Job Information
Cognizant Claims Excellence - Team Lead in Kuala Lumpur, KL-Level 30, Malaysia
Mandatory Skill:
Cantonese language speaking and reading fluently
Medical/Health Insurance domain
Claims operations
Job Description:
The Supervisor supports the Quality Assurance & Training Assistant Manager in overseeing the Claims Excellence Team. This role is responsible for ensuring that post-payment claim reviews are completed within the established Service Level Agreements (SLAs). The Supervisor also assists in delivering training programs to the offshore team.
This position requires advanced knowledge of medical claims processes and the ability to identify potential risks or quality issues. The Supervisor is expected to recommend and implement corrective training measures to prevent recurrence of identified errors.
- Assist the Assistant Manager/Manager in training and management of the offshore team to ensure operational efficiencies and effectiveness2. Provide ongoing training to Offshore Claims Team and ensure that claim guidelines (as set by Bupa HK) are followed and executed efficiently3. Review of offshore team's quality assurance checking to ensure that claim guidelines and practices provide by Bupa HK are delivered effectively and upgrading the service quality of the offshore Claims Team (including technical knowledge and servicing skills)4. Working collaboratively with Bupa HK Claims Excellence team to ensure that SLA error rates are within the benchmark as set by Bupa HK and report any breaches immediately to Claim Excellence Bupa HK team for handling5. Organizing various kinds of core training events and team / culture building activities
Desired Professional Experience :
With 5 years of experience in medical claims processing (Both inpatient and outpatient) with 1-year supervisory experience
Experience in Claims Quality Assurance is preferred
Customer-oriented with excellent communication and interpersonal skills
Strong team player, willing to learn, able to work independently and under pressure
Self-motivated, analytical and detailed minded in problem solving
Good sense of responsibility with high level of integrity and trust
Cog2025
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.