Process Executive - Pre-Authorization - Health Insurance

Kuala Lumpur, Kuala Lumpur Cognizant

Posted 17 days ago

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Job Description

**Role: Process Executive -** **Pre-Authorization - Health Insurance**
**Location: KL, Malaysia**
**Experience: 0-4 Years**
**Job Responsibilities and Expectations:**
· Review and validate pre-authorization requests for medical services and procedures.
· Ensure completeness of documentation submitted by policyholders and healthcare providers.
· Verify eligibility and coverage based on policy terms and conditions.
· Coordinate with internal claims and underwriting teams for complex cases.
· Input and update pre-authorization decisions in the claims management system.
· Communicate authorization outcomes to providers and insured members.
· Ensure compliance with Insurance Authority (IA) regulations and internal SOPs.
· Identify and escalate potential fraud or abuse cases to the compliance team.
· Maintain turnaround time (TAT) and service level agreements (SLAs).
· Support audits and quality checks by providing accurate documentation.
· Participate in training sessions to stay updated on regulatory changes.
· Handle sensitive medical information with strict confidentiality.
· 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 claim - and what information may be needed, next steps in processing, etc.
**Academic and Additional Qualifications Needed:**
· Bachelor's degree in Nursing, Health Sciences, Insurance, or related field.
· Basic understanding of medical terminology and health insurance policies.
· Proficiency in Cantonese, Mandarin, and English (speak, read, and write).
· Familiarity with Hong Kong's healthcare system and insurance regulations.
· Strong attention to detail and data entry accuracy.
**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 or @cognizant.
#LI-CTSAPAC
Cognizant is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.
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Delivery Lead - Business Operations (Health Insurance)

Kuala Lumpur, Kuala Lumpur Cognizant

Posted 22 days ago

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**Role: Delivery Lead - Business Operations (Health Insurance)**
**Location: KL, Malaysia**
**Summary:**
A Healthcare Insurance Delivery Lead is responsible for overseeing the successful delivery of projects and services within the healthcare insurance domain, ensuring client satisfaction and operational efficiency. This role involves managing teams, coordinating with various stakeholders, and implementing strategies to optimize delivery processes. The Delivery Lead also focuses on maintaining strong client relationships and driving continuous improvement initiatives.
**Required skills:**
+ Deep understanding of the **healthcare insurance industry** , including relevant regulations, compliance requirements, and market trends. (APAC market is preferred)
+ Language Proficiency in **English and Cantonese.**
+ End to end understanding of **health insurance claims process, benefits/policy servicing** , provider relationship and customer contact center
**Roles & Responsibilities:**
+ Oversee the planning, execution, and delivery of multiple projects simultaneously, managing scope, timelines, budgets, and quality parameters
+ Lead and manage project teams, fostering collaboration, communication, and professional development.
+ Act as a primary point of contact for clients, building and maintaining strong relationships, understanding their needs, and ensuring their satisfaction.
+ Implement and enforce quality assurance measures to ensure high-quality deliverables and adherence to service level agreements (SLAs).
+ Drive continuous improvement initiatives and process optimization to enhance efficiency and effectiveness.
+ Develop and implement strategies to optimize delivery processes, improve efficiency, and drive business growth within the insurance vertical.
Ensure projects are delivered within budget and maximize revenue and margins.
**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 or @cognizant.
#LI-CTSAPAC
Cognizant is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.
This advertiser has chosen not to accept applicants from your region.

Quality Reviewer (Medical Pre-Underwriting - Health Insurance)

Kuala Lumpur, Kuala Lumpur Cognizant

Posted 1 day ago

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**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 or @cognizant .
**#LI-CTSAPAC**
Cognizant is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.
This advertiser has chosen not to accept applicants from your region.

