Intake Care Representative

hace 3 semanas


Madrid, España The Cigna Group A tiempo completo

About us
Cigna Corporation is a global health service company. We provide healthcare products and services, group disability, life and accident insurance and international insurance – directly to individuals and through employers and intermediaries. Cigna’s mission is to help our customers improve their health, well-being and sense of security. We are an american multinational that has presence around the world such as England, Belgium, India, Malaysia, Spain and so on.

Our Mission

As an Intake Care Representative you will be member of the PSO Care Team and works close together with the Pre-Authorisation colleagues helping our clients with the processing of the Guarantee of Payments towards the hospitals.

Key Areas/Functions

  • 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.

  • Maintains accurate workflow and process documents.

  • Translates and interprets medical and other relevant documents when needed.

Requirements

Languagues

  • Advance or bilingual knowledge of English is a must (C1/C2)

  • Medium or advance level of one or more of these languages: French, German, Portuguese or any other European language.

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.

What’s in it for you?

We recognise we wouldn’t be where we are today without our employees, that’s why we offer such excellent benefits designed to suit you as and when you need them:

  • Contract : Permanent

  • Environment: Multicultural working environment

  • Hybrid working: Enjoy working from the comfort of your home 3 days per week and 2 days from our Madrid office.

  • Schedule : Tuesday to Saturday from 12.15 to 20.03.You are able to commit to 39 hour/week.

  • Training: You are able to commit to 6 week induction training. 2 weeks of those in the office.

  • 24 days holiday per year.

  • Private Medical and Dental Insurance.

  • Life Assurance.

  • Flexible dress code - It’s not about what you wear, it’s about what you can do, so why not be comfortable doing it.

Plus much more…

About Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.



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