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 www.cognizant.com or @cognizant.
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What we offer
- The chance to work with impact. Here, you’re empowered to bring your biggest thinking to help our company and clients improve everyday life.
- Ownership over your career. Stay at the top of your game through our award-winning learning and development ecosystem. And when your ambitions change or we offer new opportunities, we help you pivot by providing reskilling, on-the-job learning and guidance to find new roles that might be a better fit.
- The opportunity to thrive on a high caliber team with heart. We celebrate each other’s experiences and perspectives and promote a sense of belonging through our affinity groups and diversity and inclusion initiatives.
- A comprehensive total rewards package, including a competitive salary and pension plan with matching contributions.
- Flexible health and financial benefits to support you and your eligible dependents—from day one.
- True work-life balance. Be at your best through paid time off, flexible work arrangements, volunteering opportunities, social events, and so much more.
About us
Cognizant is one of the world's leading professional services companies, transforming clients' business, operating, and technology models for the digital era. Our unique industry-based, consultative approach helps clients envision, build, and run more innovative and efficient businesses. Headquartered in the U.S., Cognizant (a member of the NASDAQ-100 and one of Forbes World’s Best Employers 2024) is consistently listed among the most admired companies in the world. Learn how Cognizant helps clients lead with digital at www.cognizant.com.
Other employment-related information
Cognizant is an equal opportunity employer. Your application and candidacy will not be considered based on race, color, sex, religion, creed, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, veteran status or any other characteristic protected by federal, provincial or local laws.
If you have a disability that requires reasonable accommodation to search for a job opening or submit an application, please email [email protected] with your request and contact information.
While our system allows applications in all languages, job required language(s) and proficiency level(s) vary. However, basic English proficiency is required for Company-wide communications purposes. Further, for roles located in Quebec, professional English proficiency is required to communicate with our global clients.