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Healthcare Claims Representative

2 weeks ago

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

Our Mission

We are committed to enhancing the lives of our clients, customers and patients. Through our divisions Cigna Healthcare and Evernorth Health Services, we aim to drive growth and improve lives.

Job Scope

This role involves:

  • Critical analysis and processing of claims for medical expenses within the fixed turnaround time.
  • Accurate data input to the system applications.
  • Positioning himself/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.