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Cognizant
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PE-Ins Claims

PE-Ins Claims

Cognizant

1 - 3 years

1 - 3 Lacs

Hyderabad

Posted:6 days ago| Platform:

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Skills Required

insurance providing analytical software us healthcare insurance claims interpersonal skills claims adjudication monitoring healthcare claims processing payment posting operations claims management compliance claims medical billing health claims communication skills

Work Mode

Work from Office

Job Type

Full Time

Job Description

Job Summary

Join our dynamic team as a PE-Ins Claims specialist where you will leverage your expertise in the Life and Annuity domain to enhance our claims processing efficiency. With 1 to 3 years of experience you will work from our office during night shifts contributing to the seamless operation of our insurance services. Your role will be pivotal in ensuring accurate and timely claims management directly impacting customer satisfaction and company success.

Responsibilities

Analyze and process insurance claims within the Life and Annuity domain to ensure accuracy and compliance with company policies.

Collaborate with team members to identify and resolve discrepancies in claims documentation enhancing overall process efficiency.

Utilize domain knowledge to assess claims and determine appropriate resolutions minimizing risk and maximizing customer satisfaction.

Maintain detailed records of claims activities ensuring transparency and accountability in all transactions.

Communicate effectively with internal and external stakeholders to facilitate smooth claims processing and address any inquiries.

Implement best practices in claims management to streamline operations and reduce processing times.

Provide insights and recommendations for process improvements based on data analysis and industry trends.

Ensure adherence to regulatory requirements and company standards in all claims-related activities.

Support the development and implementation of new claims processing tools and technologies.

Participate in training sessions and workshops to stay updated on industry developments and enhance professional skills.

Contribute to team meetings and discussions sharing knowledge and experiences to foster a collaborative work environment.

Monitor and report on claims processing metrics identifying areas for improvement and implementing corrective actions.

Assist in the preparation of reports and presentations for management review highlighting key performance indicators and achievements.

Qualifications

Demonstrate strong analytical skills with a focus on accuracy and attention to detail.

Exhibit excellent communication and interpersonal skills to effectively interact with stakeholders.

Possess a solid understanding of Life and Annuity insurance products and processes.

Show proficiency in claims management software and related technologies.

Display the ability to work independently and as part of a team in a fast-paced environment.

Have a proactive approach to problem-solving and decision-making.

Demonstrate a commitment to continuous learning and professional development.

Certifications Required

Certified Insurance Claims Specialist (CICS) or equivalent certification in Life and Annuity domain.

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PE-Ins Claims