Claims Service Analyst

5 days ago

Kuala Lumpur, Malaysia Cigna Full time

YOUR JOB

As an SME you will support the supervisor and team manager in your relevant process.

Key to the role will be building/maintaining an in depth knowledge of (part of) the process to continuously improve the processes and share that knowledge to deliver a high quality customer centric service offering. Your role includes:
Ø Building and maintaining a solid in depth knowledge in (part of) your process
Ø Being an expert user of any of the used tools within the team and/or any of the partner set-ups in place
Ø Being the organizational ambassador for your knowledge area within your own team and across the wider organization. You are the go to person in case of questions on your area of expertise.
Ø In that role, being able to represent the Process / Organisation in (enterprise wide) projects, stakeholder meetings, or act as a relationship manager towards some of our (internal/external) strategic partners or act as a trainer.
- Option to take over SPOC role for particular clients/accounts if required

Ø Being proactive in identifying improvement/enhancement opportunities and be active in seeking and sharing ideas for innovation in business processes.
Ø Striving to provide excellent service to our members and clients
Ø Playing an active role in a culture of continuous improvement
Ø Taking ownership of any escalated cases and providing updates to the Supervisor on any issues
Ø Taking ownership of solving any issues (if applicable) in your area of expertise
Ø Proactively addressing and/or escalating any risks
Ø Developing/maintaining proactive/effective business relationships, both internally and externally to ensure a seamless delivery of service.

**Specific for Claims SME’s**:
Ø Support the financial verification of the team, including approval of manual payments
Ø Support of quality audits (financial verification + extra verification) with a clear focus on the financial and procedural accuracy company KPI’s. You document your findings, share them with the supervisor and you discuss corrective actions on individual and team level with the Supervisor.
Ø Support the on boarding and training phase of newbies, or colleagues taking up new accounts, including their performance reporting.

About Cigna
Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you’ll enjoy meaningful career experiences that enrich people’s lives. What difference will you make?

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