PSO APAC Claims Representative

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

Job summary

Cigna is seeking a Claims Processor to perform critical analysis and processing of medical expense claims. The role involves ensuring confidentiality, maintaining high-quality claims handling, and effective communication with internal stakeholders. Candidates should possess a Bachelor's degree and strong decision-making skills, with a focus on accuracy and teamwork.

Qualifications

• Bachelor’s Degree or equivalent experience required.
• Proficient in English; knowledge of other languages is a plus.
• Understanding of policy coverage and familiarity with medical terminology.

Responsibilities

• Assess and process medical expense claims, ensuring confidentiality.
• Accurately input data into system applications.
• Participate actively in claims processing and communicate with the Team Leader.

Skills

Decisive decision-making skills

Comfortable working with numbers

High accuracy and attention to detail

Discipline in following procedures and documentation

Efficiently balancing quality and productivity

Team-oriented mindset

Proficient in computer applications and internal systems

Discreet handling of confidential information

Education

Bachelor’s Degree or equivalent experience

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 NYSE, the Company operates across the Americas, Europe, Africa, and Asia Pacific.

Cigna Global Health Benefits (CGHB) is a vital part of Cigna's expanding international business. Our product portfolio includes Medical, Dental, Vision, Life, AD&D, Disability, Travel, and more, sold to both groups and individuals. We serve approximately 1 million medical members worldwide.

YOUR JOB

Scope

Perform critical analysis and processing of medical expense claims within the designated turnaround time.

Job Content

• Assess and process medical expense claims, ensuring confidentiality of medical information.
• Accurately input data into system applications.
• Apply analytical and critical thinking in cost management and adherence to working methods.
• Manage workload effectively, monitoring volume and processing times, and taking appropriate actions.
• Participate actively in claims processing, communicate with the Team Leader about unclear claims and process improvements.
• Maintain high-quality claims handling, ensuring accurate reimbursements and prompt transactions.
• Provide clear communication regarding files to internal stakeholders.
• Identify procedural irregularities and report them to the Team Leader.
• Raise issues or sensitivities with supervisors when necessary.
• Contribute to a positive and collaborative team environment.

Profile

Education Level

• Bachelor’s Degree or equivalent experience

Specific Knowledge

• Proficient in English
• Knowledge of other languages is a plus
• Understanding of policy coverage
• Familiarity with medical terminology
• Ability to use reference materials effectively

Skills

• Decisive decision-making skills
• Comfortable working with numbers
• High accuracy and attention to detail
• Discipline in following procedures and documentation
• Efficiently balancing quality and productivity
• Team-oriented mindset
• Proficient in computer applications and internal systems
• Discreet handling of confidential information

About The Cigna Group

Cigna Healthcare, a division of The Cigna Group, advocates for better health at every life stage. We support our customers through the healthcare system, providing information and insights to help them make informed health decisions. Join us to drive growth and improve lives.