Senior Medical Claims Specialist

Cigna Healthcare; Kuala Lumpur; On-site; MYR 50,000 - 80,000; Full time

Job summary

Cigna Healthcare Malaysia is seeking a Claims Analyst to handle medical expense claims with confidentiality. You will assess, process, and input data accurately, aiming for timely reimbursements and high data integrity.

The role requires familiarity with English and Mandarin, meticulous attention to detail, and strong teamwork to improve workflows. A bachelor’s degree or equivalent and office/CRM experience are preferred.

Qualifications

• Bachelor degree or equivalent required.
• Proficiency in medical terminology.
• Strong data entry and confidentiality.
• Good command of English and Mandarin.
• Familiar with policy coverage.

Responsibilities

• Process medical expense claims within fixed turnaround time.
• Input data accurately into system applications.
• Maintain confidentiality and data integrity of files.
• Monitor workload, timelines, and follow up on open files.
• Collaborate with Claims Supervisor to optimize processes.
• Provide training to trainees and support colleagues.
• Communicate clearly with internal staff about dossiers.
• Assist in contract updates and refresher trainings.

Skills

Decision making

Numerical skills

Data accuracy

Attention to detail

Discipline

Efficiency

Teamwork

Discretion

Office applications

Education

Bachelor degree or equivalent

Language knowledge (English/Mandarin)

Medical terminology

Policies coverage

Use of reference works

Tools

Microsoft Office

CRM

Tailor-made software

Cigna systems

Job description

Cigna Healthcare Malaysia is seeking a Claims Analyst to handle medical expense claims with confidentiality. You will assess, process, and input data accurately, aiming for timely reimbursements and high data integrity.

The role requires familiarity with English and Mandarin, meticulous attention to detail, and strong teamwork to improve workflows. A bachelor’s degree or equivalent and office/CRM experience are preferred.