Claims Representative

Cigna Healthcare; Kuala Lumpur; On-site; MYR 30,000 - 50,000; Full time

Job summary

A leading healthcare provider seeks a detail-oriented claims processor responsible for analyzing and processing medical expense claims efficiently. The ideal candidate holds a Bachelor’s Degree and possesses strong teamwork, decision-making, and numerical skills to ensure accurate claims handling and management within set turnaround times. Join Cigna's international team to drive growth and improve health outcomes.

Qualifications

• Bachelor’s Degree or equivalent experience required.
• Proficient in English; additional languages are a plus.
• Understanding of policy coverage and medical terminology.

Responsibilities

• Assess and process claims for medical expenses.
• Accurately input data into system applications.
• Manage workload volume and timing.

Skills

Attention to detail

Teamwork skills

Decision-making skills

Discretion

Numerical aptitude

Education

Bachelor’s Degree or equivalent experience

Tools

Office software

Cigna systems

Job description

Cigna is one of the world’s leading providers of health care, expatriate employee benefits, life, accidental, and supplemental health insurance. Headquartered in the US and listed on the NYSE, the company operates across the Americas, Europe, Africa, and Asia Pacific.

About Cigna Global Health Benefits (CGHB): An integral part of Cigna's growing international business, offering products such as Medical, Dental, Vision, Life, AD&D, Disability, Travel, etc., to groups and individuals. We serve approximately 1 million medical members worldwide.

Job Overview: Critical analysis and processing of medical expense claims within the specified turnaround time.

Key Responsibilities:

• Assess and process claims for medical expenses, maintaining confidentiality.
• Accurately input data into system applications.
• Analyze claims in the context of cost management and existing procedures.
• Manage workload volume and timing, ensuring timely processing.
• Participate in optimizing claim processing workflows and communicate effectively with team members.
• Ensure high-quality claims handling, accurate reimbursements, and prompt transactions.

Additional Responsibilities:

• Communicate effectively with internal teams regarding claim status.
• Identify procedural irregularities and report them.
• Raise issues or concerns with supervisors.
• Contribute to a positive team environment.

Candidate Profile:

Education: Bachelor’s Degree or equivalent experience.

Knowledge & Skills:

• Proficient in English; knowledge of additional languages is a plus.
• Understanding of policy coverage and medical terminology.
• Familiarity with reference materials.
• Decision-making skills; numerical aptitude.
• Attention to detail and accuracy.
• Discipline and adherence to procedures.
• Efficiency in balancing quality and productivity.
• Teamwork skills.
• Proficiency with office software and Cigna systems.
• Discretion in handling confidential medical information.

About The Cigna Group: Cigna Healthcare, a division of The Cigna Group, advocates for better health at every life stage, guiding customers through the healthcare system with information to improve their health and vitality. Join us to drive growth and make a difference.