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Hybrid Customer service specialist - Healthcare

00069460891

Job Summary

Join our dynamic team as a SPE-Ins Claims specialist where you will leverage your expertise in customer service and domain knowledge to enhance our claims processing operations. With a focus on Insurance claims you will play a crucial role in ensuring efficient and accurate claims handling.

Responsibilities

  • Analyze and process insurance claims with precision to ensure timely resolution and customer satisfaction.
  • Collaborate with cross-functional teams to gather necessary information and documentation for claims assessment.
  • Utilize domain expertise to identify potential discrepancies and recommend corrective actions.
  • Provide exceptional customer service by addressing inquiries and resolving issues promptly.
  • Implement best practices in claims management to optimize workflow efficiency and accuracy.
  • Monitor claims progress and update stakeholders on status and any required actions.
  • Conduct thorough investigations to validate claims and prevent fraudulent activities.
  • Maintain comprehensive records of claims transactions and communications for audit purposes.
  • Assist in developing strategies to improve claims processing and customer service delivery.
  • Participate in training sessions to stay updated on industry trends and regulatory changes.
  • Contribute to team meetings and discussions to share insights and drive continuous improvement.
  • Support the implementation of new technologies and systems to enhance claims operations.
  • Ensure compliance with company policies and industry standards in all claims activities.

Qualifications

  • Demonstrate proficiency in customer service and domain knowledge particularly in insurance claims processing.
  • Possess strong analytical skills to assess claims and identify discrepancies effectively.
  • Exhibit excellent communication skills to interact with clients and stakeholders professionally.
  • Show adaptability to rotational shifts and a hybrid work model for optimal performance.
  • Have familiarity with Property & Casualty Insurance as a nice-to-have skill.
  • Display commitment to continuous learning and staying updated on industry developments.

What we offer

  • The chance to work with impact. Here, you’re empowered to bring your biggest thinking to help our company and clients improve everyday life.
  • Ownership over your career. Stay at the top of your game through our award-winning learning and development ecosystem. And when your ambitions change or we offer new opportunities, we help you pivot by providing reskilling, on-the-job learning and guidance to find new roles that might be a better fit.
  • The opportunity to thrive on a high caliber team with heart. We celebrate each other’s experiences and perspectives and promote a sense of belonging through our affinity groups and diversity and inclusion initiatives.
  • A comprehensive total rewards package, including a competitive salary and a pension plan with matching contributions.
  • Flexible health and financial benefits to support you and your eligible dependents—from day one.
  • True work-life balance. Be at your best through paid time off, flexible work arrangements, volunteering opportunities, social events, and so much more.  

About us
Cognizant (Nasdaq: CTSH) is an AI Builder and technology services provider, building the bridge between AI investment and enterprise value by building full-stack AI solutions for our clients. Our deep industry, process and engineering expertise enables us to build an organization’s unique context into technology systems that amplify human potential, realize tangible returns and keep global enterprises ahead in a fast-changing world. See how at www.cognizant.com or @cognizant.

Other employment-related information
Cognizant is an equal opportunity employer. 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 characteristic protected by federal, provincial or local laws.

If you have a disability that requires reasonable accommodation to search for a job opening or submit an application, please email [email protected] with your request and contact information.

Language requirements vary depending on roles, but we ask that all candidates have basic English proficiency for company-wide communications purposes. For roles based in Quebec, professional English proficiency is required, as you’ll deliver services to and collaborate with stakeholders outside the province who may not speak French.

Your path to Cognizant

Wondering what to expect after you apply? Here’s a peek at our recruitment process—and keep in mind that not all candidates advance through every step and the process may vary depending on your role and location.

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Step 1: Application

Find an open role that aligns with your skills and career goals and show us why you’re the person for the job. Consider joining our Talent Community if you don’t find the right opportunity.

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Step 2: Recruiter call

If one of our recruiters sees a fit, they’ll set up a short introductory call to learn more about you and how your experiences and skills align with the role.

Step 3: Interview(s)

If you and our team would like to continue the process, you’ll meet with one of our hiring managers. Some roles may also require technical assessments and/or client interviews.

Step 4: Final decision

Our hiring team will then review each candidates’ potential to succeed in the role. This process may take some time because we want to get it right—but you can count on us to keep you updated.

Benefits that help you thrive and grow

Our teams achieve incredible things when they feel fully supported. That’s why our benefits program is built around the diverse needs of our people—so they can enjoy a fulfilling, balanced and healthy life.

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Financial wellbeing

Financial wellbeing

We regularly review market data to ensure compensation is competitive and reflects the value you bring. Your benefits extend beyond pay and may include retirement plans, financial education, discount programs, etc.

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Physical and mental wellbeing

Physical and mental wellbeing

We empower you to prioritize your wellbeing through paid time off, flexible working where possible, healthcare plans, counselling, our Mental Health Allyship program and more. 

Your Career, Your Way
Your career, your way

Your career, your way

With 90% of our associates building skills through GenAI training, job shadowing, industry certifications and more, you have everything you need to build a full career.

Professionals
Real-world impact

Real-world impact

Think about the biggest brands you rely on. Chances are, they rely on us to help strengthen their business. Here, you’ll turn bold ideas into solutions that improve lives everywhere.

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