Senior Process Executive
vor 2 Wochen
Senior Process Executive - Claims Excellence - Health Insurance Senior Process Executive - Claims Excellence - Health Insurance 2 days ago Be among the first 25 applicants Get 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 lines Ability to communicate effectively across multiple channels, including phone, e-mail, chat, and text Ability to succinctly collect information from a customer to set up a new claim Ability 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 level Seniority level Associate Employment type Employment type Contract Job function Job function Information Technology Industries IT Services and IT Consulting Referrals increase your chances of interviewing at Cognizant by 2x Get notified about new Process Executive jobs in Greater Kuala Lumpur . Petaling Jaya, Selangor, Malaysia 3 days ago Process Improvement Executive (Fleet Maintenance), SPX Express Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 6 days ago Senior Executive, Business Performance Management Bukit Raja, Selangor, Malaysia 23 hours ago Regional Manager – Manufacturing Excellence Bandar Bukit Raja, Selangor, Malaysia 21 hours ago Process Executive (voice support)- Mandarin Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 month ago Process Executive English (Chinese/Mandarin) Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 month ago WP. Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 3 weeks ago Petaling Jaya, Selangor, Malaysia 1 month ago Customer Support Executive - Srilanka Market Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 3 weeks ago Executive - Land Transport, TMS Implementation Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 3 weeks ago Process Executive (Content Review Associate) - Japanese Speaker WP. Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 3 days ago WP. Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 4 days ago WP. Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 2 weeks ago Operations Support Executive (Admin / Data Entry / Customer Support) WP. Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 day ago Relationship Manager, Group Corporate Banking WP. Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 11 months ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 2 days ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr
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Chief Executive Officer
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Chief Executive Officer
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Chie Executive Officer
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