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    Intake Care Associate Analyst at - Nairobi, Kenya - Cigna

    Cigna
    Cigna Nairobi, Kenya

    1 week ago

    Default job background
    Full time
    Description

    Cigna is a global health service company, dedicated to helping the people we serve improve their health, well-being and sense of security.

    Responsibilities


    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

    Requirements
    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
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