Process Specialist – Data

2 - 4 Years
Not Disclosed by Recruiter

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Posted: 9 days agoOpenings: 1Job Applicants: 21Job Views: 310

Job Description

Process Quality Specialist/Auditor

ROLE: To audit claims as per the client specific instruction and updated the result in the McKI Database present in the Client Server. He/She is responsible to provide timely feedback to the processor to correct the errors. He/She is respsonsible to log the errors in the specificed decfect tracker. To take the calibration Audit conduct every Month (2nd Wednesday) to reduce the Audit variance between Cognizant and ESI. Also, he/she should take the client clarification call to bridge the process related gaps.




- Any Graduate

- Audit Skill (Eye for an error)

- Analytical, puzzle solving and troubleshooting skills

- Problem Solving skills

- Knowledge of MS Office along with typing skills


- Prior experience with US Healthcare - Claims / Medical Coding / Medical Billing

- Prior exposure to IT through Education, Training or Work Experience

- Willing to Work in Night Shifts



Good verbal and written communication skills 

Leadership skills 

Ability to prioritize work 

Service excellence oriented 

Proactive team player 

Analytical and problem solving capabilities 

Attention to detail 

People management skills & ability to guide and motivate team 

Decision making abilities 

Achievement orientation 

Computer literate


Responsible for achieve the epected audit % (as per the sampling Metrics) 

Executives should be able to look up to him/her for help, advice and guidance when required 

Ensuring team's performance in terms of compliance with SLAs 

Setting benchmarks for the team 

Reporting to the Team Leader on performance, status and any escalations



Establish systems and procedures in the team 

Quality audits for grooming and service delivery 

Zero error 

Customer satisfaction index 

Employee motivational index 

Punctuality and self-discipline 

Inter personal effectiveness


Self-motivation § Achievement orientation 

Relationship building ability 

Interface with other departments 

Personal grooming and etiquette 


Inclination towards being process driven 

Going out of the way to satisfy the external customer

Domain Skills
SNo Primary Skill Proficiency Level * Rqrd./Dsrd.
1 Commercial Claims NA Desired
2 Claims NA Desired

Proficiency Legends
Proficiency Level - Generic Reference
PL1 - The associate has basic awareness and comprehension of the skill and is in the process of acquiring this skill through various channels.
PL2 - The associate possesses working knowledge of the skill, and can actively and independently apply this skill in engagements and projects.
PL3 - The associate has comprehensive, in-depth and specialized knowledge of the skill. She / he has extensively demonstrated successful application of the skill in engagements or projects.
PL4 - The associate can function as a subject matter expert for this skill. The associate is capable of analyzing, evaluating and synthesizing solutions using the skill.

Salary: Not Disclosed by Recruiter

Industry:IT-Software / Software Services

Functional Area:ITES, BPO, KPO, LPO, Customer Service, Operations

Role Category:Operations

Role:Process Flow Analyst

Employment Type:Full Time, Permanent


Desired Candidate Profile

Please refer to the Job description above


Doctorate:Doctorate Not Required

Company Profile

Cognizant Technology Solutions India Ltd

Cognizant (NASDAQ: CTSH) is a leading provider of information technology, consulting, and business process services, dedicated to helping the world's leading companies build stronger businesses. Headquartered in Teaneck, New Jersey (U.S.), Cognizant combines a passion for client satisfaction, technology innovation, deep industry and business process expertise, and a global, collaborative workforce that embodies the future of work. With over 100 development and delivery centers worldwide and approximately 244,300 employees as of June 30, 2016, Cognizant is a member of the NASDAQ-100, the S&P 500, the Forbes Global 2000, and the Fortune 500 and is ranked among the top performing and fastest growing companies in the world. Visit us online at or follow us on Twitter: Cognizant.
View Contact Details+

Recruiter Name:HR

Contact Company:Cognizant Technology Solutions India Ltd

Reference Id:00035745231