Job Information
The Cigna Group Claims Representative (Mandarin) in Kuala Lumpur, Malaysia
Adjudicate international medical, dental and vision claims in accordance with policy terms and conditions to meet personal and team productivity and quality goals.
Identify claims where further information is required working towards SLA and timescales.
Monitor and highlight high cost claims and ensure relevant parties are aware.
Monitor turn-around-times to ensure your claims are settled within required time scales to meet client SLA’s.
Identify potential process improvements and make recommendations.
Respond within the time commitment given to enquiries regarding plan design, eligibility, claims status and perform necessary action as required, with first contact resolution where possible.
Actively support other team members and provide resource to enable all team goals to be achieved.
Manage customer instructions through the development of high quality interpersonal skills.
Achieve personal and team productivity and quality goals.
Ensure work is prioritized effectively.
Work across APAC businesses and closely with other departments in line with service needs.
Interface effectively with internal and external businesses to resolve customer issues.
Carry out other adhoc tasks as required meeting business needs.
Performs research to respond to inquiries and interprets policy provisions to determine most effective response.
Flex between all of the above activities based on current customer demand.
Flex your working shift based on current customer demand.
About The Cigna Group
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.