Job Summary

This hybrid role for a Claims Healthcare Specialist Product Engineer focuses on designing developing and securing claims processing solutions using advanced software practices MS Excel analytics and generative AI ensuring accurate adjudication and compliance for healthcare stakeholders while improving operational efficiency and patient centric outcomes across the organization.

Responsibilities

Design robust healthcare claims processing solutions that streamline adjudication workflows and enhance accuracy across core business processes for internal and external stakeholders.
Develop modular software components for claims intake validation and settlement that are optimized for maintainability performance and alignment with healthcare compliance standards.
Apply MS Excel to build detailed data analysis models dashboards and reconciliation reports that highlight claims trends anomalies and process optimization opportunities.




Implement software security requirements across claims applications by defining secure data handling patterns and enforcing controls that protect sensitive health information throughout its lifecycle.
Use generative AI techniques to design and refine intelligent features such as automated documentation assistance and claim pattern detection that reduce manual effort and error rates.
Collaborate with business analysts and healthcare operations teams to translate claims policies benefit rules and regulatory constraints into explicit and testable software requirements.
Conduct unit integration and regression testing of claims modules to confirm functional accuracy security behavior and end to end reliability in line with agreed quality standards.
Maintain detailed technical documentation for claims solutions including design decisions security considerations and configuration guidelines to support continuous improvement and onboarding.
Monitor production claims systems by reviewing logs error reports and performance metrics then implement t

📌 SPE-Claims HC (Chennai)
🏢 Cognizant
📍 Chennai