Healthcare Benefits Coordinator

3 days ago


Kuala Lumpur, Kuala Lumpur, Malaysia Cigna Health and Life Insurance Company Full time
Job Summary
We are seeking a skilled Medical Claims Examiner to join our team. The successful candidate will be responsible for analyzing and processing claims for medical expenses within fixed turnaround times. This is a critical role that requires attention to detail, excellent analytical skills, and the ability to work in a fast-paced environment.

Duties and Responsibilities
Claims processing: Assessing and processing claims for medical expenses while always bearing in mind the importance of medical confidentiality. Accurate data input to system applications. Positioning oneself analytically and critically in the context of cost management and in respect of existing working methods. Following up one's 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. In relation to other positions: 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. Participating actively in an agreeable and amicable atmosphere.

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