Claims Representative

7 months ago


Kuala Lumpur, Malaysia The Cigna Group Full time

**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.
- 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.

**YOUR PROFILE/SKILLS**

**Education Level**
- Bachelor Degree or similar by experience
- Specific Knowledge
- Active knowledge of English
- 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.
- 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.



  • Kuala Lumpur, Malaysia The Cigna Group Full time

    POSITION : Claims Representative REPORTING TO : Claims Senior Representative / Supervisor 1. JOB PURPOSE The job holder is responsible of serving providers and insurance companies by determining requirements, answering inquiries, resolving problems, fulfilling requests and maintaining database. He/She is responsible for processing as per terms of...

  • Claims Representative

    6 months ago


    Kuala Lumpur, Malaysia The Cigna Group Full time

    **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....


  • Kuala Lumpur, Malaysia The Cigna Group Full time

    POSITION : Claim Representative A REPORTING TO : Claim Supervisor or Manager DEPARTMENT : Claims Career Band : Band 1 JOB PURPOSE The job holder is responsible of serving providers and insurance companies by determining requirements, answering inquiries, resolving problems, fulfilling requests and maintaining database. He/She is responsible for processing...

  • Claims Representative

    6 months ago


    Kuala Lumpur, Malaysia The Cigna Group Full time

    **JOB DESCRIPTION**: **POSITION : Claim Representative** **REPORTING TO**: Claim Supervisor or Manager** **DEPARTMENT : Claims** **Career Band : Band 1** **JOB PURPOSE** The job holder is responsible of serving providers and insurance companies by determining requirements, answering inquiries, resolving problems, fulfilling requests and maintaining...


  • Kuala Lumpur, Malaysia The Cigna Group Full time

    **JOB PURPOSE** The job holder is responsible of serving providers and insurance companies by determining requirements, answering inquiries, resolving problems, fulfilling requests and maintaining database. He/She is responsible for processing as per terms of benefits. He/She should provide accurate and relevant medical coverage details and maintain...


  • Kuala Lumpur, Malaysia The Cigna Group Full time

    Claims processing - Processing claims under GEH APAC book of business - Assessing and processing claims for medical expenses while always bearing in mind the importance of medical confidentiality. - Positioning him/herself analytically and critically in the context of cost management and in respect of existing working methods. - Following up his/her own...

  • Claim Representative

    7 months ago


    Kuala Lumpur, Malaysia The Cigna Group Full time

    Claims processing_ - Assessing and processing claims for medical expenses while always bearing in mind the importance of medical confidentiality. - 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...


  • Kuala Lumpur, Malaysia The Cigna Group Full time

    Job content Claims processing - Assessing and processing claims for medical expenses while always bearing in mind the importance of medical confidentiality. - 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...

  • Claims Representative

    7 months ago


    Kuala Lumpur, Malaysia The Cigna Group Full time

    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. - Positioning him/herself analytically and critically in the context of cost management and in...

  • Claims Representative

    7 months ago


    Kuala Lumpur, Malaysia The Cigna Group Full time

    **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. - Positioning him/herself analytically and critically in the context of cost...

  • Claims Representative

    7 months ago


    Kuala Lumpur, Malaysia The Cigna Group Full time

    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...

  • Claims Representative

    6 months ago


    Kuala Lumpur, Malaysia The Cigna Group Full time

    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...

  • Claims Representative

    7 months ago


    Kuala Lumpur, Malaysia The Cigna Group Full time

    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...

  • Claims Representative

    4 months ago


    Kuala Lumpur, Malaysia The Cigna Group Full time

    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...


  • Kuala Lumpur, Malaysia The Cigna Group Full time

    **JOB PURPOSE** The job holder is responsible of serving providers and insurance companies by determining requirements, answering inquiries, resolving problems, fulfilling requests and maintaining database. He/She is responsible for processing as per terms of benefits. He/She should provide accurate and relevant medical coverage details and maintain...


  • Kuala Lumpur, Malaysia The Cigna Group Full time

    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. - Positioning him/herself analytically and critically in the context of cost management and in...


  • Kuala Lumpur, Malaysia The Cigna Group Full time

    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...

  • Claims Analyst

    4 months ago


    Kuala Lumpur, Malaysia Zurich Insurance Full time

    **Position Overview** **Key Responsibilities**: - **Claims Management**: Investigate, evaluate, and settle third-party bodily injury claims in a timely and efficient manner. This includes gathering relevant information and analyzing medical reports and other documentation. - **Negotiation**: Negotiate settlements with claimants, legal representatives, and...

  • Claims Specialist

    7 months ago


    Kuala Lumpur, Malaysia IC Frith (Asia Pacific) Sdn Bhd Full time

    The Claim Specialist/ Customer Service Representative has a critical commercial responsibility in making sure that good quality decisions are made in relation to each claim/ sale, providing accurate information related to services provided, understanding customer requirements, coordinating sales order/ claim activities, and increase conversion rate. - Serves...


  • Kuala Lumpur, Malaysia The Cigna Group Full time

    YOUR JOB As a supervisor you will support the team manager in managing a team of Claims Analysts. Key to the role will be developing and coaching the team to deliver a high quality customer centric service offering. Your role includes: Accountable to review and assess inventory levels co-ordinating daily allocations and planning ahead to maximise staffing...