Audit and Compliance Specialist

3 days ago


Kuala Lumpur, Kuala Lumpur, Malaysia Cigna Full time
Job Description

We are seeking a highly skilled Audit and Compliance Specialist to join our team. In this role, you will be responsible for performing in-depth audits and evaluations of calls, emails, and eligibility processes to ensure accuracy, consistency, and compliance with established procedures and standards.

Your key responsibilities will include:

  • Audit & Evaluation: Conduct thorough audits on calls, emails, and eligibility to identify areas of improvement and ensure compliance.

  • Risk Management: Proactively identify and flag potential issues or risks related to processes and compliance.

  • Focus Audits & Projects: Participate in focus audits, projects, and third-party audits to support business objectives and ensure compliance.

  • Root Cause Analysis: Conduct root cause analysis on audit findings to understand the reasons behind discrepancies or errors.

  • Continuous Improvement: Identify opportunities to improve both audit and operational processes, suggesting enhancements to increase efficiency and quality.

Requirements
  • Medical Administration & Claims Experience: At least 2 years of experience in customer service or claims processing, ideally within a medical administration or claims-focused environment.

  • International Claims Processing: Experience with international insurance claims is a plus.

  • Audit & Coaching: Prior experience in audit, training, review, or coaching roles would be advantageous.



  • Kuala Lumpur, Kuala Lumpur, Malaysia CHAGEE Full time

    Job DescriptionThe Audit and Compliance Specialist role will be responsible for ensuring compliance with company policies, procedures, and regulatory requirements across the country. This position involves identifying areas for improvement, evaluating operational processes, and providing recommendations for enhancing operational efficiency and...


  • Kuala Lumpur, Kuala Lumpur, Malaysia AIA Hong Kong and Macau Full time

    About the RoleIn this key position as Financial Crime Compliance Specialist, you will play a pivotal role in driving and overseeing the implementation of financial crime compliance frameworks within AIA Bhd. Your expertise in Anti-Money Laundering (AML) / Counter Terrorist Financing (CTF), Economic Sanctions, and Anti-Corruption and Bribery (ACB) will ensure...


  • Kuala Lumpur, Kuala Lumpur, Malaysia ENGINEERINGUK Full time

    We are seeking a highly motivated and experienced Environmental and Social Governance Specialist to join our team at ENGINEERINGUK. The ideal candidate will have a strong background in environmental and social governance, with a focus on auditing and compliance.The successful candidate will be responsible for conducting audits and assessments to ensure...


  • Kuala Lumpur, Kuala Lumpur, Malaysia Standard Chartered Life and Careers Full time

    We are looking for a highly motivated and detail-oriented Audit Analytics Specialist to join our team at Standard Chartered Life and Careers. In this role, you will assist in the execution of analytics strategy and help drive innovation in our Audit Analytics function.About the TeamWe are a diverse and dynamic team that values collaboration, innovation, and...


  • Kuala Lumpur, Kuala Lumpur, Malaysia L & Co Plt Full time

    Audit and Compliance ExpertWe are seeking an experienced Audit and Compliance Expert to join our team at L & Co Plt. As a key member of our audit team, you will be responsible for ensuring that our clients' financial statements are accurate and compliant with regulatory requirements.Key Responsibilities:Conduct audits and reviews of clients' financial...


  • Kuala Lumpur, Kuala Lumpur, Malaysia Hiredly X Full time

    Job DescriptionThis role involves providing strategic leadership in quality management, focusing on external audit compliance and process improvement. You will stay current on industry standards, lead engagement standard activities, and ensure high-quality client services.


  • Kuala Lumpur, Kuala Lumpur, Malaysia Zurich 56 Company Ltd Full time

    Key ResponsibilitiesThe Audit and Compliance Officer will be responsible for mastering Group Audit standards and methodology and assisting the Portfolio Manager/Auditor in Charge in planning and determining audit scope for relevant engagements.They will also participate in local and global audits, complete audit work, and document results in line with Group...


  • Kuala Lumpur, Kuala Lumpur, Malaysia Standard Chartered Life and Careers Full time

    About UsAt Standard Chartered Life and Careers, we're passionate about empowering our employees to achieve their goals and make a positive impact. Our team of dedicated professionals is committed to delivering exceptional results and exceeding expectations.Job RequirementsWe are seeking an experienced Internal Audit and Risk Specialist to join our Internal...


  • Kuala Lumpur, Kuala Lumpur, Malaysia BT & ASSOCIATES Full time

    Job OpportunityWe are looking for an experienced Audit and Assurance Specialist to join our team. The successful candidate will be responsible for conducting audits and providing assurance services to our clients. This is a great opportunity for individuals who are passionate about finance and have a strong desire to work with a reputable accounting and...

