Supervisor Global Provider Claims
2 weeks ago
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 levels to maximise results.
Accountable to ensure that productivity, quality and customer satisfaction, are managed within own team and motivation of the individuals and team to achieve the operational KPI’s; Attend KPI calls can help you to achieve this.
Recommending and implementing innovative strategies to improve efficiency and provide excellent customer service
Being proactive in identifying improvement/enhancement opportunities and be active in seeking and sharing ideas for innovation in business processes.
Being responsible for follow-up of capacity planning and absences in close cooperation with HR
Ensure strong employee engagement within the team, including day to day oversight, motivation, conflict management, training, well being and performance by providing coaching and skill development in collaboration with the Claims Management Team.
Ensure appropriate performance management actions are taken
Having quarterly check-in conversations with all team members
Promote a culture of continuous improvement and be fully responsible for the implementation of new ways of working and the measurement of the results in alignment with the broader Claims Strategy and in coordination with the Management Team
Taking ownership of any escalated claims and provide updates to the Team manager on any issues
Proactively address and/or escalate any operational risks to the team Manager
Developing/maintaining proactive/effective business relationships, both internally and externally to ensure a seamless delivery of service. Actively encourage all team members to do likewise (e.g. Cigna links).Option to take over SPOC role for particular clients/accounts if required
Be Represent the Organisation during client visits, absences, stakeholder meetings, or act as a relationship person towards some our strategic partners.
Together with the SME, you are responabible and accountable for the implementation of new clients/renewals/changes for existing clients that belong to your book of business
Process claims or support the financial verification
YOUR PROFILE
Strong performance track record
International mind-set, with holistic and able to work remotely with peers across locations
2 years of Cigna eperience, or relevant leadership experience in other functions/companies
Experience in and passion for coaching, managing, developing and motivating individuals and the team.
Experience in complaint management - with a proven track record in improving customer service standards
Strong presentation skills, and knoweldge of Window Office tools like Word, Outlook, Excel, Powerpoint...
A growth mindset with a positive attitude towards change and the ability to play an active role in implementing change initiatives.
**Excellent interpersonal skills**: strong empathy and listening skills, strong articulation and communciations skills
Striving for excellent service to our members, clients and providers is part of your DNA.
Competency to build a team and create an atmosphere of positive collaboration, innovation and creative solutioning among the team members
Action-orientated problem-solving attitude
Excellent organisation, planning and prioritisation skills
Able to seek out best practice in order to effectively deal with diverse, complex and highly sensitive issues
Results orientated - ability to cascade and explain goals, establish plans and manage work to achieve desired outcomes. Create meaningful business related metrics and track progress/results
Accountability - assume ownership for achieving personal results and collective team goals
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.
-
Chief Claims Supervisor
6 days ago
Kuala Lumpur, Kuala Lumpur, Malaysia Allianz Popular SL. Full timeWe are seeking a highly skilled and experienced Chief Claims Supervisor to join our team at Allianz General Insurance Company. As a key member of our leadership team, you will play a critical role in overseeing the Motor Own Damage Claims unit and ensuring that we deliver exceptional service to our customers.The ideal candidate will have a strong background...
-
Global Financial Controller
3 days ago
Kuala Lumpur, Kuala Lumpur, Malaysia Sedgwick Claims Management Services Ltd Full timeAbout UsSedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize...
-
Global Learning and Development Lead
9 hours ago
Kuala Lumpur, Kuala Lumpur, Malaysia Sedgwick Claims Management Services Ltd Full timeAt Sedgwick Claims Management Services Ltd, we are committed to providing exceptional services to our customers. Our organization is dedicated to delivering high-quality results and exceeding customer expectations.About the RoleWe are seeking an experienced Global Learning and Development Lead to join our team. The successful candidate will be responsible...
-
Claim Supervisor
2 weeks ago
Kuala Lumpur, Malaysia The Cigna Group Full timeJOB PURPOSE Manages the accurate and timely adjudication of claims and administers disposition according to contractual benefits and company procedures. Provides direction and guidance regarding policies, procedures, workflows, claim service quality, and training needs. Responsible for monitoring claim service standards. 2. RESPONSIBILITIES AND DUTIES -...
-
Global Claims Intern
2 weeks ago
Kuala Lumpur, Malaysia GuestReady Full time**About Us**: GuestReady is a globally leading short-term rental management and hospitality company, providing great services to property owners, and amazing stays to guests. We are currently operating in the United Kingdom, France, Portugal, Spain and the United Arab Emirates, and we're growing fast. Launched in 2016, with over 3.3 million guest nights...
