REMOTE POSITION / CLAIMS PROCESSOR

About the Role As a Complex Claims Representative, you will play a vital role in supporting our clients by investigating, evaluating, and resolving complex claims involving auto insurance coverage, litigation, and workers' compensation. You will be part of Cognizant's dedicated claims team, handling inbound and outbound calls while collaborating with internal stakeholders to uphold quality and compliance standards in claims administration.
Identify and manage auto claims, litigation, workers' compensation claims, and health insurance verifications.
Track and trend claim denials and underpayments to identify opportunities for payer, process, or technology improvements.
Partner with management to identify, trend, and address root causes of claims issues.
Make recommendations for additions, revisions, or deletions to work queues and claim edits to improve efficiency.
Document all actions and updates accurately in account records, including contact names, addresses, and pertinent information.
Work Schedule Monday through Friday - shifts start between 7:00 AM and 9:00 AM CST (9-hour shifts).
This is a remote position open to qualified applicants across the United States. Working arrangements are accurate as of the posting date and may evolve based on project or client needs. High school diploma or GED equivalent
must meet quality and productivity standards
These will help you stand out: Working knowledge of auto coverage, litigation, and workers' compensation claims
Knowledge of state/federal billing guidelines, reimbursement methodologies, and payer policies
Understanding of the RCM cycle, auto coverages, and Medicare, Medicaid, Managed Care, and Commercial payer processes
Experience tracking and trending claim denials and underpayments
Familiarity with payer-specific requirements and billing compliance
Background in legal, litigation, or compliance-related claims handling
Hourly Rate and Other Compensation The hourly rate for this position is between $19.00 - $22.00 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.
Disclaimer: The hourly rate, other compensation, and benefits information is accurate as of the date of this posting. Applications will be accepted until June 30, 2026.
Benefits Medical/Dental/Vision/Life Insurance
Paid holidays plus Paid Time Off
Long-term/Short-term Disability
Employee Stock Purchase Plan
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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