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8 дней назад

Recovery Senior Analyst - Cigna Healthcare

Формат работы
onsite
Тип работы
fulltime
Грейд
senior
Английский
c1
Страна
Malaysia
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Recovery Senior Analyst (Healthcare Claims): Identifying, investigating, and recovering third-party payments across Cigna International's global claims platforms with an accent on subrogation review, claims compliance, and reconciliation. Focus on data-mining potential recovery cases, coordinating with Claims Operations, Legal, Compliance, and Account Management, and improving process quality and efficiency through operational analysis.

Location: Kuala Lumpur, Malaysia

Company

Cigna Healthcare, a division of hirify.global, supports customers throughout the healthcare system and helps them make informed decisions about their health.

What you will do

  • Review claims and supporting documents to identify third-party liability and subrogation opportunities.
  • Interview customers and third parties, establish liability, and seek recovery of eligible payments.
  • Compile and raise subrogation claims, monitor outstanding recovery requests, and ensure timely resolution.
  • Record and reconcile recovered amounts accurately.
  • Perform data-mining to identify potential subrogation cases and raise awareness of relevant schemes with Payment Integrity and other teams.
  • Analyze and improve operational processes while protecting customers from unnecessary negative impacts.

Requirements

  • At least 2 years of experience at Cigna Healthcare in Claims, Customer Service, or Payment Integrity.
  • Knowledge of at least one claims administration platform, such as Mainframe, Diamond, Actisure, or Globalcare.
  • Familiarity with Salesforce or Health Cloud case management systems.
  • Excellent verbal and written communication skills, stakeholder-management experience, and fluent English.
  • Critical thinking, strong organization, attention to detail, and the ability to manage multiple priorities under tight deadlines.
  • Ability to understand regulatory and legal contexts and work effectively with global teams across varying time zones.

Nice to have

  • Experience with data analytics and data visualization tools.
  • Fluency in additional foreign languages.

Culture & Benefits

  • Full-time role within Cigna Healthcare's international business.
  • Collaborative work with Claims Operations, Clinical, Legal, Compliance, Account Management, Data Analytics, and Customer Services.
  • Opportunity to contribute to healthcare affordability, payment integrity, and process quality.
  • Access to professional growth opportunities within the organization.

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