
Claims Representative
Are you a compassionate and detail-oriented individual with a passion for helping others? Look no further, as Cigna is seeking a dedicated Claims Representative to join our team. In this role, you will be responsible for accurately and efficiently processing healthcare claims and providing exceptional customer service to our valued clients. We are looking for someone who is organized, empathetic, and has strong communication skills. If you have a background in healthcare, insurance, or customer service, and are looking for a fulfilling career, we encourage you to apply today!
- Accurately process healthcare claims: The primary responsibility of a Claims Representative is to process healthcare claims in a timely and accurate manner. This includes reviewing and verifying claims information, determining eligibility, and calculating benefits.
- Provide exceptional customer service: As a Claims Representative, you will be the main point of contact for our clients. It is your responsibility to provide exceptional customer service by addressing any questions or concerns they may have and resolving issues in a professional and timely manner.
- Maintain confidentiality: The healthcare industry deals with sensitive and confidential information. It is the responsibility of the Claims Representative to handle this information with the utmost care and adhere to all privacy regulations.
- Demonstrate empathy: Dealing with healthcare claims can be a stressful and emotional experience for clients. It is important for a Claims Representative to have empathy and understanding towards clients’ situations and provide support and guidance throughout the claims process.
- Communicate effectively: Strong communication skills are essential for a Claims Representative. You will be responsible for communicating with clients, healthcare providers, and internal teams, so it is important to be able to convey information clearly and effectively.
- Maintain organization: With a high volume of claims to process, it is crucial for a Claims Representative to be organized and detail-oriented. This includes keeping accurate records, managing multiple tasks, and meeting deadlines.
- Collaborate with team members: The Claims Representative will work closely with other team members to ensure efficient and accurate claims processing. This may involve collaborating on complex claims, sharing information, and supporting colleagues when needed.
- Stay updated on industry changes: The healthcare industry is constantly evolving, and it is the responsibility of a Claims Representative to stay informed about any changes in policies, procedures, or regulations that may impact claims processing.
- Adhere to company policies and procedures: As a representative of the company, it is important to uphold and adhere to all company policies and procedures related to claims processing, customer service, and data security.
- Contin
Bachelor's Degree In Business, Finance, Or A Related Field.
Excellent Communication And Customer Service Skills.
Minimum Of 2 Years Of Experience In Claims Processing Or Insurance Industry.
Strong Understanding Of Medical Terminology And Coding.
Ability To Analyze And Interpret Complex Information And Make Sound Decisions.
Communication Skills
Time Management
Negotiation skills
Multitasking
Attention to detail
Conflict Resolution
customer service
Analytical Thinking
Empathy
Problem-Solving
Insurance Knowledge
Communication
Conflict Resolution
Emotional Intelligence
Leadership
Time management
creativity
Attention to detail
Teamwork
Adaptability
Problem-Solving
According to JobzMall, the average salary range for a Claims Representative in Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia is between RM 2,500 and RM 4,500 per month. This equates to approximately $600 to $1,100 USD per month.
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Cigna Corp. provides medical, dental, disability, life and accident insurance and related products and services to businesses, governmental and non-governmental organizations and individuals. It operates through following segments: Global Health Care; Global Supplemental Benefits; Group Disability and Life; Other Operations; and Corporate.

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