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.
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