Insurance Claims Examiner

3 days ago


Kuala Lumpur, Kuala Lumpur, Malaysia Cigna Full time
About the Role
Cigna Global Health Benefits is seeking a skilled professional to fill the position of Claims Representative. This role is crucial in ensuring the smooth processing of medical claims within a fixed turnaround time. The successful candidate will be responsible for critical analysis and processing of claims, maintaining confidentiality, and adhering to established working methods.

Key Responsibilities
  • Assess and process claims for medical expenses while prioritizing medical confidentiality.
  • Accurately input data into system applications.
  • Analyze and critically evaluate claims to optimize cost management and processing efficiency.
  • Monitor workload volume and timing, taking suitable actions to maintain productivity.
  • Participate in claim processing flow, informing Team Leaders about unclear claims and potential process optimizations.
  • Maintain high-quality claims handling, accurate reimbursements, and fast transactions.
  • Provide clear communication about claim dossiers to internal employees.
  • Identify and highlight procedural irregularities to Team Leaders.

Required Skills and Qualifications
  • Bachelor's Degree or equivalent by experience.
  • Active knowledge of English language.
  • Passive knowledge of other languages.
  • Familiarity with medical terminology and policies cover.
  • Skillful in decision-making and numerical accuracy.
  • Able to work discreetly with confidential information.

About Cigna

Cigna Healthcare is an advocate for better health through every stage of life. We empower our customers with the information and insight needed to make informed decisions about their health and vitality. Join us in driving growth and improving lives.


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