# Access to Care Specialist **Company**: Cigna Healthcare **Location**: Kuala Lumpur, Malaysia **Job type**: full-time **Category**: Healthcare **Industry**: Healthcare **Apply**: https://cigna.wd5.myworkdayjobs.com/en-US/cignacareers/job/Kuala-Lumpur-Malaysia/Access-to-Care-Specialist---Cigna-Healthcare_26011732?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply **Canonical**: https://yubhub.co/jobs/job_521bd415-4a9 ## Description Cigna Healthcare is seeking an Access to Care Specialist to play a key role in helping customers access the healthcare services they need. You will coordinate care journeys, manage pre-authorisation and Guarantee of Payment requests, and work closely with customers, healthcare providers, medical teams, and internal partners to deliver timely, high-quality outcomes. **Responsibilities** - Take ownership of healthcare cases from initial contact through to resolution, ensuring customers receive timely support and guidance throughout their treatment journey. - Deliver a positive customer experience by clearly explaining benefits, coverage, exclusions, and next steps, while providing regular updates on case progress. - Coordinate treatment arrangements and collaborate with healthcare providers to obtain medical information, treatment plans, and cost estimates. - Review and process pre-authorisation requests and Guarantee of Payment documentation within agreed service standards. - Promote appropriate use of in-network providers and support cost-containment initiatives while maintaining excellent customer outcomes. - Build effective relationships with customers, healthcare providers, Medical Advisors, Clinical teams, and internal stakeholders to ensure seamless care coordination. - Maintain accurate documentation, comply with regulatory and policy requirements, and contribute to continuous improvement initiatives that enhance service quality and efficiency. **Requirements** - Experience in customer service within healthcare, insurance, medical assistance, or a related environment. - Experience managing customer cases from initiation through to resolution. - Ability to interpret policy information, benefits, and coverage details accurately. - Experience working to service levels, quality standards, and customer-focused performance measures. - Ability to manage multiple priorities and make sound decisions when handling complex cases. - A commitment to delivering high-quality customer service while maintaining attention to detail and accuracy. **Skills** - Soft Skills: Customer service and relationship-building skills, Strong verbal and written communication, Problem-solving and decision-making ability, Organisation and time-management skills, Empathy and emotional intelligence, Ability to work independently and collaboratively, Adaptability in a changing operational environment. - Technical / Functional Skills: Case management and care coordination, Pre-authorisation processing, Guarantee of Payment (GOP) administration, Healthcare benefit and policy interpretation, Documentation and record management, Stakeholder and provider management, Regulatory and compliance awareness. - Nice to Have: International health insurance experience, Knowledge of pre-authorisation and GOP processes, Healthcare, insurance, or medical administration qualification, Experience working with global healthcare providers. **Benefits** - Competitive salary and benefits package. - Multicultural and hybrid working environment with opportunities to collaborate across international teams. - Private Medical Insurance and Employee Wellbeing Benefits to support your health and wellbeing. - Educational Development Program to help you continue learning and growing your career. - The opportunity to make a meaningful impact by helping customers access the right care at the right time. ## Skills ### Required - Customer service - Case management - Pre-authorisation processing - Healthcare benefit interpretation - Communication - Problem-solving ### Nice to have - International health insurance experience - Knowledge of pre-authorisation and GOP processes - Healthcare administration qualification - Global healthcare provider experience --- Source: [Apply at cigna.wd5.myworkdayjobs.com](https://cigna.wd5.myworkdayjobs.com/en-US/cignacareers/job/Kuala-Lumpur-Malaysia/Access-to-Care-Specialist---Cigna-Healthcare_26011732?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)