Senior Subrogation & Recovery Analyst

Cigna Healthcare; Kuala Lumpur; On-site; MYR 60,000 - 85,000; Full time

Job summary

Cigna Healthcare in Kuala Lumpur seeks a Recovery Senior Analyst to support affordability and recoveries for subrogation cases across global claims platforms. You will collaborate with Claims Operations, Clinical partners, Legal and Compliance, Account Management and Data Analytics to drive recovery outcomes.

The role emphasizes data-driven analysis, regulatory understanding, and effective stakeholder liaison to ensure timely and compliant recoveries while maintaining high quality standards.

Qualifications

• Minimum of 2 years of experience at Cigna Healthcare in Claims, Customer Service or Payment Integrity.
• Knowledge of at least one claims administration platforms (Mainframe, Diamond, Actisure and/or Globalcare) is required.
• Familiarity with case management systems (Salesforce/ Health Cloud).
• Excellent verbal and written communication skills.
• Experience and confidence in liaising with internal and external stakeholders.
• Critical mind-set with ability to understand regulatory and legal context.
• Experience with data analytics and data visualization tools is a plus.
• Demonstrated strong organization skills.
• Strong attention to detail and commitment to quality.
• Ability to balance multiple priorities at once and deliver on tight timelines.

Responsibilities

• Review claims and supporting documents to identify third party liability.
• Interview customer and third parties to establish liability and recovery opportunity.
• Ensure compliance with data privacy, confidentiality, and information-sharing requirements.
• Seek recovery of payments from third-parties responsible for the health damages caused to the insured, and from Customer’s alternative insurer.
• Partner with Customer Services and Account Management on educating customers and clients regarding the subrogation rights and obtaining required documentation.
• Ensure that Subrogation claims are compiled and raised correctly.
• Monitor outstanding recovery requests and drive timely resolution.
• Ensure recovered amounts are correctly recorded and reconciled.
• Perform data-mining to identify potential subrogation cases.
• Partner with Payment Integrity and other teams to raise awareness of schemes that fall under subrogation scope.
• Provide ongoing operational analysis of process components, while identifying and implementing changes as necessary to improve the level of quality and efficiency as measured by key performance indicators.
• Working closely with other departments to ensure Payment Integrity activities do not have an unnecessary negative impact on our customers.

Skills

Claims experience

Data analytics

Communication skills

Regulatory understanding

MS Office

Subrogation knowledge

Stakeholder liaison

Language skills

Team player

Tools

Mainframe

Diamond

Actisure

Globalcare

Salesforce

Health Cloud

Job description

Cigna Healthcare in Kuala Lumpur seeks a Recovery Senior Analyst to support affordability and recoveries for subrogation cases across global claims platforms. You will collaborate with Claims Operations, Clinical partners, Legal and Compliance, Account Management and Data Analytics to drive recovery outcomes.

The role emphasizes data-driven analysis, regulatory understanding, and effective stakeholder liaison to ensure timely and compliant recoveries while maintaining high quality standards.