Process Executive - BD Direct Support - Health Insurance

Kuala Lumpur, Kuala Lumpur Cognizant

Posted 17 days ago

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Job Description

**Role: Process Executive - BD Direct Support - Health Insurance**
**Location: KL, Malaysia**
**Experience: 0-4 Years**
**Job Responsibilities and Expectations:**
**-** Assist in onboarding new individual and corporate clients by collecting and verifying documentation.
- Support the BD team in preparing customized health insurance proposals and quotations.
- Maintain accurate records of client interactions and proposal submissions.
- Coordinate with underwriting and policy servicing teams to ensure timely processing of new applications.
- Respond to basic client queries related to product features, benefits, and application status.
- Ensure compliance with Insurance Authority (IA) guidelines during client interactions.
- Assist in scheduling meetings and presentations for BD executives.
- Generate reports on lead conversion and client engagement metrics.
- Support digital onboarding and CRM data entry processes.
- Collaborate with marketing teams to distribute promotional materials and campaigns **.**
**Academic and Additional Qualifications Needed:**
**-** Bachelor's degree in Business Administration, Insurance, or related field.
- Basic understanding of health insurance products and services.
- Proficiency in CRM systems and Microsoft Office tools.
- Strong communication and organizational skills.
- 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 or @cognizant.
#LI-CTSAPAC
Cognizant is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.
This advertiser has chosen not to accept applicants from your region.

Life or Health insurance domains _System Analyst/Programmer

Kuala Lumpur, Kuala Lumpur Avensys Consulting

Posted 4 days ago

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Job Description

Life or Health insurance domains _System Analyst/Programmer

Life or Health insurance domains _System Analyst/Programmer

Junior System Analyst/Programmer – Insurance Domain Avensys is a reputed global IT professional services company headquartered in Singapore. Our services include enterprise solution consulting, business intelligence, business process automation, and managed services. Given our decade of success, we have become one of the top trusted providers in Singapore and service a client base across banking and financial services, insurance, information technology, healthcare, retail, and supply chain. Junior System Analyst/Programmer – Insurance Domain Role Summary: Seeking a junior IT professional (1–5 years experience) to support software development, testing, and technical operations for insurance policy administration systems. The position requires participation throughout the project lifecycle—from requirements gathering to design, development, and technical support—focused on Life/Health insurance systems. Key Responsibilities: Participate in requirements sessions, system design, development, unit testing, and technical support activities. Write, test, and maintain high-quality code; ensure thorough software testing and review outcomes. Analyze, extract, and prepare data for reports and correspondence, utilizing SQL and reporting tools. Continuously collaborate with senior team members to solve technical challenges and improve solutions. Qualifications: Bachelor’s degree in Computer Science, Information Technology, or a related field (required). 1–5 years’ experience in IT as a programmer or system analyst. Exposure to, or interest in, the Life or Health insuranc e domains and policy administration systems (project experience is a plus, but not required at the junior level). Knowledge of software development using Java and basic familiarity with SQL databases (MSSQL, Oracle). Experience or coursework with reporting and document tools (e.g., Jasper, Thunderhead, Sisense) is preferred. Strong analytical thinking and problem-solving abilities. Positive attitude and eagerness to learn from senior mentors. Preferred: Familiarity with

DXC platforms like Life Asia or Integral Life (any version)

is a plus. Understanding of insurance business processes is an advantage but not required for entry-level applicants. Basic reporting/data extraction experience is helpful. WHAT’S ON OFFER You will be remunerated with an excellent base salary and entitled to attractive company benefits. Additionally, you will get the opportunity to enjoy a fun and collaborative work environment, alongside a strong career progression. To submit your application, please apply online or email your UPDATED CV in Microsoft Word format to Arti @aven-sys.com . Your interest will be treated with strict confidentiality. CONSULTANT DETAILS EA Licence 12C5759 Seniority level

Seniority level Entry level Employment type

Employment type Contract Job function

Job function Analyst, Engineering, and Information Technology Industries IT Services and IT Consulting, Insurance, and Hospitals and Health Care Referrals increase your chances of interviewing at Avensys Consulting by 2x Sign in to set job alerts for “Life Insurance Specialist” roles.

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Senior Insurance Specialist Manager

Kuala Lumpur, Kuala Lumpur HSBC Recruitment

Posted 4 days ago

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Join to apply for the

Senior Insurance Specialist Manager

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HSBC Recruitment 3 days ago Be among the first 25 applicants Join to apply for the

Senior Insurance Specialist Manager

role at

HSBC Recruitment Get AI-powered advice on this job and more exclusive features. Some careers grow faster than others.

