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SPE - Medical Pre-underwriting Advisor - (Cantonese Speaker)

CognizantKuala Lumpur, Kuala Lumpur, Malaysia

17 days ago

Job description

Quality Reviewer (Medical Pre-Underwriting - Health Insurance)

Join to apply for the Quality Reviewer (Medical Pre-Underwriting - Health Insurance) role at Cognizant

Quality Reviewer (Medical Pre-Underwriting - Health Insurance)

Join to apply for the Quality Reviewer (Medical Pre-Underwriting - Health Insurance) role at Cognizant

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Job Title : Quality Reviewer (Medical Pre-Underwriting - Health Insurance)

Job Location : Malaysia

Job Responsibilities And Expectations

Conduct quality audits of underwriting decisions made by processors.
Ensure adherence to underwriting guidelines and regulatory standards.
Identify trends in processing errors and recommend corrective actions.
Collaborate with training teams to address knowledge gaps.
Review escalated cases for accuracy and completeness.
Maintain audit logs and prepare quality reports for management.
Ensure compliance with IA regulations and internal audit protocols.
Assist in updating standard operating procedures based on audit findings.
Support continuous improvement initiatives in underwriting workflows.
Provide feedback to processors to enhance accuracy and efficiency.
Participate in system testing for underwriting rule updates.
Ensure confidentiality and integrity of medical data during reviews.

Academic And Additional Qualifications Needed

Bachelor’s degree in Life Sciences, Nursing, Healthcare Administration, or related field.

3–5 years of experience in health insurance underwriting or quality assurance.

Strong knowledge of Hong Kong’s health insurance regulatory framework.

Fluency in Cantonese, Mandarin, and English (speak, read, and write).

About Cognizant

Cognizant (Nasdaq : CTSH) engineers modern businesses. We help our clients modernize technology, reimagine processes and transform experiences so they can stay ahead in our fast-changing world. Together, we're improving everyday life. See how at or @cognizant.

Seniority level

Mid-Senior level

Employment type

Full-time

Job function

Administrative

Industries

IT Services and IT Consulting and Business Consulting and Services

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Cantonese Speaker • Kuala Lumpur, Kuala Lumpur, Malaysia