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Benefits and Salary Consultant

1 week ago

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

Company Overview

Cigna is a leading global health service company that offers a range of products and services to individuals and groups. Our mission is to improve the health, well-being, and sense of security for our customers.

Job Description

We are seeking a Claims Specialist with Thai language skills to join our team. As a Claims Specialist, you will be responsible for critical analysis and processing of claims for medical expenses within the fixed turnaround time.

  • Assessing and processing claims for medical expenses while always bearing in mind the importance of medical confidentiality.
  • Accurate data input to the system 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 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.
  • 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.

Required Skills and Qualifications

To be successful in this role, you will need:

  • Bachelor Degree or similar by experience.
  • Active knowledge of English.
  • Proficiency in spoken and written Thai is required.
  • Policies cover.
  • Medical terminology.
  • Use of necessary reference works.