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QA - Medical Pre-Underwriting
QA - Medical Pre-UnderwritingCognizant • Kuala Lumpur, Kuala Lumpur, Malaysia
QA - Medical Pre-Underwriting

QA - Medical Pre-Underwriting

Cognizant • Kuala Lumpur, Kuala Lumpur, Malaysia
13 hours ago
Job description

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.

Required Skills :

  • Bachelor’s degree in Life Sciences, Nursing, Healthcare Administration, or related field.
  • 3–5 years of experience in health insurance underwriting or quality assurance or medical health care / P&C / Life Insurance & ext. Insurance Background is a must.
  • Strong knowledge of Hong Kong’s health insurance regulatory framework.
  • Fluency in Cantonese and English (speak, read, and write).
  • Language :

  • Must be native or proficient in Cantonese.
  • 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.

    #LI-CTSAPAC

    #J-18808-Ljbffr

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