Job Responsibilities
- Handle pre-approval of cashless medical service
- Handle claims process, including both inpatient and outpatient medical claim
- Improve the effectiveness of the claim adjudication and administration processes
- Prepare report to management
- Conduct claims assessment processes, claim investigation and to review all status and ensure efficient outcome in customer-oriented approach
- Meet standard of individual claim quality, turnaround time and productivity benchmark.
- Handle ad-hoc task
Requirements
- Diploma or above, preferably with insurance-related qualifications, e.g. FLMI, ICA
- At least 3 years’ experience in claims adjudication / administration
- Experience in working with pre-approval of medical claims would be a plus
- Good team player, able to work independently and under pressure in a fast-paced environment
- Possess customer centricity mindset
- Good interpersonal and communication skills
- Cantonese speaker with good command of both English and Chinese
- Candidate without Claims experience but with a medical-related degree will also be considered
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.
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