Cigna is a global health service company with 95 million customers around the world and more than 40,000 employees worldwide. As your partner in health, we’re available for our customers 24/7 with an expansive network built to help them meet their health goals. We’re on a mission to improve the health, well-being and peace of mind of those we serve.
JOB SUMMARY
Your Profile: You are fluent in English, both spoken and in writing. Knowledge of other languages (French, Portuguese, Spanish, German) is a key requirement.You are flexible to work during night shift and over the weekend on rotational basis.You are customer-focused: work efficiently with internal partners to find best solutions for customers.You are disciplined: follow procedures, agreements and document flows correctly.You are computer-literate: quick to learn International in-house systems and use current office applications.You have an analytical mind.You work in an accurate and independent way.You can work against deadlines.You are stress resistant.You are a team player.Work experience in a medical environment is a plus, though not required.
RESPONSIBILITIES
You are a member of the Integrated Health Team, servicing the International Organisations. More specifically you’ll take part in the CARE team, a team of non-clinically trained staff, and close work together with the CARE teams worldwide (Antwerp – Madrid – Kuala Lumpur – Singapore – Greenock – Nairobi)You are responsible for the timely sending of all Guarantees of Payments together with your colleagues. The Guarantee of Payment is a confirmation towards the hospital regarding length of admission, treatment and insured amount. To be able to provide this confirmation, the following steps are necessary:You analyse requests for medical treatments and hospitalizations. You verify the patient’s extent of cover, our relationship with the provider, the need for medical review and the costs. You monitor the file from an administrative perspective and work in close cooperation with the Care Coordinators and Case Managers.You have frequent contacts with medical providers and individual insured, mainly by phone, to obtain all necessary information.You are the focal point of contact for hospitals regarding all their questions related to the Guarantee of Payment.All our clients and medical providers are internationally located. Therefore you manage the English language well, both spoken and written.Translate and interpret medical and other relevant documents for case analysisWork independently and effectively to communicate to internal and external customers by telephone and e-mail.Maintain accurate workflow and process documentation following outlined processes.You will work as a night shifter, with working hours from 03:00 PM to 01:00 AM (Kenya time) for 5 days a week.You will also be flexible to work on Saturdays and Sundays on a rotational basis with other team members.
