Intake care representative - Cigna Healthcare

Cigna Healthcare; Bengaluru; On-site; INR 350,000 - 520,000; Full time

Job summary

Cigna Healthcare in Bengaluru is seeking an Intake Care Representative to manage international insurance claims and pre-authorization tasks. You will coordinate with hospitals and insured individuals to obtain necessary information and maintain documentation in internal systems.

The role requires excellent English communication, accuracy, and discipline, with weekend and around-the-clock shifts as part of the workload. Prior experience in international insurance processing is preferred.

Qualifications

• Graduate with preference for medical, paramedical, pharmacy or nursing backgrounds.
• Experience in international insurance claims pre-auth processing.
• Willingness to work 24/7 shifts and weekends.

Responsibilities

• You are responsible for the timely sending of all Guarantees of Payments together with your colleagues.
• The Guarantee of Payment is a confirmation towards the hospital regarding length of admission, treatment and insured amount.
• You analyse requests for medical treatments and hospitalizations. You verify the patient’s extent of cover, our relationship with the provider, the need for medical review and the costs.
• You monitor the file from an administrative perspective and work.
• You have frequent contacts with medical providers and individual insured, mainly by phone, to obtain all necessary information.
• You are the focal point of contact for hospitals regarding all their questions related to the Guarantee of Payment.
• All our clients and medical providers are internationally located. Therefore, you manage the English language well, both spoken and written.
• Maintain all necessary information regarding the hospitalizations in an internal database
• Translate and interpret medical and other relevant documents for case analysis
• Work independently and effectively to communicate to internal and external customers by telephone and e‑mail
• Maintain accurate workflow and process documentation following outlined processes

Skills

Customer focus

Decision making

Accuracy

Disciplined

Efficiency

Team player

Weekend shifts

Computer literacy

Education

Graduate

Job description

The job profile for this position is Intake Care Representative, which is a Band 1 Professional Career Track Role.

The job profile for this position is Intake Care Representative, which is a Band 1 Professional Career Track Role.

Intake care representative

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Job Description

• You are responsible for the timely sending of all Guarantees of Payments together with your colleagues.
• The Guarantee of Payment is a confirmation towards the hospital regarding length of admission, treatment and insured amount. To be able to provide this confirmation, the following steps are necessary:
• You analyse requests for medical treatments and hospitalizations. You verify the patient’s extent of cover, our relationship with the provider, the need for medical review and the costs.
• You monitor the file from an administrative perspective and work
• You have frequent contacts with medical providers and individual insured, mainly by phone, to obtain all necessary information.
• You are the focal point of contact for hospitals regarding all their questions related to the Guarantee of Payment.
• All our clients and medical providers are internationally located. Therefore, you manage the English language well, both spoken and written.
• Maintain all necessary information regarding the hospitalizations in an internal database
• Translate and interpret medical and other relevant documents for case analysis
• Work independently and effectively to communicate to internal and external customers by telephone and e‑mail
• Maintain accurate workflow and process documentation following outlined processes

Competencies

• Customer-focused: works efficiently with internal partners to find best solutions for customers.
• Skilled decision‑maker takes the right action on dedicated files based on available information
• Accuracy: ensures concise and correct information is being delivered
• Disciplined: follows procedures, agreements and document flows correctly.
• Efficiency: able to strike the right balance between quality and quantity
• Team‑player enjoys working as part of a team and building internal networks
• Ready to work on weekends and 24x7 shifts
• Computer‑literate: quick to learn International in‑house systems and use current office applications

Education

Graduate (Any) - Any Preferably, medical, Paramedical, Pharmacy or Nursing.

Experience Range

Minimum 1 year of experience in healthcare services or processing of healthcare insurance Pre-Authorization or claims

Foundational Skills

Expertise in international insurance claims Pre-auth processing

Work Timings

24/7

Job Location

Bengaluru (Bangalore)

Cigna Healthcare never asks candidates for payment or course enrolment as part of hiring. Always verify job opportunities through our official Careers page.

About The Cigna Group

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.