Senior Process Executive

2 weeks ago

Coimbatore, India Cognizant Full time
  • Review incoming health insurance applications for completeness and accuracy.
  • Extract and validate medical information from application forms and supporting documents.
  • Perform initial risk assessment based on predefined underwriting guidelines.
  • Coordinate with internal teams to obtain missing or additional medical information.
  • Ensure compliance with Hong Kongs Insurance Authority (IA) regulations and data privacy laws.
  • Input and update underwriting decisions in the policy administration system.
  • Refer complex or borderline cases to senior underwriters or medical officers.
  • Maintain accurate documentation of underwriting decisions and rationale.
  • Support the issuance of policy documents post-underwriting approval.
  • Respond to internal queries related to underwriting status and documentation.
  • Participate in training sessions to stay updated on underwriting protocols.
  • Ensure timely processing of applications to meet service level agreements (SLAs).
  • 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.Role & responsibilities

Preferred candidate profile

  • Bachelor's degree in Life Sciences, Nursing, Healthcare Administration, or related field.
  • Basic understanding of medical terminology and health insurance products.
  • Proficiency in Microsoft Office and insurance processing systems.

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