Kuala Lumpur, Gorontalo, Indonesia · On-site
The job profile for this position is Claims Senior Representative, which is a Band 2 Professional Career Track Role. Excited to grow your career? We value our talented employees, and whenever possible strive to help one …
Skills: Medical Claims Processing, Claims Adjudication, Stakeholder Management, Team Training, Mentorship
Kuala Lumpur, Gorontalo, Indonesia · On-site
About the role We are seeking a proactive and detail-oriented HR Senior Executive to support the full spectrum of Human Resources operations. This role is responsible for payroll administration, HR policy implementation,…
Skills: Payroll Administration, HR Policy Implementation, Compensation and Benefits, Employee Relations, Performance Management
Kuala Lumpur, Gorontalo, Indonesia · On-site
We are looking for a driven Marketplace Brand Management Intern (Accessories) to join the team in support of Marketplace growth. The Marketplace Brand Management Intern (Accessories) will be responsible for supporting th…
Skills: Market Research, Competitor Analysis, Account Management, Data Entry, Public Speaking
Kuala Lumpur, Gorontalo, Indonesia · On-site
About the Role We are looking for a driven and curious Recruitment Intern to join our team. This internship offers hands-on exposure to the full employee lifecycle,vfrom sourcing and hiring talent to supporting engagemen…
Skills: Sourcing, Screening, Interview Coordination, Candidate Communication, Employer Branding
Kuala Lumpur, Gorontalo, Indonesia · On-site
Duties and Responsibilities: You will works closely with the team to drive client service excellence and a culture of delighting clients and identify and convert new business opportunities with brand team. Summary of Pri…
Skills: Client Relationship Management, Strategic Planning, Campaign Proposal Development, Project Administration, MS Excel
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Manage end-to-end medical claims processing and adjudication while ensuring compliance with policy terms and SLAs. Provide coaching and mentorship to claims handlers and collaborate with stakeholders to resolve complex cases.
Requires a minimum of 3 years of experience in medical claims processing or insurance operations. Candidates must possess strong knowledge of the claims lifecycle and the ability to mentor junior team members.
We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply!
Our people make all the difference in our success.
Claims Management
Manage end-to-end medical claims processing, ensuring accurate adjudication, timely turnaround, and resolution in line with policy terms and SLA requirements.
Team Training & Mentorship
Provide coaching, training, and ongoing guidance to claims handlers, particularly on complex cases, to drive accuracy, productivity, and overall team performance.
Customer & Stakeholder Engagement
Act as a subject matter expert for clients and internal stakeholders, addressing escalations, providing claim updates, and ensuring a high level of service delivery.
Cross-functional Collaboration
Partner closely with internal teams and other books of business to resolve claims efficiently and improve overall operational effectiveness. Compliance &
Governance
Ensure all claims are processed in accordance with regulatory requirements, company policies, and internal quality standards, maintaining high audit and compliance scores.
Process Improvement & Strategy
Identify gaps and drive continuous improvement initiatives in claims processes, workflows, and customer experience.
Negotiation & Resolution
Support negotiations with stakeholders to achieve fair and accurate claim outcomes, particularly for complex or high-value cases. Reporting & Analysis
Prepare and analyze claims reports, identify trends, and provide insights to support operational decision-making and performance improvement.
Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.
The Cigna Group is a global health company committed to creating a better future built on the vitality of every individual and every community. We relentlessly challenge ourselves to partner and innovate solutions for better health. The Cigna Group includes products and services marketed under Cigna Healthcare, Evernorth Health Services or its subsidiaries. The Cigna Group maintains sales capabilities in more than 30 countries and jurisdictions, and has more than 190 million customer relationships around the world.
Offices: 900 Cottage Grove Rd, Bloomfield, Connecticut 06002, US
There are currently 25 open administrative positions in Kuala Lumpur, Indonesia listed on Clera. New openings are added daily as companies post roles.
Companies currently hiring include EY, The Cigna Group, Always Marketing (M) Sdn Bhd, ZALORA Group, AmerisourceBergen, among others. Browse the listings above to see every active employer.
Yes — 6 of the 25 open administrative positions offer remote or hybrid work (0 remote, 6 hybrid).
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.
