SPE - Medical Pre-underwriting Advisor - (Cantonese Speaker)

Cognizant; Kuala Lumpur; On-site; MYR 100,000 - 150,000; Full time

Job summary

A global IT services firm in Kuala Lumpur is looking for an individual responsible for administering underwriting tasks. The candidate will perform pre-underwriting assessments, manage data capture and email communications, and uphold compliance with guidelines. Ideal applicants will have 1-3 years of experience in the medical or underwriting field. Strong problem-solving and communication skills are essential for success in this role.

Qualifications

• 1-3 years of experience in medical/underwriting/Claims field.
• Knowledge of medical conditions/medical insurance.
• Good problem-solving skills and logical thinking.

Responsibilities

• Perform pre-underwriting assessments according to guidelines.
• Handle incoming emails and prepare underwriting letters.
• Prepare audit checking reports for the client.

Skills

Medical knowledge

Logical thinking

Interpersonal skills

Problem-solving skills

Job description

Overview

This person will be responsible for underwriting administrative task (new application processing, participate in review meeting, and quality assurance) and pre-underwriting. They are expected to utilize knowledge in operation / medical / underwriting along with logical and analytical thinking, to ensure that the applications for enrolment and/or policy changes for individual health schemes are processing smoothly, compliant to guidelines and pre-underwritten in a consistent and accurate manner.

The purpose of the job is to ensure daily activity (like data-capture, email separation, filing, pre-underwriting, etc...) are handled smoothly and accurately as according to the guidelines and business rules, and client delivering quality outcome.

Responsibilities

• Perform pre-underwriting assessment on application for memberships and policy changes according to the rules and guidelines within agreed turnaround times
• Being familiar with the processes and guidelines and equipped with necessary medical and underwriting knowledge to achieve reasonable and evidence-based decision.
• Data capture, handling incoming emails from customers, preparing, and validating the underwriting letters to customers, filing documents.
• Prepare audit checking report and result per users to client HK underwriting team on weekly basis.
• Perform random checking and will provide quality checking report to client HK underwriting team on monthly basis.

Qualifications / Professional experience

• With 1-3 years of experience in medical/underwriting/Claims field
• With knowledge on medical condition/medical insurance
• Good problem-solving skills and logical thinking
• Good interpersonal and communication skills
• Willing and able to work under pressure with positive working attitude
• Strong sense of compliance, ethics, and integrity; hold self-accountable for own decisions and actions