If you’re looking for a career that will give you plenty of opportunities to develop, join HSBC and your future will be rich with potential. Whether you want a career that could take you to the top, or simply take you in an exciting new direction, HSBC offers opportunities, support and rewards that will take you further. Job Description

Some careers grow faster than others.

If you’re looking for a career that will give you plenty of opportunities to develop, join HSBC and your future will be rich with potential. Whether you want a career that could take you to the top, or simply take you in an exciting new direction, HSBC offers opportunities, support and rewards that will take you further.

International Wealth & Premier Banking (IWPB) leverages HSBC’s global wealth and premier banking expertise and capabilities to deliver a broad range of world-class wealth banking solutions to customers. IWPB is ideally placed to serve the increasing numbers of affluent and high net-worth customers – especially those with international banking needs who seek new investment opportunities to help them to protect and grow their wealth.

Our recognised brand, financial strength and complementary footprints reinforce HSBC’s position in the world’s wealth markets. Driving for growth in key markets around the world, the business comprises areas such as wealth management, premier & retail banking, insurance and asset management, with a focus on customer-centric propositions and innovative and efficient distribution channels that will differentiate our customer experience and deliver market leading wealth management solutions.

We are currently seeking an experienced professional to join this team in the role of

Senior Insurance Specialist Manager.

Principal Responsibilities

Contribute to the implementation of wealth sales strategies and propositions for insurance business as wealth protection proposition in IWPB. Support the implementation of HSBC’s Bancassurance strategy in Malaysia. The key focus will be on production of all insurance business and activities. Managing a Team of Insurance Specialists, responsible for their knowledge and upskilling with effectiveness at the branches assigned to them. Lead and manage the Specialists to ensure that a motivated team is in place. Work closely with the Regional and Branch Leaders to meet customer’s insurance needs and achieve the business results. Responsible for leading and developing selling skills for Branch based sales team providing training, coaching, joint sales, organising events and related activities.

Requirements

Minimum of 5 years proven and progressive wealth insurance experience or equivalent, including a minimum of 10 years proven and progressive management experience or equivalent. Extensive experience in leading salesforce - experienced in customer relationship management, distribution planning and driving a sales & service culture with customer’s needs in mind. Possess broad-based knowledge of local Life and Family Takaful insurance business. Possess the ability to apply entrepreneurial and commercial thinking to delivering business performance. Strong verbal and written communication skills. Excellent interpersonal skills – excellent customer relationship management. Courageous leadership - able to lead, inspire, motivate and develop the team to deliver business performance.

Opening up a world of opportunity

is committed to building a culture where all employees are valued, respected and opinions count. We take pride in providing a workplace that fosters continuous professional development, flexible working and opportunities to grow within an inclusive and diverse environment. Personal data held by the Bank relating to employment applications will be used in accordance with our Privacy Statement, which is available on our website.

Issued by HSBC Bank Malaysia Berhad Seniority level

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Senior Insurance Specialist Manager | Kuala Lumpur, MY

Kuala Lumpur, Kuala Lumpur HSBC

Posted 2 days ago

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Job Description

Some careers grow faster than others.

If you're looking for a career that will give you plenty of opportunities to develop, join HSBC and your future will be rich with potential. Whether you want a career that could take you to the top, or simply take you in an exciting new direction, HSBC offers opportunities, support and rewards that will take you further.

International Wealth & Premier Banking (IWPB) leverages HSBC's global wealth and premier banking expertise and capabilities to deliver a broad range of world-class wealth banking solutions to customers. IWPB is ideally placed to serve the increasing numbers of affluent and high net-worth customers - especially those with international banking needs who seek new investment opportunities to help them to protect and grow their wealth.

Our recognised brand, financial strength and complementary footprints reinforce HSBC's position in the world's wealth markets. Driving for growth in key markets around the world, the business comprises areas such as wealth management, premier & retail banking, insurance and asset management, with a focus on customer-centric propositions and innovative and efficient distribution channels that will differentiate our customer experience and deliver market leading wealth management solutions.

We are currently seeking an experienced professional to join this team in the role of

Senior Insurance Specialist Manager.

