At Cigna Healthcare, I analyzed APAC healthcare claims and investigated complex claims and Service Feedback cases. I identified a knowledge gap in N95 mask coverage guidelines and escalated it through Knowledge Exchange, resulting in internal policy amendments.
As a Case Study Champion, I developed monthly assessments to standardize claim handling and analyzed quality and authorization reports to identify error trends. I also prepared reports and presentation materials on findings and process improvement opportunities.
In Adjustment | Adjustor, I investigated and reworked paid claims, including underpayments and overpayments. I collaborated with the team to clear outstanding APAC provider adjustment cases within a month.
At CignaLink, I support the Madrid team with claims investigations across multiple markets and provide documentation for audit investigations and compliance reviews. I hold Level 6 self-authorization authority across DL, EU and GB environments.
