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

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

CognizantKuala Lumpur, Kuala Lumpur, Malaysia
17 hari lalu
Penerangan pekerjaan

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

Get AI-powered advice on this job and more exclusive features.

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

    Seniority level

    Mid-Senior level

    Employment type

    Employment type

    Full-time

    Job function

    Job function

    Administrative

    Industries

    IT Services and IT Consulting and Business Consulting and Services

    Referrals increase your chances of interviewing at Cognizant by 2x

    Get notified about new Reviewer jobs in Greater Kuala Lumpur .

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