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Claims Representative

Cigna

Kuala Lumpur

On-site

MYR 100,000 - 150,000

Full time

30+ days ago

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Job summary

Cigna is seeking a Claims Processor in Kuala Lumpur to manage medical expense claims efficiently while ensuring confidentiality and accuracy. The ideal candidate will possess a Bachelor's degree and demonstrate strong numerical, decision-making, and teamwork skills. Join Cigna to contribute to better health outcomes and improve lives through effective claims management.

Qualifications

  • Active knowledge of English and passive knowledge of another language.
  • Familiarity with medical terminology and policies.

Responsibilities

  • Assess and process claims for medical expenses while maintaining confidentiality.
  • Ensure accurate data input and follow up on workload.
  • Communicate effectively with internal employees regarding claims.

Skills

Decision Making
Numerical Skills
Accuracy
Discipline
Efficiency
Teamwork
Computer Skills
Discretion

Education

Bachelor Degree or similar by experience

Job description

Scope

Critical analysis and processing of claims for medical expenses within the fixed turn around time.

Job content

Claims processing

  • Assessing and processing claims for medical expenses while always bearing in mindthe importance of medical confidentiality.
  • Accurate data input to the system applications.
  • Positioning him/herself analytically and critically in the context of cost management and in respect of existing working methods.
  • Following up his/her own workload (volume and timing): keeping an eye on chronology and processing time of the work volume and taking suitable actions.
  • Participate efficiently in processing the flow of claims: inform the Team Leader about claims lacking clarity and about possible ways of optimizing the processes.
  • A sustained effort towards high-quality claims handling, accurate reimbursements and fast transactions are important motivators.

    In relation to other positions
  • Providing accurate communication about a dossier to the interested internal employee.
  • Tracking irregularities in procedures and highlighting these to the Team Leader.
  • Raising problems or sensitivities with your superior.

PROFILE
Education Level

  • Bachelor Degree or similar by experience

    Specific Knowledge

  • Active knowledge of English
  • Passive knowledge of other language
  • Policies cover
  • Medical terminology
  • Use of necessary reference works

    Skills

  • Skillful in taking decisions: takes the right action on allocated files based on the available information.
  • Skillful with numbers: likes to work with numbers.
  • Accurate: works accurately on the input of data, aims to work faultlessly.
  • Discipline: pays attention to procedures, agreements and document flows.
  • Efficient: finds a good balance between quality and quantity.
  • Team player: Able to work in a team.
  • Skillful with computer programs: readily learns the ropes in the use of current office applications and own Cigna International systems.
  • Discreet: works discreetly with confidential (medical) information.

About The Cigna Group

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.
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