  • Compliance Officer

    3 days ago


    Kuala Lumpur, Kuala Lumpur, Malaysia Cigna Full time

    Job SummaryWe are seeking a highly skilled Compliance Officer - Audit and Evaluation to join our team. In this role, you will be responsible for ensuring that our audit processes meet the highest standards of compliance and integrity.Your key responsibilities will include:Compliance Monitoring: Monitor and evaluate audit processes to ensure compliance with...


  • Kuala Lumpur, Kuala Lumpur, Malaysia RHB Banking Group Full time

    Role DescriptionThis Senior Specialist position plays a crucial role in maintaining RHB Group's AML systems and ensuring compliance with relevant regulations.Main ResponsibilitiesConduct regular risk assessments to identify potential AML vulnerabilities.Liaise with colleagues to implement remedial actions and improve audit processes.Stay up-to-date with...


  • Kuala Lumpur, Kuala Lumpur, Malaysia Wipro Full time

    About the RoleThe Quality Audit Specialist will be responsible for performing quality audits on internal and external specialists, providing clients with advertising and sales support, as well as specialists working to bring prospective clients into the SMB's portfolio of advertisers.This role involves working closely with other departments to respond...


  • Kuala Lumpur, Kuala Lumpur, Malaysia ACCA Careers Full time

    At SC LIEW & CO., we are seeking a skilled Auditing Specialist to join our team. In this role, you will be responsible for assisting senior auditors in performing statutory audits, including audit risk assessment and strategy planning.The ideal candidate will possess excellent communication skills and be able to liaise with clients throughout the audit...


  • Kuala Lumpur, Kuala Lumpur, Malaysia FastLaneRecruit Full time

    We are seeking a skilled Tax Compliance Specialist to join our team at FastLaneRecruit. As an Assistant Tax Manager, you will be responsible for managing tax compliance for local and overseas entities.Key Responsibilities:Coordinate with external tax agents for direct and indirect tax filings.Assist in preparing and reviewing transfer pricing documentation...

  • Compliance Expert

    5 days ago


    Kuala Lumpur, Kuala Lumpur, Malaysia ACCA Careers Full time

    Job DescriptionThis Compliance Expert role focuses on ensuring that our clients comply with relevant laws, regulations, and industry standards. The ideal candidate will have extensive experience in audit and assurance, with a proven track record of delivering high-quality services.Key Responsibilities and ExpectationsReview and ensure compliance with...


  • Kuala Lumpur, Kuala Lumpur, Malaysia RHB Banking Group Full time

    Job OverviewWe are seeking a highly skilled Senior Specialist to join our team in the Anti-Financial Crime Audit department. As a key member of our audit team, you will be responsible for participating in AML audits for RHB Group.Key ResponsibilitiesImplement the roll-out of the approved AML audit programme and participate on the review and evaluation of the...


  • Kuala Lumpur, Kuala Lumpur, Malaysia OCBC Full time

    About the RoleWe are looking for a Consumer Banking Audit Specialist to join our team at OCBC.In this role, you will be responsible for assisting the Country Functional Lead in providing independent, risk-based and objective assurance, advice, insight and foresight to strengthen OCBC's ability to create, protect and sustain value.You will also plan and...


  • Kuala Lumpur, Kuala Lumpur, Malaysia K.W. ONG & PARTNERS Full time

    About the RoleWe are looking for a Financial Reporting and Compliance Specialist who can assist us in maintaining accurate financial records and ensuring compliance with relevant regulations.The ideal candidate will possess a Bachelor's Degree in accounting or professional qualification (i.e.: ACCA), Diploma in accounting, or similar working experience....


  • Kuala Lumpur, Kuala Lumpur, Malaysia Bank Islam Full time

    About the TeamThis is an exciting opportunity for a Compliance and Governance Specialist to join our team. The successful candidate will be responsible for ensuring all financing programs and portfolio management activities comply with internal policies, regulatory requirements, and Shariah principles.Operational Excellence & GovernanceThe ideal candidate...


  • Kuala Lumpur, Kuala Lumpur, Malaysia Talent Recruit Full time

    Talent Recruit helps businesses like yours succeed by providing expert accounting, taxation, audit, HR outsourcing, and business consulting services.Our goal is to help your business grow and thrive by streamlining its finances, HR, and compliance.Responsibilities:As a Tax Compliance Manager, you will oversee and review the preparation of tax computations...