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Quality Reviewer
CognizantMalaysia1 hari lalu
Penerangan pekerjaanBachelor'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).
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
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.
Buat amaran kerja untuk carian ini
Quality • Malaysia