Senior Processor Executive / Team Lead (Insurance - Provider Relations) - Cantonese

Overview

Job Title : Senior Processor Executive / Team Lead (Insurance - Provider Relations) - Cantonese

Location : Malaysia

Language Requirement : Must have proficiency in Cantonese (Verbal and written)

Summary

Senior Processor Executive : Handle enquiries from network providers including but not limited to card acceptance / PA / outstanding claim status / contractual & fee review. Provide administrative support including but not limited to report generation / system updates & maintenance / claim status checking / calls to network providers as ad hoc request / maintenance of network summaries / voucher request handling. Provide administrative support including but not limited to report generation / system updates & maintenance / follow-up with network providers via email / communication with Claims for processing.

Responsibilities and Expectations

• Handle phone call and email enquiries from our network provider regarding the medical cards, pre-authorization, referrals
• Handle enquiries related to contract renewal, fee review, portal access and movement notice
• Provide information on pre-authorization status, Guarantee of Payment Letter and claims
• Update and maintain accurate records of all inquiries and provider list
• Generate different reports and network summaries on regular and ad hoc basis
• Handle movement notices and update internal systems
• Create and maintain provider records, provider related codes and contract details in internal systems
• Support onboarding of new providers
• Send notification email to internal parties on "Large Hospital Claim" cases
• Handle contract renewals and maintain system reference data
• Check claims status upon receiving enquiries from network providers
• Ensure all data entries and system updates are accurate and completed on time
• Make calls to network providers upon ad hoc request
• Team Lead : Oversee and supervise subordinates on day-to-day activities. Manage the Team to perform the duties accurately and efficiently
• Team Lead : Monitor performance of the team to ensure delivery of agreed KPI
• Team Lead : Provide regular training to staff and new joiners
• Team Lead : Maintain standard operating procedures in the team up-to-date and ensure the team’s compliance to the agreed processes
• Team Lead : Conduct regular communications and provide coordination with Team on the services. Establish internal escalation workflow
• Team Lead : Make clear and justifiable decisions and escalate to HK Team when (and only when) necessary
• Team Lead : Prepare performance reporting for review on regular basis. Handle ad hoc tasks assigned by Team

Required Experience and Skills

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.

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