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Process Executive - Claims Operations (Cantonese Speaker)

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AI-generated summary

  • Assess claims: verify ICD-9/10 & CPT codes, process payments, issue letters, escalate cases.
  • Join Cognizant Malaysia's claims team; follow company guidelines.
  • Hone medical coding and end-to-end claims processing skills!

Undisclosed

Kuala Lumpur, KL-Level 30, Kuala Lumpur, Malaysia, Kuala Lumpur

Job Description

  • Assess medical claims in compliance with the terms and conditions of the policy

  • Verify medical codes, diagnosis and procedure to ensure compliance with industry standards (e.g. ICD 9, ICD 10, CPT)

  • Escalate enquiries and complex cases to Senior, when necessary, in line with internal guidelines

  • Process claims payment in accordance with the company's objectives and guidelines

  • Prepare claim communication letter


  • Job Requirements


    Company Benefits

    Supporting diverse talent

    Explore programs and initiatives designed to foster an inclusive future for all.

    Career development

    We are committed to facilitating career and skill development through internal job opportunities, providing resources and tools to explore new roles.

    Cognizant Propel Program

    This signature program for women at mid and senior levels globally accelerates diverse leadership and empowers women to excel in the digital age.


    Additional Info

    Company Activity

    Last active - few days ago

    Job Specialisation


    Company Profile

    Cognizant Malaysia-logo-image

    Cognizant Malaysia

    Cognizant helps companies modernize technology, reimagine processes and transform experiences so they stay ahead in a fast-changing world. Cognizant engineers modern businesses. As one of the largest global professional services companies we help clients modernize technology, reimagine processes and transform experiences so they can stay ahead in our fast-changing world. Together, we’re improving everyday life. As...