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Claims Representative

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This job is a Claims Representative at Cigna Global Health Benefits. You'll process medical claims accurately, manage work volume, and communicate effectively. You might like this job because it offers the opportunity to work in a diverse and growing international business, providing essential health insurance services worldwide.

Undisclosed

Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur, Malaysia, Kuala Lumpur

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

Cigna Global Health Benefits (CGHB) is an integral part of Cigna's growing international businesses. Product types include: Medical, Dental, Vision, Life, AD&D, Disability, Travel, etc., sold to groups and individuals. We have approximately 1 million medical members around the world.

YOUR JOB

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 mind the 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.
  • Participating actively in an agreeable and amicable atmosphere.
     

    PROFILE


Education Level

  • Bachelor Degree or similar by experience

    Specific Knowledge
     

  • Active knowledge of English
  • Passive knowledge of other languages such as German, Spanish, French, etc
  • 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.


Job Requirements


Company Benefits

Rewards & time away

The Cigna Group offers a reasonable amount of paid time off and many other benefit programs that allow you to take time away.

Medical benefit

We offer five core medical plan options that cover in-network preventive care, which includes well child visits, physicals, and more!

Dental & vision

We offer dental and vision plan options for employees to choose from. Both options cover preventive care at no cost.

Financial support

We have an Educational Development Program that supports employees in their professional development and growth.


Additional Info

Experience Level

0 - 10 Years of Experience


Company Profile

The Cigna Group-logo-image

The Cigna Group

The Cigna Group℠ is a global health company committed to improving health and vitality. We relentlessly challenge ourselves to partner and innovate solutions for better health. Our global workforce of more than 70,000 colleagues work through Cigna Healthcare℠ and Evernorth Health Services® to fulfill our mission to improve the health and vitality of the more than 178 million customer relationships we serve in more...