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Customer Service Representative

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Job Summary

We are seeking a Senior Process Executive - HC with 3 to 5 years of experience in customer service specifically within the provider and payer domains. This work-from-home position requires a dedicated professional to handle day-to-day operations efficiently during day shifts. The role does not require travel.


Responsibilities

  • Handle customer service inquiries and issues with professionalism and efficiency.
  • Provide support to providers and payers ensuring all queries are resolved promptly.
  • Oversee the processing of claims and ensure accuracy in all transactions.
  • Coordinate with internal teams to ensure seamless service delivery.
  • Maintain up-to-date knowledge of industry regulations and standards.
  • Implement process improvements to enhance service quality and efficiency.
  • Monitor and report on key performance indicators to management.
  • Ensure compliance with company policies and procedures.
  • Assist in training new team members and provide ongoing support.
  • Manage and prioritize multiple tasks to meet deadlines.
  • Communicate effectively with stakeholders to understand their needs and provide solutions.
  • Utilize technical skills to troubleshoot and resolve system issues.
  • Contribute to team meetings and provide valuable insights for process enhancements.

  • Qualifications

  • Must have 3 to 5 years of experience in customer service within the provider and payer domains.
  • Should possess strong technical skills in handling customer service software and tools.
  • Must have excellent communication and interpersonal skills.
  • Should be detail-oriented with strong organizational abilities.
  • Must be able to work independently and manage time effectively.
  • Should have a proactive approach to problem-solving and process improvement.
  • Must be adaptable to changing work environments and requirements.

  • Certifications Required

    Certified Customer Service Professional (CCSP) or equivalent certification in customer service.

    The Cognizant community:
    We are a high caliber team who appreciate and support one another. Our people uphold an energetic, collaborative and inclusive workplace where everyone can thrive.

    • Cognizant is a global community with more than 300,000 associates around the world.
    • We don’t just dream of a better way – we make it happen.
    • We take care of our people, clients, company, communities and climate by doing what’s right.
    • We foster an innovative environment where you can build the career path that’s right for you.

    About us:
    Cognizant is one of the world's leading professional services companies, transforming clients' business, operating, and technology models for the digital era. Our unique industry-based, consultative approach helps clients envision, build, and run more innovative and efficient businesses. Headquartered in the U.S., Cognizant (a member of the NASDAQ-100 and one of Forbes World’s Best Employers 2024) is consistently listed among the most admired companies in the world. Learn how Cognizant helps clients lead with digital at www.cognizant.com

    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, state or local laws.

    Disclaimer: 
    Compensation information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law.

    Applicants may be required to attend interviews in person or by video conference. In addition, candidates may be required to present their current state or government issued ID during each interview.

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