Claims Senior Representative - Cigna Healthcare

Location: Kuala Lumpur, Malaysia

Company

Cigna Healthcare, a division of hirify.global, supports customers in navigating the healthcare system and making informed decisions about their health.

What you will do

• Assess and process medical expense claims within established turnaround times while protecting confidential medical information.
• Enter claim data accurately and manage assigned workload, processing chronology, and volumes.
• Identify unclear claims, procedural irregularities, and process optimization opportunities for the Claims Supervisor.
• Act as a point of contact for Claims Analysts, provide accurate case communication, and follow up on files.
• Coach and train trainees while collaborating with SMEs and the Claims Supervisor.
• Perform financial verification and support work planning, contract implementation, contract summary updates, refresher training, and service improvements based on customer feedback.

Requirements

• Bachelor's degree or equivalent experience.
• Knowledge of policy coverage, medical terminology, and relevant reference materials.
• Passive knowledge of English and Mandarin or another additional language.
• Strong analytical decision-making, numerical, accuracy, discipline, and efficiency skills.
• Ability to work collaboratively, learn office and Cigna systems, and use Microsoft Office applications, CRM, and tailored software.
• Discretion when handling confidential medical information.

Culture & Benefits

• Collaborative and amicable working atmosphere.
• Focus on high-quality claims handling, accurate reimbursements, and fast transactions.