Process Executive - HC
Cognizant
**Job Summary**
We are seeking a Process Executive - HC with 0 to 1 years of experience to join our team. The ideal candidate will have expertise in Facets - Claims and Claims Adjudication along with domain experience in Dental Claims and Commercial Claims. This is a hybrid role with night shifts and no travel is required. Proficiency in English is essential.
**Responsibilities**
+ Process claims accurately and efficiently using Facets
+ Claims and Claims Adjudication systems.
+ Ensure all Dental Claims and Commercial Claims are processed in compliance with company policies and industry standards.
+ Review and verify claim information to ensure completeness and accuracy.
+ Identify and resolve discrepancies in claim submissions.
+ Maintain up-to-date knowledge of industry regulations and guidelines related to claims processing.
+ Collaborate with team members to ensure timely and accurate claim adjudication.
+ Provide support and assistance to other team members as needed.
+ Communicate effectively with internal and external stakeholders to resolve claim issues.
+ Document all claim processing activities accurately and thoroughly.
+ Participate in training sessions to stay current with system updates and changes.
+ Contribute to process improvement initiatives to enhance efficiency and accuracy.
+ Ensure confidentiality and security of all claim information.
+ Meet or exceed performance metrics and quality standards set by the company.
**Qualifications**
+ Possess strong technical skills in Facets
+ Claims and Claims Adjudication.
+ Have domain expertise in Dental Claims and Commercial Claims.
+ Demonstrate proficiency in English with the ability to read write and speak at a novice level.
+ Exhibit attention to detail and strong analytical skills.
+ Show ability to work effectively in a hybrid work model with night shifts.
+ Display excellent communication and interpersonal skills.
+ Have a commitment to maintaining confidentiality and security of sensitive information.
**Certifications Required**
Certified Claims Professional (CCP) or equivalent certification in claims processing.
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.
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