Cognizant is actively recruiting experienced specialists for the role of Senior Process Executive (SPE) – Healthcare Claims. This is a 100% Remote / Work-From-Home (WFH) position operating during US Night Shifts.
1. Key Job Summary & Specifications
| Parameter | Specification |
| Hiring Organization | Cognizant (Nasdaq: CTSH) |
| Role Title | Senior Process Executive – Healthcare Claims (SPE – Claims HC) |
| Job ID / Posting ID | 000701648910 |
| Date Published | September 7, 2026 |
| Work Model | 100% Work From Home (Remote / WFH) |
| Base Location / Hiring Hub | Chennai, India |
| Experience Level | 1 to 3 Years of relevant claims processing experience |
| Shift Timing | US Shift (Night Shift) |
| Job Category | Technology & Engineering / Healthcare BPO Operations |
| Employment Type | Full Time, Permanent |
2. Eligibility & Skill Requirements
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| ELIGIBILITY MATRIX |
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| Relevant Experience | 1 to 3 Years in Healthcare Claims Processing & Adjudication |
| Core Domain Expertise| Medicare, Medicaid, and Commercial Health Insurance Claims |
| Key Knowledge Areas | Eligibility validation, benefit rules, pricing logic, AR/denials|
| Communication Skills | Excellent written and spoken English fluency |
| Work Environment | High discipline to operate independently in a WFH Night Shift |
| Certifications (Pref)| Certified Professional Coder (CPC) or equivalent medical billing |
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3. Key Responsibilities & Core Tasks
- Claims Adjudication: Review, analyze, and process Medicare, Medicaid, and Commercial claim submissions accurately based on plan guidelines.
- Issue & Escalation Resolution: Investigate customer service and provider claim escalations, review historical system notes, and resolve root causes.
- Process Alignment: Collaborate with quality review, configuration, and internal operations teams to minimize error rates and audit findings.
- Documentation & Tracking: Utilize claims administration tools to maintain notes, track claim queues, and reduce backlog/denial trends.
4. Hiring & Application Workflow
- Step 1: Application Submission – Apply online via Cognizant Careers portal (Job ID:
000701648910). - Step 2: Recruiter Screening – Intro call with Cognizant Talent Acquisition to assess domain and shift fitment.
- Step 3: Technical & Client Evaluation – Interviews/assessments focusing on claims knowledge and communication.
- Step 4: Offer & Onboarding – Document verification and background check clearance.
Candidate Support Email:
CareersIndia2@cognizant.com(for accessibility/accommodation requests)