# Claims Processor

**Company**: Cigna Healthcare
**Location**: Kuala Lumpur, Malaysia
**Experience**: mid
**Job type**: full-time
**Category**: Insurance
**Industry**: Healthcare

**Apply**: https://cigna.wd5.myworkdayjobs.com/en-US/cignacareers/job/Kuala-Lumpur-Malaysia/Claims-Representative-IOH--Apr-2027-intake----Cigna-Healthcare_26013587-1?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_309ad059-a90

## Description

The job holder is responsible for serving providers and insurance companies by determining requirements, answering inquiries, resolving problems, fulfilling requests, and maintaining databases.

**Responsibilities and Duties**

- Process claims from providers and assess them in line with policy coverage and medical necessity.

- Be fully versed with medical insurance policies for various groups and beneficiaries.

- Accurately assess eligibility within policy boundaries and monitor claims processing.

- Achieve required processing targets assigned by the team leader.

- Monitor qualitative and quantitative measures for claims and pre-approvals.

- Ensure compliance with changes in system parameters or processes.

- Maintain quality and productivity, and respond to allocated work.

- Collaborate with stakeholders to resolve queries, including complex ones.

- Actively support team members to achieve operational goals.

- Meet or exceed Service Level Agreement requirements, team KPIs, and monthly quality audit scores.

**Knowledge, Skills, and Experience**

- At least 1-2 years of experience in a similar role.

- Experience working for an international company is preferred.

- Claims processing or insurance experience is preferred.

- Broad awareness of medical terminology is advantageous.

- Excellent organisational skills and strong administration awareness are essential.

- Strong skills in Microsoft Office applications and first-class written and verbal communication skills are essential.

- Ability to communicate across a diverse population and work independently or as part of a team.

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## Skills

### Required
- Microsoft Office
- administration
- communication
- organisational skills

### Nice to have
- claims processing
- insurance experience
- medical terminology

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Source: [Apply at cigna.wd5.myworkdayjobs.com](https://cigna.wd5.myworkdayjobs.com/en-US/cignacareers/job/Kuala-Lumpur-Malaysia/Claims-Representative-IOH--Apr-2027-intake----Cigna-Healthcare_26013587-1?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)