YearsAbout Dexur:Dexur is a Unified healthcare quality, safety, and incident platform. You can review a 2 minute video of our platform on our website here: We work with more than 100 hospitals and are partnered with the Indiana Hospital Association, Texas Hospital...

Claims Service Manager DescriptionManagement of commercials claims, Data management & analysis, Claims Disposal & Ageing control and MIS Management of Claims, Audit & IT Development. No of years – 5-8 years Minimum Type of Industry – General Insurance Specific knowledge of Property Claims Handling. Experience in Managing internal and...

Key ResponsibilitiesGather, document, and analyze business requirements specific to healthcare payor processes (claims, eligibility, benefits, enrollment, billing, provider network management, etc.).Translate business needs into detailed functional and technical requirements.Collaborate with stakeholders, product managers, and IT teams to design and enhance...

Cognizant Walk-in drive for US Healthcare - Senior Claims Auditor with Amisys experience in HyderabadInterview Date : 13th Sep 2025 (Saturday)Interview Time : 10:00 AM 1:30 PMVenue : Building 12A , 1st floor Raheja Mindspace IT Park, Mindspace Madhapur Rd, HITEC City, Hyderabad, Telangana 500081Contact Person : Vamsi Krishna Preferred candidates...