Intake Care Representative

Cigna; Madrid; Presencial; EUR 25.000 - 45.000; Jornada completa

Descripción de la vacante

An established industry player is seeking an Intake Care Representative to join their clinical team. This role involves processing client requests, liaising with healthcare providers, and ensuring high-quality customer service. You will be responsible for managing sensitive cases and negotiating discounts, all while working closely with internal teams. Enjoy the flexibility of working from home with occasional office visits, alongside a supportive environment that prioritizes employee well-being and professional growth. If you are passionate about making a difference in healthcare, this is the opportunity for you.

Servicios

Working from home

24 days holiday per year + Birthday off

Private Medical and Dental Insurance

Life Assurance

Flexible dress code

IT Kit for home working

Formación

• Strong customer service skills with a focus on empathy and clear communication.
• Ability to manage sensitive cases and liaise effectively with various stakeholders.

Responsabilidades

• Process and triage GOPs while maintaining accurate workflow documents.
• Communicate with clients and providers to ensure efficient service delivery.

Conocimientos

Customer-focused communication

Decision-making

Negotiation skills

Attention to detail

Team collaboration

Computer literacy

Empathy

Efficiency

Descripción del empleo

Delivers straightforward administrative and/or other basic business services in Utilization Management. Assigns client to appropriate staff member or behavioral health network provider for assessment and counseling. Serves as initial contact for clients and their eligible dependents requesting services. Responsible for customer service and relevant standards such as telephone response time. May make referrals within stated limits. Issues tend to be routine in nature. Good knowledge and understanding of Intake Care and business/operating processes and procedures. Works to clearly defined procedures under close supervision.

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.

JOB DESCRIPTION

The Intake Care Representative is a member of the Clinical team and works closely with the Ops team.

KEY AREAS:

• Processes GOPS and takes ownership of cases as required.
• 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 members to alternative providers.
• Liaises and ensures efficient coordination with the medical/case management teams.
• Works independently and effectively communicates with internal and external customers by telephone and email.
• Maintains accurate workflow and process documents.

SKILLS:

• Convey messages in clear language, pay attention to specific circumstances and appropriate style.
• Customer-focused: communicates empathically.
• Skilled decision-maker: takes the right action on dedicated files based on the information available.
• Accurate: works accurately by giving complete and correct answers. Good negotiation skills.
• Responsible: ensures that assigned contracts are followed up in a diligent, timely and accurate manner.
• Disciplined: follows procedures, agreements and document flows correctly.
• Efficient: able to strike the right balance between quality and quantity.
• Team-player: enjoys working as part of a team.
• Computer-literate: quick to learn International in-house systems and use current office applications.
• Negotiation skills.
• French/German and English Speaker

What we require:

• You are able to commit to 39 hour/week.
• You are able to commit to 6 week induction training.
• You are available to work one of these shifts: Monday to Friday 12:15 to 20:02.

What’s in it for you?

We recognize 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:

• Working from home - Enjoy working from the comfort of your home, with occasional visits to our Madrid office.
• Training – You will be able to take part in the training remotely with visits to the Madrid office. We will set you up with all the tools you need to succeed.
• IT Kit - We will set you up with home working resources.
• 24 days holiday per year + Birthday off.
• 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.

What makes Cigna different from other employers?

We go further than just paying insurance claims. Solid customer relationships are our main goal. We also strongly believe in business ethics and continually strive to be cleaner, greener, and respectful of all.

We owe our success to the talent and dedication of our team. They’re the ones who make a difference in our customers’ lives. So we know that it’s important to go the extra mile for our employees. We make sure they have a good work-life balance and we offer many initiatives for health and well-being.

Plus much more…

Sounds good, right? It’s time to look to your future and apply to work for Cigna today!

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.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: [e-mail] for support. Do not email [e-mail] for an update on your application or to provide your resume as you will not receive a response.