Medical Claims Specialist – Reimbursements & Compliance

CIGNA Worldwide General Insurance Company Limited; Kuala Lumpur; On-site; MYR 30,000 - 42,000; Full time

Job summary

Cigna Worldwide General Insurance Company Limited is seeking a claims processor to handle provider claims, assess coverage, and ensure compliance with policies. The role involves processing medical expenses, maintaining data accuracy, and supporting cross-functional teams.

Ideal candidates have 1–2 years of experience in insurance claims, strong communication skills, and proficiency in Microsoft Office. Some shifts and staggered weekends may be required.

Qualifications

• Experience in claims processing or insurance preferred but not essential.
• Strong administrative and organizational abilities.
• Excellent written and verbal communication skills.

Responsibilities

• Processes claims from providers.
• Assesses and processes claims per policy coverage and medical necessity.
• Maintains knowledge of medical insurance policies for groups/beneficiaries.
• Supports team with knowledge-sharing and training as needed.
• Ensures compliance with claim manuals and SOPs; adjudicates claims per policies.

Skills

Microsoft Office

Time management

Communication skills

Independent worker

Adaptability

Attention to detail

Tools

Microsoft Office

Job description

Cigna Worldwide General Insurance Company Limited is seeking a claims processor to handle provider claims, assess coverage, and ensure compliance with policies. The role involves processing medical expenses, maintaining data accuracy, and supporting cross-functional teams.

Ideal candidates have 1–2 years of experience in insurance claims, strong communication skills, and proficiency in Microsoft Office. Some shifts and staggered weekends may be required.