Intake Care Representative at Cigna

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.