Intake Care Associate Analyst at Cigna

Cigna is a global health service company, dedicated to helping the people we serve improve their health, well-being and sense of security. Cigna has almost 40,000 employees who service over 80 million customer relationships around the world. Within its international division, a dedicated unit - headquartered in Belgium - focuses on the needs of International...

 

Intake Care Associate Analyst

  • Job TypeFull Time
  • QualificationBA/BSc/HND , Diploma
  • Experience1 - 2 years
  • LocationNairobi
  • Job FieldCustomer Care 

JOB DESCRIPTION

  • You will be responsible for the timely intake and processing of all incoming cases as well as Guarantee of Payments.
  • The Guarantee of Payment is a confirmation towards the hospital regarding length of admission, treatment, and insured amount
  • Analyze requests for hospitalization and evaluating treatments, as well as amount and the length of stay depending on policy
  • Act as liaison between medical providers and insured individual, mainly by phone, to obtain all necessary information
  • Review and monitor cases to ensure files are cascaded to appropriate teams, depending on specific identified triggers
  • Act as point of contact for hospitals regarding all questions related to the Guarantee of Payment
  • Negotiate discounts with providers
  • Maintain all necessary information regarding the hospitalizations in an internal database
  • Translate and interpret medical and other relevant documents for case analysis
  • Work independently and effectively to communicate to internal and external customers by telephone and e-mail
  • Maintain accurate workflow and process documentation following outlined processes

Qualifications

  • Diploma or Bachelors degree required
  • 1-2 years of experience in a customer service or claims environment
  • Experience in healthcare operations background preferred
  • Ability to speak, write and read English, any other language a plus
  • Business Application: Ability to initiate research, plan and coordinate 
  • Proven ability to build relationships with matrix partners
  • Ability to work and problem solve independently but escalate when needed  
  • Convey information clearly to both medical providers, internal partners, and customers
  • Medical Terminology Background
  • Must be comfortable to work permanently on night shift (working from home).

Competencies

  • Customer-focused: works efficiently with internal partners to find best solutions for customers
  • Skilled decision-maker: takes the right action on dedicated files based on available  information
  • Accuracy: ensures concise and correct information is being delivered
  • Disciplined: follows procedures, agreements and document flows correctly.
  • Efficiency: able to strike the right balance between quality and quantity
  • Team-player: enjoys working as part of a team and building internal networks
  • Computer-literate: quick to learn International in-house systems and use current office applications 

Method of Application

Interested and qualified? Go to Cigna on cigna.wd5.myworkdayjobs.com to apply

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