Cognizant, a global leader in IT and professional services, is looking for skilled SPE-Claims HC professionals with 2–4 years of experience in healthcare products. This is an exciting work-from-home opportunity that requires proficiency in English and flexibility for night shifts. If you have expertise in commercial insurance enrollment and Medicare enrollment, this role is an excellent chance to grow your career with one of the world’s top employers.
Job Summary
The SPE-Claims HC position focuses on claims processing, insurance enrollments, and healthcare product expertise. Candidates must have strong analytical skills and the ability to manage healthcare claims efficiently while ensuring compliance with industry standards.
Key Responsibilities
As an SPE-Claims HC professional at Cognizant, your responsibilities will include:
- Overseeing claims processing workflows to ensure accuracy and timeliness.
- Resolving complex issues related to commercial insurance enrollment.
- Analyzing Medicare enrollment data to improve service delivery.
- Providing expert guidance on healthcare product features.
- Streamlining claims processes to reduce turnaround times.
- Ensuring compliance with industry regulations and company policies.
- Using advanced analytics to enhance claims processing efficiency.
- Communicating effectively with stakeholders on claims inquiries.
- Staying updated with healthcare products and industry trends.
- Supporting new hire training with knowledge-sharing and materials.
- Monitoring KPIs and performance metrics for continuous improvement.
- Assisting in the adoption of new technologies for claims management.
- Collaborating with cross-functional teams to align with business objectives.
Qualifications
To apply for this role, you should:
- Possess strong analytical and problem-solving skills.
- Demonstrate in-depth knowledge of healthcare products.
- Be proficient in commercial insurance and Medicare enrollment.
- Communicate effectively in English (written & spoken).
- Be comfortable working independently in a remote setup.
- Be adaptable to night shifts.
- Maintain a strong focus on compliance and quality standards.
Why Work at Cognizant?
Cognizant is more than just a workplace — it’s a global community of 300,000+ associates.
✨ Benefits of working with Cognizant:
- Collaborative and inclusive workplace culture.
- Career growth opportunities in healthcare and digital transformation.
- Recognized as one of Forbes World’s Best Employers 2024.
- Commitment to innovation, client success, and employee well-being.
About Cognizant
Cognizant is one of the world’s leading professional services companies, helping businesses transform technology, operations, and customer experiences for the digital era. Headquartered in the U.S., Cognizant is a member of the NASDAQ-100 and consistently ranks among the most admired companies worldwide.
Equal Opportunity Employer
Cognizant promotes diversity, equity, and inclusion. All qualified applicants will be considered regardless of race, religion, gender, disability, veteran status, or any other legally protected identity.
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