Careers at Cigna Group

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 you’ll 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.

SUMMARY 

• As a Sales Manager, you own your region, develop your strategy, and execute this. For this role the region is defined as South Africa and other French speaking countries in Africa. A typical day might include the following:

YOUR JOB

• Building relations within your markets to develop concrete business opportunities and create new sales leads
• Set everything aside to close a deal.
• Prepare presentations & proposals
• Building a healthy pipeline and execute on it in order to close your deals
• Broker events
• Review and adapt your regional strategy to maximize results
• Finish a quote before the deadline while following internal processes

What skills do you need?

• Do you have 5 or more years of experience working in the international health insurance industry? Great start!
• You have strong commercial, networking and negotiation skills? That’s essential for the role.
• You are proficient in English, French language is a plus.
• Finally if you are a driven by closing business and get excited by exceeding your sales, you might just be the perfect fit.

You will love this job if you…

• Love sales and get motivated by working with targets
• Are well-organised in following up on your sales leads
• Nurture relations and enjoy developing them
• Are triggered by the opportunity to map and adapt our sales strategy
• Feel in your natural habitat at networking events and in presentation rooms
• Have a strong sense of accountability and like to be empowered
• Like to work independently, but also value the input of others
• Can cope with the stress of deadlines and taking decisions in unexpected situations
• Are agile and enjoy adapting to an ever changing environment

What are your main responsibilities?

• You are responsible for the client communication for designated account relationships and Contracts.
• You are required to response to the client on timely manner providing full and accurate information in one go.

Main Duties / Responsibilities

• Handle calls and e-mails and respond to simple and complex inquiries regarding eligibility, cards status, envoy registration/navigation, policy benefits, issue certificates of insurance, claims status and other related information and provide solutions for customers and clients.
• Receives requests by mail, telephone, or in person regarding insurance claims/policies. Responds to inquiries from policy holders, clients, brokers and/or others.
• Performs research to respond to inquiries and interprets policy provisions to determine most effective response.
• Mails or routes claim forms and supporting documentation to various units for final processing.
• Excellent interpersonal skills, ability to understand and interpret policy provisions. Independently responds to inquiries, grievances, complaints, or appeals ranging from routine to moderate complexity.
• May seek assistance with complex customer services issues.

Qualifications

• Must have a diploma or bachelor’s degree certificate
• Excellent English written and oral communication skills
• Portuguese written and oral skill is a must
• Exceptional organizational and time-management focus
• Independently responds to inquiries, grievances, complaints or appeals ranging from routine to moderate complexity.
• 1+ years of customer service experience analyzing and solving customer problems required; call center experience a plus
• Ability to perform in a high volume, fast paced call center environment
• Proven ability to work independently as well as a productive member of a team
• Intermediate proficiency in Microsoft office suite; high level capacity to multitask independently and on a computer
• Knowledge of medical terminology a plus

Conditions/requirements

• Work in 24 x 7 rotation shifts.
• 5 days a week.
• In split shifts (some hours in the morning and remaining hours in the afternoon or evening) and public holidays

How to Apply

Use the link(s) below to apply on company website.