Tamil Nadu Claims adjudication Jobs – 27 Open Jobs Today

SPE-Configuration HC
Cognizant —Chennai, Tamil Nadu
- Full-time
- Hybrid work
- Microsoft Excel
- SharePoint
Manager- Provider Partnerships -TPA
MEDI ASSIST INSURANCE TPA PRIVATE LIMITED —Chennai, Tamil Nadu
- ₹5,00,000 - ₹6,00,000 a year
- Weekend availability
- English
- Microsoft Office
- Finance
- Health insurance
Quick apply
14d
SME-Learning & Development
Cognizant —Coimbatore, Tamil Nadu
- Full-time
- Hybrid work
- Data analysis skills
- Communication skills
CSA Healthcare - Email/Back Office
Firstsource Healthcare —Chennai, Tamil Nadu
- Master's degree
- Bachelor's degree
- Typing
Accounts Receivable (AR) Caller
T3Cogno Private Limited —Chennai, Tamil Nadu
- ₹35,000 - ₹40,000 a month
- Full-time
- Analysis skills
- Bachelor's degree
- Computer skills
Quick apply
Test Lead
Cognizant —Coimbatore, Tamil Nadu
- Full-time
- Hybrid work
- Azure
- Analysis skills
- Software development
Health Operations Senior Analyst
Accenture —Chennai, Tamil Nadu
- Full-time
- Analysis skills
- Communication skills
Senior Executive-Auditors-Datamining
EXL Service —Chennai, Tamil Nadu
- Weekend availability
- Communication skills
Vendor Performance and Operations Analyst
Ventra Health, Inc. —Guindy, Chennai, Tamil Nadu
- Full-time
- Microsoft Powerpoint
- Microsoft Word
- Microsoft Excel
20h
Team leader- Operations
Sagility —Coimbatore, Tamil Nadu
- Customer service
- Bachelor's degree
- Conflict management
Lead Assistant Manager
EXL Service —Chennai, Tamil Nadu
- Full-time
- SQL
- Agile
- AI
Senior SDET
Cognizant —Chennai, Tamil Nadu
- Full-time
- Hybrid work
- Azure
- Scripting
- APIs
14d
3838853-Senior Executive
EXL Service —Chennai, Tamil Nadu
- Weekend availability
- Communication skills
Lead Product Consultant
Cognizant —Chennai, Tamil Nadu
- Full-time
- Hybrid work
- SQL
14d
Sr. Developer
Cognizant —Chennai, Tamil Nadu
- Full-time
- Hybrid work
- Azure
- SQL
- Analytics
AR caller – Hospital billing(Night)
SolvEdge —Chennai, Tamil Nadu
- Email
- Patient monitoring
- EMR systems
- Care plans
- Health insurance
Lead II - Software Engineering- Facets Developer
UST —Chennai, Tamil Nadu
- Azure
- Oracle
- Master's degree
Quick apply
Associate - Insurance - P&C Underwriting 5A
Genpact India Pvt. Ltd. —Madurai, Tamil Nadu
- Full-time
- Hybrid work
- English
- Finance
- Master's degree
Quick apply

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SPE-Configuration HC

Cognizant -
Chennai, Tamil Nadu

Apply Now

Job details

Full-time

Qualifications

Microsoft Excel
Process improvement
SharePoint
Pivot tables
Unit testing

Full job description

Job Summary
This hybrid role focuses on configuration activities for health care benefit administration within a pharmacy benefit management environment using MS Excel and Excel Services on Sharepoint to manage and validate benefit data. The specialist supports night shift operations ensuring accurate configuration data integrity and timely deployment of benefit rules across systems.

Responsibilities
Configure benefit plan parameters using MS Excel to ensure accurate setup of pharmacy benefit management rules that support consistent adjudication outcomes across member populations.
Validate configuration data using advanced Excel formulas and structured templates to minimize defects and improve reliability of benefit administration processes before deployment.
Maintain configuration workbooks and reference matrices in Excel Services on Sharepoint to provide a single trusted source of configuration truth for cross functional teams.
Coordinate with business analysts to interpret benefit requirements and translate them into detailed configuration specifications that align with client contracts and regulatory expectations.
Execute configuration changes within defined timelines during the night shift to support release schedules while minimizing impact on downstream operational teams and systems.
Perform impact analysis on requested configuration updates using Excel based comparison methods to identify potential conflicts or gaps in benefit setup.
Conduct configuration unit testing and regression checks using structured test scenarios to confirm that updates perform as intended in the pharmacy benefit management domain.
Document configuration decisions assumptions and mapping logic in structured logs stored on Sharepoint to support traceability audits and future change assessments.
Collaborate with quality and operations partners to resolve configuration defects by analyzing claim behavior identifying root causes and updating Excel driven configuration assets.
Monitor nightly configuration related jobs and reports to quickly identify anomalies escalate issues and support timely remediation to protect member experience.
Support process improvement initiatives by proposing enhancements to Excel templates validation rules and Sharepoint workflows that streamline configuration lifecycle activities.
Adhere to compliance guidelines and data handling standards in benefit administration to protect sensitive information and uphold client trust across all configuration tasks.
Communicate configuration status and risk items clearly to stakeholders using concise updates that enable informed decisions and smooth coordination across teams.

Qualifications
Possess two to four years of experience working in configuration or operations roles within health care or pharmacy benefit management environments with direct exposure to benefit administration processes.
Demonstrate strong proficiency in MS Excel including functions lookups pivot tables and data validation features to manage large datasets and complex configuration models.
Show hands on experience using Excel Services on Sharepoint to publish share and manage configuration workbooks in a controlled and collaborative environment.
Bring practical knowledge of benefit administration PBM concepts such as formularies copay structures accumulators and plan design to interpret configuration requirements accurately.
Exhibit ability to analyze data trends identify configuration issues and recommend corrective actions using structured problem solving approaches.
Display comfort working in a hybrid work model and night shift schedule while maintaining productivity responsiveness and collaboration with distributed teams.
Value clear communication documentation discipline and continuous learning to keep configuration practices aligned with evolving tools standards and client expectations.

Apply Now

Refine Your Search

claims adjudication jobs in tamil nadu

SPE-Configuration HC

Manager- Provider Partnerships -TPA

SME-Learning & Development

CSA Healthcare - Email/Back Office

Accounts Receivable (AR) Caller

Test Lead

Health Operations Senior Analyst

Senior Executive-Auditors-Datamining

Vendor Performance and Operations Analyst

Team leader- Operations

Lead Assistant Manager

Senior SDET

3838853-Senior Executive

Lead Product Consultant

Sr. Developer

AR caller – Hospital billing(Night)

Lead II - Software Engineering- Facets Developer

Associate - Insurance - P&C Underwriting 5A

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