Medical Claims Specialist

3 days ago


Kuala Lumpur, Kuala Lumpur, Malaysia Cigna Full time

Cigna Global Health Benefits 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 worldwide. As a Claims Representative, you will be responsible for ensuring that claims are accurately assessed and processed within a fixed turnaround time.

Your key responsibilities will include:

  • Critical analysis and processing of claims for medical expenses.
  • Accurate data input into system applications.
  • Analytical and critical thinking in the context of cost management.
  • Effective management of your workload, including tracking chronology and processing time.
  • Participating in the processing of claims flow, informing Team Leaders about unclear claims and optimizing processes.
  • Maintaining high-quality claims handling, accurate reimbursements, and fast transactions.

This role requires:

  • Bachelor's Degree or equivalent by experience.
  • Active knowledge of English.
  • Passive knowledge of other languages.
  • Policies cover.
  • Medical terminology.
  • Use of necessary reference works.


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