# Claims Operations Coordinator

**Company**: Cigna Healthcare
**Location**: Kwun Tong
**Experience**: mid
**Job type**: full-time
**Category**: Healthcare
**Industry**: Healthcare

**Apply**: https://cigna.wd5.myworkdayjobs.com/en-US/cignacareers/job/HKGN-348-Kwun-Tong-Road/Assistant-Manager--Claims-Management---Cigna-Healthcare_26013944?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/job/claims-operations-coordinator-65507004-9fe/

## Description

We are seeking a Claims Operations Coordinator to assist with day-to-day communication with network providers for claims operations.

**Job Responsibilities:**

- Process medical Pre-approval and Claims in compliance with policy provision and benefits

- Handle case management for entire claims journey to customer

- Comply with medical guidelines and provide quality work effectively and efficiently

- Liaise with medical professionals and healthcare provider to conduct Pre-approval and Claims assessments or investigation

- Handle related Pre-approval and Claims enquiries from customers, brokers or relevant parties

- Support manager to implement initiatives to improve claims performance

- Maintain positive relationship with all stakeholders

**Job Requirements:**

- Degree / Diploma holder or equivalent working experience

- At least 5 years of experience in medical Pre-approval and Claims processing

- Experience in handling medical Pre-approval and Claims

- Relevant medical knowledge is an advantage

- Customer-oriented with excellent communication and interpersonal skills

- Strong team player, willing to learn, able to work independently and under pressure

- Good command of English and Chinese in both written and spoken

- Proficiency in MS Office applications including Word, Excel and Chinese word processing

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## Skills

### Required
- Medical Pre-approval and Claims processing
- Communication
- Interpersonal skills
- MS Office
- English
- Chinese

### Nice to have
- Relevant medical knowledge

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Source: [Apply at cigna.wd5.myworkdayjobs.com](https://cigna.wd5.myworkdayjobs.com/en-US/cignacareers/job/HKGN-348-Kwun-Tong-Road/Assistant-Manager--Claims-Management---Cigna-Healthcare_26013944?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)