8 дней назад
Recovery Senior Analyst - Cigna Healthcare
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
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 , 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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