Healthcare Customer Service Hybrid -

Spe-Ins Claims Specialist

Join our dynamic team as a SPE-Ins Claims specialist where you will leverage your expertise in customer service and domain knowledge to enhance our claims processing operations. With a focus on Property & Casualty Insurance you will play a crucial role in ensuring efficient and accurate claims handling.

Responsibilities

• Analyze and process insurance claims with precision to ensure timely resolution and customer satisfaction.
• Collaborate with cross-functional teams to gather necessary information and documentation for claims assessment.
• Utilize domain expertise to identify potential discrepancies and recommend corrective actions.
• Provide exceptional customer service by addressing inquiries and resolving issues promptly.
• Implement best practices in claims management to optimize workflow efficiency and accuracy.
• Monitor claims progress and update stakeholders on status and any required actions.
• Conduct thorough investigations to validate claims and prevent fraudulent activities.
• Maintain comprehensive records of claims transactions and communications for audit purposes.
• Assist in developing strategies to improve claims processing and customer service delivery.
• Participate in training sessions to stay updated on industry trends and regulatory changes.
• Contribute to team meetings and discussions to share insights and drive continuous improvement.
• Support the implementation of new technologies and systems to enhance claims operations.
• Ensure compliance with company policies and industry standards in all claims activities.

Qualifications

• Demonstrate proficiency in customer service and domain knowledge particularly in insurance claims processing.
• Possess strong analytical skills to assess claims and identify discrepancies effectively.
• Exhibit excellent communication skills to interact with clients and stakeholders professionally.
• Show adaptability to rotational shifts and a hybrid work model for optimal performance.
• Have familiarity with Property & Casualty Insurance as a nice-to-have skill.
• Display commitment to continuous learning and staying updated on industry developments.

What We Offer

• The chance to work with impact. Here, you're empowered to bring your biggest thinking to help our company and clients improve everyday life.
• Ownership over your career. Stay at the top of your game through our award-winning learning and development ecosystem. And when your ambitions change or we offer new opportunities, we help you pivot by providing reskilling, on-the-job learning and guidance to find new roles that might be a better fit.
• The opportunity to thrive on a high caliber team with heart. We celebrate each other's experiences and perspectives and promote a sense of belonging through our affinity groups and diversity and inclusion initiatives.
• A comprehensive total rewards package, including a competitive salary and a pension plan with matching contributions.
• Flexible health and financial benefits to support you and your eligible dependents—from day one.
• True work-life balance. Be at your best through paid time off, flexible work arrangements, volunteering opportunities, social events, and so much more.

About Us

Cognizant 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 (a member of the NASDAQ-100 and one of Forbes World's Best Employers 2025) is consistently listed among the most admired companies in the world.

Other Employment-Related Information

Cognizant is an equal opportunity employer. Your application and candidacy will not be considered based on race, color, sex, religion, creed, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, veteran status or any other characteristic protected by federal, provincial or local laws.

If you have a disability that requires reasonable accommodation to search for a job opening or submit an application, please email CareersNA2@cognizant.com with your request and contact information.

Language requirements vary depending on roles, but we ask that all candidates have basic English proficiency for company-wide communications purposes. For roles based in Quebec, professional English proficiency is required, as you'll deliver services to and collaborate with stakeholders outside the province who may not speak French.