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Prepay Claims Auditor

Company

MY1 Cigna International Health Services Sdn Bhd

Location

Kuala Lumpur, Malaysia

Type

Full time

Quality Management

Auditor

YOUR JOB

  • Perform audits on Prepay claims to determine accuracy, consistency, and compliance regarding established procedures.
  • Proactively flag possible issues and risks.
  • You may participate in focus audits, projects and third-party.
  • You may perform root cause analysis on audit findings to understand why the findings occurred and communicate those in the monthly meetings with Operations.
  • Identifies improvements to both audit and operational processes and procedures.
  • Assists in the development of audits and audit processes and procedures.
  • Support auditors in other audit lines with specific language knowledge and cross support when required.
  • SCOPE AND DIMENSIONS

  • Reports directly to the Claims Supervisor.
  • Audits communications across EGS regions, primarily AP Claim.
  • EXPERIENCE REQUIRED

  • Ideally AP Claims experience of at lea...
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