Case Coordinator at Cigna

MAJOR RESPONSIBILITIES

• You are responsible for clinical case management and cost containment in relation to international hospitalizations and claims, and you assist in drafting Guarantees of Payment.
• You screen hospital bills before they are approved for reimbursement & direct billing
• You coordinate and manage all aspects of treatment including medical appropriateness, length of stay in an efficient and cost-effective manner.
• You are in contact with the treating doctors or facilities to obtain necessary medical information and to negotiate tariffs.
• You identify and refer appropriate customers to eligible clinical programs.
• You maintain timely and efficient documentation.
• You liaise with patient or family members about treatment changes or patient care
• You consult the client organizations and account managers whenever necessary
• You take into consideration the necessary procedures and agreements
• Other duties as assigned

REQUIREMENTS

• You have a bachelor or master’s degree preferably in a medical orientation or equal through experience.
• You have past experience in the Medical Insurance. Past expeirence in Hospital & Clinics or any Clinical background is an asset.
• Experience in the Africa region & International market
• You are fluent in English and have good knowledge in French and/or Portuguese and/or Spanish, any additional language is an asset but not essential.
• You have a thorough medical knowledge and a genuine interest in the evolutions in the medical world.
• You are strong in assimilating different information and negotiating and you are critical and communicative.
• You are skilled in computer
• You are flexible to work in shifts
• You are service oriented, and you can display empathy.
• You are organizationally well grounded and can work independently.
• You are stress resistant and you like to work in a team.
• You can work discretely with confidential information.