Senior Process Executive

Senior Process Executive - Claims Excellence - Health InsuranceSenior Process Executive - Claims Excellence - Health Insurance2 days ago Be among the first 25 applicantsGet AI-powered advice on this job and more exclusive features.Assist in validating and processing health insurance claims in accordance with Insurance Authority (IA) guidelines.Ensure accurate data entry and documentation of claim details in the claims management system.Support the review of claims for completeness and compliance with policy terms and conditions.Coordinate with internal departments to gather missing documentation or information.Flag potential discrepancies or anomalies for further review.Maintain confidentiality and data protection standards in handling sensitive health information.Respond to basic inquiries from policyholders regarding claim status and documentation requirements.Ensure timely processing of claims to meet service level agreements (SLAs).
Assist in generating reports for internal tracking and audit purposes.Stay updated on changes in claims procedures and regulatory requirements in Hong Kong.Support continuous improvement initiatives in claims processing workflows.Participate in training sessions related to claims systems and regulatory updates.Service and resolve inquiries from customers, members, beneficiaries, and others regarding Health Care products and benefits across multiple product linesAbility to communicate effectively across multiple channels, including phone, e-mail, chat, and textAbility to succinctly collect information from a customer to set up a new claimAbility to gather information from multiple source systems to understand and articulate the status of a claim – and what information may be needed, next steps in processing, etc.Academic and Additional Qualifications Needed:Bachelor's degree in Insurance, Business Administration, Healthcare Management, or related field.Basic understanding of health insurance products and claims lifecycle.Proficiency in Microsoft Office and claims management software.Strong attention to detail and organizational skills.Fluency in Cantonese, Mandarin, and English (speak, read, and write).
Seniority levelSeniority levelAssociateEmployment typeEmployment typeContractJob functionJob functionInformation TechnologyIndustriesIT Services and IT ConsultingReferrals increase your chances of interviewing at Cognizant by 2xGet notified about new Process Executive jobs in Greater Kuala Lumpur.Petaling Jaya, Selangor, Malaysia 3 days agoProcess Improvement Executive (Fleet Maintenance), SPX ExpressKuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 6 days agoSenior Executive, Business Performance ManagementBukit Raja, Selangor, Malaysia 23 hours agoRegional Manager – Manufacturing ExcellenceBandar Bukit Raja, Selangor, Malaysia 21 hours agoProcess Executive (voice support)- MandarinKuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 month agoProcess Executive English (Chinese/Mandarin)Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 month agoWP.
Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 3 weeks agoPetaling Jaya, Selangor, Malaysia 1 month agoCustomer Support Executive - Srilanka MarketKuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 3 weeks agoExecutive - Land Transport, TMS ImplementationKuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 3 weeks agoProcess Executive (Content Review Associate) - Japanese SpeakerWP.
Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 3 days agoWP.
Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 4 days agoWP.
Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 2 weeks agoOperations Support Executive (Admin / Data Entry / Customer Support)WP.
Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 day agoRelationship Manager, Group Corporate BankingWP.
Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 11 months agoKuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 2 days agoWe're unlocking community knowledge in a new way.
Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr