Cognizant

QA - Medical Pre-Underwriting

Posted: 6 hours ago

Job Description

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 CognizantCognizant (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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