What are the responsibilities and job description for the Claims Adjudicator (remote) position at Cognizant North America?
Claims Adjudicator (remote)
This is a remote position open to any qualified applicant in the United States.
Job Summary
We are seeking a remote Claims Adjudicator 1 to 2 years of experience to join our team. The ideal candidate will have strong technical skills in MS Excel and preferably domain experience in Commercial Claims and Payer. This is a work-from-home position with day shifts and no travel requirements. The candidate will play a crucial role in ensuring efficient and accurate processing of healthcare claims.
Responsibilities
- Claims Adjudication / Adjustment
- Review and scrutinize claims and process claims into the computer system as per the provided DLPs / guidelines
- Determine accurate claims payment or denial, identify, and elevate dubious claims or system issues to process the claim accurately.
- Process claims in a timely manner, as per the required TAT
- Correct errors or omissions on claim and investigate questionable data
- To maintain Quality as per the SLA
- To maintain Productivity as per the SLA
- Continuously meet and exceed the assigned Targets
- Performance should be maintained in accordance with the process performance parameters
- To maintain confidentiality of work done
- To follow all regulatory requirements and procedures as per the company policy
- Display high levels of professionalism in the work delivered and overall conduct
Qualifications
Salary and Other Compensation :
Applications will be accepted until February 27, 2025.
The hourly rate for this position is between $17.00 - 18.00 per hour, depending on experience and other
qualifications of the successful candidate.
This position is also eligible for Cognizant's discretionary annual incentive program, based on performance and
subject to the terms of Cognizant's applicable plans.
Benefits : Cognizant offers the following benefits for this position, subject to applicable eligibility requirements :
Disclaimer : The hourly rate, other compensation, and benefits 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.
Salary : $17 - $18
