Medical Claims Specialist

2 days ago


Kuala Lumpur, Kuala Lumpur, Malaysia Cigna Health and Life Insurance Company Full time

In the role of Medical Claims Specialist, you will play a crucial part in our company's mission to deliver exceptional healthcare services. Key aspects of this position include:

Key Responsibilities:

  • Processing claims for medical expenses with precision and speed.
  • Inputting accurate data into our systems, ensuring seamless operations.
  • Analyzing workflows and implementing improvements to optimize efficiency.
  • Overseeing own workload, managing priorities, and meeting deadlines.
  • Collaborating with the team to resolve unclear claims and streamline processes.
  • Demonstrating commitment to quality, accuracy, and timely transactions.

Requirements:

  • Bachelor's Degree or relevant experience.
  • Excellent communication skills in English.
  • Awareness of other languages such as German, Spanish, French, etc.
  • Knowledge of medical terminology.
  • Familiarity with essential reference materials.

About Us:

Cigna Health and Life Insurance Company is dedicated to providing top-notch health care services worldwide. We empower our clients to make informed choices regarding their health and wellness. Join us in shaping the future of healthcare.



  • Kuala Lumpur, Kuala Lumpur, Malaysia Cigna International Health Services Sdn Bhd Full time

    About the RoleCigna International Health Services Sdn Bhd is looking for a dedicated and results-driven Medical Claims Specialist to join our team. As a Medical Claims Specialist, you will play a critical role in ensuring that claims are processed accurately and efficiently.Key ResponsibilitiesClaims Processing: Process medical claims from members and...


  • Kuala Lumpur, Kuala Lumpur, Malaysia Cigna Health and Life Insurance Company Full time

    Job DescriptionWe are seeking a skilled Medical Claims Specialist to join our team in Kuala Lumpur, Malaysia. In this role, you will be responsible for assessing and processing claims for medical expenses while maintaining confidentiality and ensuring accurate data input to our system applications.Your analytical skills will help you identify areas for...


  • Kuala Lumpur, Kuala Lumpur, Malaysia Pra Assist Medical Network Sdn Bhd Full time

    About the RoleWe are seeking a detail-oriented and communicative Claims Executive to process medical claims, communicate with healthcare providers, review and verify claim submissions, and maintain accurate records of policy information.As a Claims Executive, you will play a crucial role in ensuring seamless operations and delivering exceptional customer...


  • Kuala Lumpur, Kuala Lumpur, Malaysia Cigna Health and Life Insurance Company Full time

    Cigna Global Health Benefits (CGHB) is an integral part of Cigna's growing international businesses. We offer a range of products, including Medical, Dental, Vision, Life, AD&D, Disability, Travel, etc., sold to groups and individuals.We are looking for a skilled Claims Representative to join our team. As a Claims Representative, you will be responsible for...


  • Kuala Lumpur, Kuala Lumpur, Malaysia Comcorde Medical (M) Sdn Bhd Full time

    About Comcorde Medical (M) Sdn BhdWe are a reputable medical device company that offers unique career advancement opportunities to roles like Product Specialist and Sales Manager.Our working benefits include car allowance, mileage claim, toll & parking, phone bill, and weekly team building activities.


  • Kuala Lumpur, Kuala Lumpur, Malaysia AIA Hong Kong and Macau Full time

    AIA Hong Kong and Macau is committed to creating a healthier, more sustainable future for everyone. As a Medical Claims Assessor, you'll play a vital role in helping us achieve this goal.In this role, you'll be responsible for:Pre-certifying cases for issuance of guarantee letter in compliance to Company's requirements and guidelinesEnsuring quality audits...

  • Claims Processor

    2 days ago


    Kuala Lumpur, Kuala Lumpur, Malaysia Pra Assist Medical Network Sdn Bhd Full time

    Job OverviewPra Assist Medical Network Sdn Bhd is seeking a highly skilled and organized Claims Executive to join our team. This role involves processing medical claims, liaising with healthcare providers, reviewing and verifying claim submissions, and recording policy information.This is an excellent opportunity for fresh graduates or those looking to start...


  • Kuala Lumpur, Kuala Lumpur, Malaysia Allianz Full time

    Snr Exec /AM, Healthcare Provider Performance AnalystWe are seeking a talented professional to join our team as a Senior Executive, focusing on healthcare provider performance analysis.The key responsibilities of this role include:Developing and maintaining a comprehensive dashboard to track healthcare provider performanceConducting thorough analyses of...


