Job Summary

This hybrid role as a subject matter expert in learning and development focuses on creating and delivering training solutions for claims adjudication and health care compliance within provider and payer environments. The position supports night shift operations enabling global coverage while ensuring accurate claims handling regulatory alignment and continuous capability building across multiple functional teams.

Responsibilities

Design comprehensive training programs that build strong capability in claims adjudication processes for provider and payer operations while aligning with current business objectives and quality standards.
Develop detailed learning content that simplifies complex health care claim rules and workflows so that current and existing team members can perform adjudication tasks with high accuracy and consistency.
Deliver engaging virtual and classroom training sessions during night shift hours to support hybrid team members and ensure consistent knowledge transfer across locations.




Conduct targeted training needs analysis by collaborating with operations and quality teams to identify skill gaps in claims adjudication and prioritize high impact learning interventions.
Monitor learner performance data and quality audit outcomes to refine course materials and ensure that training directly improves claim resolution accuracy and turnaround time.
Ensure that all learning content reflects current health care regulations and privacy requirements related to HIPAA so that team members handle sensitive information responsibly.
Create practical simulations and case based exercises that mirror real life provider and payer claim scenarios to help learners build confidence and decision making skills.
Provide ongoing floor support during production hours by answering process queries and clarifying adjudication rules so that associates can resolve complex claims efficiently.
Collaborate with process experts and compliance teams to update training mater

📌 SME-Learning & Development (Kochi)
🏢 Cognizant
📍 Kochi