Principal Responsibilities Contribute to the implementation of wealth sales strategies and propositions for insurance business as wealth protection proposition in IWPB. Support the implementation of HSBC's Bancassurance strategy in Malaysia. The key focus will be on production of all insurance business and activities. Managing a Team of Insurance Specialists, responsible for their knowledge and upskilling with effectiveness at the branches assigned to them. Lead and manage the Specialists to ensure that a motivated team is in place. Work closely with the Regional and Branch Leaders to meet customer's insurance needs and achieve the business results. Responsible for leading and developing selling skills for Branch based sales team providing training, coaching, joint sales, organising events and related activities.

Requirements

Minimum of 5 years proven and progressive wealth insurance experience or equivalent, including a minimum of 10 years proven and progressive management experience or equivalent. Extensive experience in leading salesforce - experienced in customer relationship management, distribution planning and driving a sales & service culture with customer's needs in mind. Possess broad-based knowledge of local Life and Family Takaful insurance business. Possess the ability to apply entrepreneurial and commercial thinking to delivering business performance. Strong verbal and written communication skills. Excellent interpersonal skills - excellent customer relationship management. Courageous leadership - able to lead, inspire, motivate and develop the team to deliver business performance.

Opening up a world of opportunity

is committed to building a culture where all employees are valued, respected and opinions count. We take pride in providing a workplace that fosters continuous professional development, flexible working and opportunities to grow within an inclusive and diverse environment. Personal data held by the Bank relating to employment applications will be used in accordance with our Privacy Statement, which is available on our website.

Issued by HSBC Bank Malaysia Berhad Boost your career Find thousands of job opportunities by signing up to eFinancialCareers today.

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New Business Underwriting Specialist (Life Insurance)

Kuala Lumpur, Kuala Lumpur Zurich 56 Company Ltd

Posted 4 days ago

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New Business Underwriting Specialist (Life Insurance)

Job Summary With direction, Underwrites and analyses new and existing life business within delegated authority levels to achieve business goals and maximize customer experience. Job Accountabilities - Key Accountabilities

Completes assignments of moderate to high complexity while working within delegated authority. Provides technical underwriting support and guidance to customers and distributors, consistently providing excellent customer service. Maintains internal and external distributor relationships by consistently requesting the correct evidence, making the correct decision, and explaining rating decisions. Completes a range of queries and referrals within agreed authority limits, measuring the exposure & analysing the risk of each case to maintain underwriting standards. Proactively contributes to the development and improvement of technical underwriting standards, controls, practices, and procedures to better meet business goals. Proactively contributes ideas and work for the development of new or enhanced propositions/procedures/philosophy ensuring we charge the right premium for the associated risk. Identifies training opportunities for self and others and assists with training as directed. You are the heart & soul of Zurich! At Zurich, we like to think outside the box and challenge the status quo. We take an optimistic approach by focusing on the positives and constantly asking What can go right? We highly value the experience and know-how of our employees and offer a wide range of opportunities across business areas to encourage you to apply for new opportunities within Zurich when you are ready for your next career step.

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New Business Underwriting Specialist (Life Insurance)

Kuala Lumpur, Kuala Lumpur Zurich

Posted 4 days ago

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Job Summary With guidance, underwrites and analyzes new and existing life insurance business within delegated authority levels to achieve business goals and enhance customer experience. Key Accountabilities Completes assignments of moderate to high complexity within delegated authority. Provides technical underwriting support and guidance to customers and distributors, ensuring excellent customer service. Maintains relationships with internal and external distributors by requesting correct evidence, making accurate decisions, and explaining rating decisions clearly. Handles queries and referrals within authority limits, assesses exposure, and analyzes risk to uphold underwriting standards. Contributes to the development and enhancement of technical underwriting standards, controls, practices, and procedures to meet business objectives. Participates in developing new or improved propositions, procedures, and philosophies to ensure appropriate premium charges for risks. Identifies training needs for self and others and assists with training when required. You are the heart & soul of Zurich! At Zurich, we encourage innovative thinking and challenge the status quo. We focus on positive outcomes and ask, "What can go right?" We value our employees' experience and expertise, offering diverse opportunities across business areas to support your career growth within Zurich. Let’s grow together! Additional Details: Location: Kuala Lumpur, Malaysia Schedule: Full-Time Recruiter: Kamilia Kamil

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