IOH Intake Care Representative

4 weeks ago

Nairobi, Kenya The Cigna Group Full time
The job profile for this position is Intake Care Representative, which is a Band 1 Professional Career Track Role.

Excited to grow your career?

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.

What does Cigna do?

Cigna provides health insurance services around the world. Weâre passionate about helping people improve their health, well-being, and sense of security. We started over 200 years ago and we continued to innovate and expand ever since. At Cigna Health Benefits we focus on the unique needs of Intergovernmental (IGO) and Nongovernmental (NGO) organisations, as well as the needs of multinationals in Europe and Africa. You can find out more about the company at www.cignahealthbenefits.com.

What makes Cigna different from other employers?

We go further than just paying insurance claims. Solid customer relationships are our main goal. We also strongly believe in business ethics and continually strive to be cleaner, greener, and respectful of all. We owe our success to the talent and dedication of our team. Theyâre the ones who make a difference in our customersâ lives. So we know that itâs important to go the extra mile for our employees. We make sure they have a good work-life balance, and we offer many initiatives for health and well-being.

What are your main responsibilities?

As an Intake Care Representative you will be member of the Clinical team and works close together with the Pre-Authorisation team helping our clients with the processing of the Guarantee of Payments towards the hospitals.

KEY AREAS:

  • Processes Guarantee of Payments (GOPs) and takes ownership of cases as required. The Guarantee of Payment is a confirmation towards the hospital regarding length of admission, treatment and insured amount.

  • Works on sensitive/escalated cases as required. 

  • Follows established departmental policies and procedures to process & triage GOPs. 

  • Liaises with hospitals in case additional info is needed.

  • Negotiates discounts with providers. 

  • Steers member to alternative providers.

  • Liaises and ensures efficient coordination with the medical/case management teams.

  • Works independently and effectively communicate to internal and external customers by telephone and email.

  • Maintains accurate workflow and process documents.

  • Translates and interprets medical and other relevant documents when needed.

SKILLS:

  • Advance or bilingual knowledge of English is a must (C1/C2)

  • Advance knowledge of one or more of these languages: French, German, Portuguese or any other European language (C1 Level).

What youâll bring:

  • Customer focused with ability to identify and solve problems.

  • Customer centric mind-set.

  • Exceptional interpersonal skills with good verbal and written communication.

  • Ability to organise, prioritise and manage workload to meet individual and team targets.

  • Ability to quickly identify customer needs and exercise judgment in a professional and confident manner.

  • Must possess excellent attention to detail, with a high level of accuracy with proactive approach.

  • Capable of balancing various tasks at once while achieving deadlines.

  • Ability to work under own initiative and proactive in recommending and implementing process improvements.

Please note that you must meet our posting guidelines to be eligible for consideration.  Policy can be reviewed at this link.

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