Description

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 .