  • Kuala Lumpur, Kuala Lumpur, Malaysia Cigna Health and Life Insurance Company Full time

    Critical analysis and processing of medical claims within a fixed turnaround time is essential for our organization.Job ContentWe are seeking an individual to assess and process claims for medical expenses, maintaining confidentiality and adhering to established working methods.The successful candidate will accurately input data into system applications and...


  • Kuala Lumpur, Kuala Lumpur, Malaysia Prudential Hong Kong Limited Full time

    Prudential Hong Kong Limited is committed to delivering exceptional customer experiences and ensuring that our customers receive the best possible service.About the RoleWe are seeking a highly skilled and experienced Medical Claims Manager to join our team. The successful candidate will be responsible for managing an efficient and effective claims process,...


  • Kuala Lumpur, Kuala Lumpur, Malaysia Allianz Popular SL. Full time

    Job OverviewAllianz Popular SL is part of the Allianz Group, one of the world's leading insurers and asset managers. Our company has successfully combined various businesses from different parent companies to become a single business segment. We operate service delivery operations in Romania, India, Mauritius, and Morocco, as well as consulting hubs in...


  • Kuala Lumpur, Kuala Lumpur, Malaysia Prudential Hong Kong Limited Full time

    **About Us**Prudential Hong Kong Limited is a forward-thinking organization committed to creating value for our customers, employees, and shareholders.We pride ourselves on our ability to adapt to changing market conditions, innovate, and take calculated risks to stay ahead of the curve.**Job Role**The Claim Resolution Specialist is a key member of our...


  • Kuala Lumpur, Kuala Lumpur, Malaysia Allianz Popular SL. Full time

    Job OverviewAllianz Popular SL, a leading insurer and asset manager, seeks an experienced Claims Management Specialist to support its marine insurance business.Key ResponsibilitiesManage claims from inception to closure, ensuring timely actions and adherence to company protocols.Analyze claims data to identify trends and recommend process...


  • Kuala Lumpur, Kuala Lumpur, Malaysia Prudential Hong Kong Limited Full time

    The role of an Operational Claims Specialist at Prudential involves managing the end-to-end claims process, from initial receipt to final settlement. The incumbent is responsible for acquiring a thorough knowledge of the different insurance products and operational processes to ensure customer enquiries are resolved in accordance with agreed service...


  • Kuala Lumpur, Kuala Lumpur, Malaysia Zurich 56 Company Ltd Full time

    Job SummaryWe are looking for a Claims Resolution Specialist to handle claims of low to moderate exposure and complexity within specific limits of authority.Key AccountabilitiesDocument Claims Data: Capture and update claims data accurately.Analyze Claims Facts: Gather and analyze relevant facts to determine liability.Determine Policy Coverage: Analyze...


  • Kuala Lumpur, Kuala Lumpur, Malaysia Cigna Health and Life Insurance Company Full time

    We are looking for a motivated and detail-oriented individual to join our team as a Medical Claims Representative. In this role, you will play a critical part in analyzing and processing medical claims for our clients.Key ResponsibilitiesAnalyze and process medical claims while maintaining confidentiality and adhering to established working...


  • Kuala Lumpur, Kuala Lumpur, Malaysia Allianz Full time

    Job DescriptionMotor Claims Specialist (Own Damage)Allianz Kuala Lumpur, MalaysiaKey ResponsibilitiesConduct thorough investigations, assessing liabilities and collaborating with legal professionals where necessary to ensure effective claim management.Collaborate with external stakeholders including customers, distributors, repair workshops and motor...


  • Kuala Lumpur, Kuala Lumpur, Malaysia Zurich 56 Company Ltd Full time

    About the RoleThis Complex Claims Resolution Specialist position at Zurich 56 Company Ltd requires an individual with strong analytical and problem-solving skills to resolve complex claims efficiently. The role involves analyzing claims data, determining liability, and negotiating settlements within authority limits.ResponsibilitiesAnalyze claims data to...

  • Claims Processor

    6 days ago


    Kuala Lumpur, Kuala Lumpur, Malaysia Cigna Health and Life Insurance Company Full time

    Cigna Health and Life Insurance Company is a leading provider of health care and expatriate employee benefits. Our company operates in countries across the Americas, Europe, Africa, and Asia Pacific.We are seeking a skilled Claims Representative to join our team. As a Claims Representative, you will be responsible for critical analysis and processing of...


  • Kuala Lumpur, Kuala Lumpur, Malaysia AIA Hong Kong and Macau Full time

    AIA Hong Kong and Macau is an exciting place to build a career in Individual Claims Management. Our team of experts works together to create a healthier, more sustainable future for everyone.We're seeking ambitious individuals who believe in playing an important part in shaping that future. If you're driven to work with, and learn from some of the most...