Team Leader – Claims (Fully Remote)

Cognizant, a Fortune 200 corporation, is seeking a strong Team Leader to lead claims business oversee all aspects of the Provider Maintenance including SME’s. In this role, the successful candidate will monitor performance and work with other members of the management team to achieve business goals and motivate the team through open communication, transparency.
Job Purpose

• Evaluate business processes and perform high level analysis to leverage opportunities for operational improvements.
• Perform other duties as assigned and required by Claims Leadership
• Receive research and respond to Operation Quality Audits, including providing individual and departmental feedback to claims operation staff and/or shared service staff; handle resolution of system or procedural issues identified by quality reviews and assume leadership role for developmental and implementation of quality initiatives.
• Drive performance metric claim quality and implement corrective action plans identified for areas of direct and non-direct controls.
• Develop, evaluate, and manage Claim processing and Shared Service personnel to ensure high quality and maximize the customer experience.
• Assess individual and team performance on a regular basis and provide developmental feedback.

Requirements

• Excellent communication (written and verbal) and interpersonal skills.
• Ability to lead and motivate a high performing team to achieve desired results.
• Ability to take the lead on projects and assure that all requirements are met.
• Innovative: ability to identify and develop improved processes and procedures.
• Detailed oriented, organized with strong analytical skills, problem solving and negotiating skills.

Education And/or Experience

• Proven skills in staff development and the ability to meet deadlines under pressure.
• Bachelor's degree is preferred (Experience may be used in lieu of educational requirement)
• Strong knowledge of claims processing, procedures and systems, contracts, State, Federal and Medicare Regulations and Coordination of Benefits applications
• 3+ years of managerial/supervisory experience within a related health care and/or claims environment.

Technical Requirements

• Advanced Microsoft Excel experience
• Experience using FACETS.

Cognizant will only consider applicants for this position who are legally authorized to work in the United States without requiring company sponsorship now or at any time in the future.
Employee Status : Full Time Employee
Shift : Day Job
Travel : No
Job Posting : Aug 03 2023
About Cognizant
Cognizant (Nasdaq-100: CTSH) 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 is ranked 185 on the Fortune 500 and is consistently listed among the most admired companies in the world. Learn how Cognizant helps clients lead with digital at www.cognizant.com or follow us @USJobsCognizant.
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.
Cognizant is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.
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