SME-Claims HC
Cognizant
About this role
Job Summary Serve as a subject matter expert in health care claims with a focus on claims adjudication and regulatory compliance in a hybrid night shift work model. Apply deep knowledge of HIPAA rules and both provider and payer operations to resolve complex claim scenarios reduce leakage and improve accuracy. Collaborate across teams to enhance claim workflows that support better outcomes for members and partners. Responsibilities Review and adjudicate complex health care claims with precisio…
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