-
Global Claims Investigator
5 days ago
Kuala Lumpur, Kuala Lumpur, Malaysia AIG Full timeKey ResponsibilitiesThe successful candidate will process travel and accidental health claims in line with AIG's claims handling guidelines, ensure timely resolutions for customers, communicate effectively with stakeholders, and contribute to the overall efficiency of the claims team. The ideal candidate will also have strong verbal and written skills,...
-
Claims Representative A
2 weeks ago
Kuala Lumpur, Malaysia The Cigna Group Full timePOSITION : 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...
-
Global Claims Manager
7 days ago
Kuala Lumpur, Kuala Lumpur, Malaysia Allianz Popular SL. Full timeKey Performance IndicatorsResponsibilitiesThe ideal candidate will handle claims to completion within designated Settlement Authority and Company Guidelines, ensuring timely actions and regular case reviews. They will conduct thorough investigations to assess claim validity and extent, appoint independent surveyors and investigators, communicate with...
-
Claims Representative
6 days ago
Kuala Lumpur, Kuala Lumpur, Malaysia Cigna International Health Services Sdn Bhd Full timeThis job is a Claims Representative. You might like this job because you'll process claims, assist with inquiries, maintain files, and ensure accurate medical coverage details, all while meeting processing targets and ensuring compliance with policies.Salary: RM 3000 - RM 4500Employment Type: Full-TimePosted: few days agoJob DescriptionJOB PURPOSEThe job...
-
Global Insurance and Travel Claims Specialist
2 weeks ago
Kuala Lumpur, Malaysia EPS Ventures Sdn Bhd Full time**Position : Global Insurance and Travel Claims Specialist** **Tenure : 1 year contract ( Immediate Hiring)** **Working Hour : Standard** **Working location : Jalan Duta** **Salary : RM 6500 - RM 7000** **Responsibilities**: - Receive, validate, and manage new claims. - Review and approve claims within authority limits, preparing files for presentation...
-
Chief Claims Examiner
6 days ago
Kuala Lumpur, Kuala Lumpur, Malaysia Prudential Hong Kong Limited Full timeAt Prudential Hong Kong Limited, we are committed to providing exceptional service to our customers. We are currently seeking an experienced Chief Claims Examiner to join our team.Job Description:The successful candidate will be responsible for assisting the immediate supervisor in processing complex claims by meeting and exceeding management's expectations...
-
Global Claims Resolution Professional
5 days ago
Kuala Lumpur, Kuala Lumpur, Malaysia Businesslist Full timeCompany Overview:At Businesslist, we pride ourselves on providing exceptional customer service and resolving claims efficiently. As an Insurance and Travel Claims Specialist, you will play a crucial role in maintaining this standard.Job Description:Validate claims for third-party schemesEstablish proof of loss by analyzing medical documentationPrepare...
-
Claims Representative A
4 weeks ago
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...
-
Claims Representative A
1 day ago
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...
-
Executive, Claim Investigation
6 days ago
Kuala Lumpur, Kuala Lumpur, Malaysia Prudential Hong Kong Limited Full timeExecutive, Claim InvestigationApply locations: Kuala Lumpur (Takaful)Time type: Full timePosted on: Posted 4 Days AgoJob requisition id: 24110244Prudential's purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our...
-
Claims Representative A
2 weeks ago
Kuala Lumpur, Malaysia Cigna Full timeScope 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...
-
Executive, Claims Has
2 weeks ago
Kuala Lumpur, Malaysia Prudential Full timePrudential's purpose is to help people get the most out of life. We will deliver our purpose by creating a culture in which diversity is celebrated and inclusion assured, for our colleagues, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and in exchange, we support our people's career...
-
Junior Executive, Claims
2 weeks ago
Kuala Lumpur, Malaysia Tokio Marine Group Full time**Responsibilities**: - Provide general administrative and support including filing, scanning, mailing, data entry within desired target TAT to ensure compliance to internal and regulatory guidelines. - Assist in claims registrations and payments to facilitate smooth claims processing. - Maintain office supplies for department. - Scan the incoming documents...
-
Healthcare Claims Specialist
5 days ago
Kuala Lumpur, Kuala Lumpur, Malaysia Cigna Full timeCigna is a leading global health insurance company that provides comprehensive healthcare solutions to individuals and groups worldwide.As a Healthcare Claims Specialist, you will play a critical role in ensuring timely and accurate processing of medical claims. Your primary responsibility will be to analyze and process claims for medical expenses within the...
-
Claims Representative
2 weeks ago
Kuala Lumpur, Malaysia The Cigna Group Full timeCigna 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...