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

Comments

Post a Comment

Popular posts from this blog

Operations Associate at Kopo Kopo Inc

Kopo Kopo was launched in 2012 where we partnered with Safaricom to bring Lipa na M-Pesa Buy Goods service to small and medium businesses throughout Kenya and, today, we serve thousands of businesses from salons to restaurants to office supply stores, to schools. We have since partnered with other aggregator and mobile money partners with the ultimate goal of helping businesses leverage mobile payments. We are grateful for our unusual journey and look forward to helping our merchants in growing and prosper in the years ahead.   Operations Associate Job Type Full Time Qualification BA/BSc/HND Experience Location Nairobi Job Field Customer Care  Salary Range KSh 50,000 - KSh 100,000/month The Job:   The role will combine aspects of customer service and operations duties. Ultimately, you will be responsible for quickly solving problems for businesses that rely on Kopo Kopo’s technology. You will ensure that Kopo Kopo’s information systems are kept up to date, and will engage...
Read more

Information Communication Technology - 12 Posts at Judiciary of Kenya

The Judiciary is one of the three State organs established under Chapter 10, Article 159 of the Constitution of Kenya. It establishes the Judiciary as an independent custodian of justice in Kenya. Its primary role is to exercise judicial authority given to it, by the people of Kenya. The institution is mandated to deliver justice in line with the Constitut...   Information Communication Technology - 12 Posts Job Type Contract Qualification Diploma Experience Location Nairobi Job Field ICT / Computer  , Internships / Volunteering  Job Description For appointment to an internship position in ICT, a candidate must:  Have a Diploma in any of the following fields: Computer Science, Information Technology, Information and Communication Technology or its equivalent from a recognized institution. Have graduated not earlier than the  year 2022;  Method of Application Interested and qualified? Go to Judiciary of Kenya on jobs.court.go.ke to a...
Read more

Project Director at LVCT Health

LVCT Health is an indigenous Kenyan non-governmental and not-for-profit organization established in 2001. We are driving Kenya towards HIV prevention, with an ultimate goal of reducing HIV infections to zero. We offer integrated HIV services through development of models that are scaled up to the national models. We also carry out sexual and reproductive ...   Project Director Job Type Full Time Qualification MBA/MSc/MA Experience 7 - 10 years Location Kiambu Job Field Medical / Healthcare  Job purpose The Project Director will be responsible for providing overall strategic and technical oversight to the Dhibiti Project in Central region. This includes responsibility for the technical, monitoring and evaluation and financial and operations components of the project. S/he will work closely with the Program Director and other directors/managers to ensure adherence to technical and contractual requirements of the grant, achievement of targets and project alignment to institutiona...
Read more