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.