Job Information
The Cigna Group Senior Officer, Claims Management in Kwun Tong, Hong Kong
Job Responsibilities
Handle pre-approval of commercial assessment
Handle claims process, including both inpatient and outpatient medical claim
Communicate with customer on pre-approval decision
Improve the effectiveness of the claim adjudication and administration processes, with network service providers when necessary
Handle provider claim enquiries from panel network
Prepare report to management
Conduct claim assessment processes, claim investigation and to review all status and ensure efficient outcome in customer oriented approach
Meet standard of individual quality, turnaround time and productivity benchmark.
Handle project tasks and arrangement
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
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.