QA - Medical Pre-Underwriting

2 days ago

Kuala Lumpur, Kuala Lumpur, Malaysia Cognizant Technology Solutions Full time 40,000 - 50,000 per year

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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