Skip to main content

Process Executive - HC

a person pointing at a whiteboard


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.

    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.

    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 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.  

    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.

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

    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.

    Join our talent community

    Haven’t found the right opportunity yet? Receive the latest updates on job opportunities, recruitment events and company news tailored just for you.

    Sign up