Claims Representative

1 week ago

Kuala Lumpur, Kuala Lumpur, Malaysia The Cigna Group Full time
The job profile for this position is Claims Representative, which is a Band 1 Professional Career Track Role.

Excited to grow your career?

We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply

Our people make all the difference in our success.

YOUR JOB

As a Claims Representative you will be part of Provider Services department, handling multiplatform processing and adjusting of provider claims which will be identified through the reconciliation output. You will report directly into the supervisor and will work closely with your peers in the same as well as others locations across the globe. Key to the role will be critical analysis, processing and adjusting of claims for medical expenses within the fixed turn-around time and with high the established quality standards. Your role includes:

Job content

Claims processing

Assessing, processing and adjusting provider claims for medical expenses while always bearing in mind the importance of medical confidentiality.

Accurate data input to the different systems 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 Supervisor 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 Supervisor.

Raising problems or sensitivities with your superior.

Participating actively in an agreeable and amicable atmosphere.

YOUR PROFILE/SKILLS

Education Level

Bachelor Degree or similar by experience

Specific Knowledge

Active knowledge of English

Passive knowledge of other languages is a plus (any European or Asian languages)

Insurance and 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.

Flexible: is able to adapt to the changes easily;

Multitasking: works easily in different systems at the same time;

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.

Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.

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  • Claims Representative

    1 month ago

    Kuala Lumpur, Kuala Lumpur, Malaysia The Cigna Group Full time

    The job profile for this position is Claims Representative A, which is a Band 1 Professional Career Track Role.Excited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you,...

  • Claims Representative

    1 week ago

    Kuala Lumpur, Kuala Lumpur, Malaysia The Cigna Group Full time

    The job profile for this position is Claims Representative A, which is a Band 1 Professional Career Track Role.Excited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you,...

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