Vacancies at Cigna

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.

Key Areas

• Communication management in day to day queries of our clients and insurers through different channels (Email, Phone ,Letter and Chat) .The main communication channel will be Emails and Calls.
• As a Hybrid team, you require to manage customer interactions through Emails and Calls at the same time. You require to multitask between both channels based on Email and Call inflow and based on the requirements in the daily planning.
• Think about and contribute to using the most efficient communication channels (phone, e-mail, letter)
• Coordinate and ensure follow-ups of the assigned contracts/clients.
• Answering call from client and advising on the necessary information. To log call in the system and respond via email immediately over the call instead of assigning the task back to the queue.
• Follow up on personal queue for the cases where we received reply.
• Taking ownership on the emails assigned and to complete the necessary before end of business.
• Monitoring Queue to see if there is any queued call which require to be answered instead of allowing the call to drop or abandon.
• Check on medical reports submitted by client and see if we can approve Initial Letter of Guarantee to the provider.
• Check if the complete Reimbursement documents has been submitted before assigning case to Claims Team.
• Keep records and filing up to date.
• Pro-actively optimizing the unit’s workflows to achieve set targets.
• Translate communications, medical reports or other documents if needed.
• Work according to the priorities indicated in the work plan and in order to keep under track the different KPIs (ASA, TAT, NPS, etc)
• Able to handle complaints and analyze them, identifying root causes that might lead to the improvement of customer satisfaction.

Relations To Other Positions

• Assist the Supervisor and Senior Supervisor in several tasks (e.g. preparation of presentations, preparation of analyses, Statistics)
• Provide all necessary information to the involved parties: clients, insurers, the International Customer Services, Finance and Accounting Marketing and Communication.
• Contribute to maintaining a co-operative and friendly working environment.
• Inform Supervisors and Senior Supervisors on problems and inefficiencies.

What skills do you need?

Education Level:

• Diploma / Bachelor qualification. Translation and Interpreting or Foreign Languages studies highly valued.
• Minimum One year or more experience in any related field (Customer Service – Handling calls and responding to client on free text email basis)

Specific Knowledge:

• Primary languages will be English and German - Required

Soft Skills:

• Skillful in taking decisions ,takes the right action on allocated files based on the available information and providing the decision in written to client ensuring all relevant information is clear.
• Excellent Communication skills.
• Accurate: works accurately when providing information to client via written email
• Discipline: pays attention to procedures, agreements and document flows.
• Efficient: finds a good balance between quality and quantity.
• Team player: Able to work in a team and provide feedback on how to improve from time to time.
• Skillful with computer programs: readily learns the ropes in the use of current office applications
• Discreet: works discreetly with confidential (medical) information.

Working Requirement

• Able to work in rotational shift hours during weekdays and weekends and public holidays.
• Shift Rotation Monday till Sunday, 5 days a week, 9 hours a day
• Shift starts any 9 hours from as early as 6am Nairobi time and ends at 3am

Eg: Early shift 7 am till 5pm and

Last shift 17pm till 3 am.

• 5 days work and 2 days OFF over period of a week.
• Willing to volunteer for OT during Off days and after working hours.
• Able to work from home and from office -High speed dedicated Wi-Fi Connection at home (Compulsory).

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What would a typical day look like for an Eligibility Representative?

• As an Eligibility Representative, you are part of a team of young and international colleagues and every day you come across a wide variety of situations:

Your Responsibilities:

• Delivers administrative duties and other Business services in Eligibility.
• Implements and maintains eligibility for benefits.
• Implements, updates and maintains automated, direct connect and manual eligibility data.
• Interacts with internal & external clients and vendors to resolve issues.
• Generates reports from the system, identifies and resolves discrepancies.
• Identifies and recommends process improvement opportunities in the Department.
• Negotiates and resolves Eligibility with clients.
• Provides technical support for electronic process of membership data.
• Ensures customer data is installed accurately and in a timely manner.
• Works with clients’ data format and internal systems to resolve errors and technical issues.

What skills do you need?

• Do you have a Degree / Diploma or similar level by experience and an excellent knowledge of English plus French/ Spanish/ German?
• Great start! That’s essential for the role. If you possess excellent attention to detail, even better! You are an expert in delivering an excellent customer experience and you're quick to learn new software applications? Great!
• If on top of that you have good technical and reporting skills, you are a fast learner, strong interpersonal skills with excellent written/verbal communication skills and you are a positive thinker who is used to working meticulously against tight deadlines, then you might be the ideal Eligibility Representative!