Claims Processor (remote)

Claims Processor (Remote)

This is a remote position open to any qualified applicant in the United States.

Our Cognizant leadership team, working with our client, is currently seeking individuals to support claims processing operations as part of an established healthcare services team. The full-time position is located in the Phoenix, AZ area at our Mesa facility or remote if outside of the Phoenix area, based on business and client need. We are seeking highly motivated professionals with strong attention to detail, data accuracy, and willingness to learn healthcare claims processes. Prior healthcare, claims, or contact center experience is preferred, although training will be provided.

This position requires individuals to perform the following duties and work as part of a team:

• Review, validate, and process healthcare claims in accordance with client policies, procedures, benefit guidelines, and regulatory requirements.
• Verify member, provider, authorization, eligibility, benefits, diagnosis, procedure, and claim information prior to claims adjudication or resolution.
• Research claim edits, denials, suspensions, duplicates, coordination of benefits issues, and other exceptions using applicable systems and knowledge resources.
• Accurately document claim actions, notes, outcomes, and supporting details in the appropriate claims processing platforms.
• Meet established productivity, quality, accuracy, attendance, and turnaround time expectations while maintaining confidentiality and compliance standards.
• Identify trends, errors, or process gaps and escalate issues to the appropriate team lead, supervisor, or support group as needed.
• Support claim rework, adjustment, reconsideration, and correction activities as assigned by the business or client.
• Collaborate with internal teams including quality, training, operations, provider/member support, and subject matter experts to resolve claims-related issues.
• Maintain working knowledge of standard operating procedures, client updates, job aids, and healthcare claims processing guidelines.
• Assist with special projects, inventory clean-up, peak season support, and additional operational tasks as required.
• Ability to work overtime and/or a flexible schedule based on business, client, and/or account needs.
• Other duties as assigned.

The ideal candidate will possess the following skills and experience:

• College graduate preferred or at least completed two (2) years of college education with no back subjects.
• Minimum of one (1) year of healthcare, claims processing, back-office operations, contact center, or administrative experience preferred.
• Knowledge of healthcare claims, benefits, eligibility, provider/member information, or insurance terminology is preferred.
• Good spoken and written English communication skills.
• Strong data entry, analytical, research, and problem-solving skills.
• Working knowledge of Microsoft Office applications, especially Excel, Outlook, and Teams.
• High attention to detail with ability to follow job aids, standard operating procedures, and client-specific instructions.
• Ability to manage workload, prioritize claim inventory, and meet daily productivity and quality goals.
• High level of integrity, ethical behavior, confidentiality, and compliance mindset, including handling protected health information appropriately.

These physical demands are representative of the physical requirements necessary for an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable people with disabilities to perform the described essential functions.

While performing the responsibilities of the job, the employee is required to talk and hear. The employee is often required to sit and use their hands and fingers to handle or feel.

The employee is occasionally required to stand, walk, reach with arms and hands, and to stoop, kneel, or crawl. Vision abilities required to perform this job include close vision.

While performing the responsibilities of the job, these work environment characteristics are representative of the environment the job holder will encounter. Reasonable accommodations may be made to enable people with disabilities to perform the essential functions of the job.

While performing the duties of this job, the employee is typically working in an office, call center, or remote work environment. The noise level in the work environment is usually quiet to moderate. The passage of employees through the work area is average and normal.

All job descriptions are subject to change based on business, client, and/or account-specific needs.

The hourly rate for this position is between $16.00 17.00 per hour, depending on experience and other qualifications of the successful candidate. This position is also eligible for Cognizant's discretionary annual incentive program, based on performance and subject to the terms of Cognizant's applicable plans.

Cogniant offers the following benefits for this position, subject to applicable eligibility requirements:

• Medical/Dental/Vision/Life Insurance
• Paid holidays plus Paid Time Off
• 401(k) plan and contributions
• Long-term/Short-term Disability
• Paid Parental Leave
• Employee Stock Purchase Plan

Disclaimer: The hourly rate, other compensation, and benefits information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law.

Cog2026

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.