Intake Care Representative

Cigna; Kuala Lumpur; On-site; MYR 40,000 - 55,000; Full time

Job summary

A global health service company in Kuala Lumpur is seeking an Intake Care Representative to process Guarantees of Payments for hospitals. This role involves analyzing medical treatment requests, monitoring cases, and liaising with medical providers. The ideal candidate is fluent in English with strong analytical skills. Work experience in a medical environment is a plus. Join a dynamic team dedicated to improving health services.

Qualifications

• Fluent in English, both spoken and written. Knowledge of other languages is a plus.
• Work experience in a medical environment is a plus, though not required.

Responsibilities

• Send Guarantees of Payments together with colleagues.
• Analyze requests for medical treatments and hospitalizations.
• Review and monitor cases and cascade files to Case Managers.
• Contact medical providers and insured individuals.
• Be the point of contact for hospitals regarding the Guarantee of Payment.

Skills

Fluency in English

Analytical mind

Accuracy and independence

Ability to work under deadlines

Stress resistance

Team player

Job description

Overview

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. Headquartered in the US and listed in NYSE, the Company operates in countries across the Americas, Europe, Africa and Asia. Cigna’s mission is to improve the health and vitality of those we serve.

Your Job

As an Intake Care Representative, you will be a member of the Provider Services Organisation (PSO) CARE Team servicing the International Organisations with the processing of the Guarantee of Payments towards the hospital. CARE team is a team of non-clinically trained staff, and you will closely work together with the CARE teams worldwide (Madrid – Kuala Lumpur – Nairobi – Bengaluru).

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.
• Analyze requests for medical treatments and hospitalizations, the amount and the length of stay depending on the policy. You verify the patient’s extent of cover, our relationship with the provider, the need for medical review and the costs.
• Review and monitor the case from an administrative perspective and make sure to cascade the files to the teams of Case Coordination Case Managers, and Medical Advisors, depending on specific triggers.
• Frequently be in contacts with medical providers and individual insured, mainly by email and phone, to obtain all necessary information.
• Be the point of contact for hospitals regarding all their questions related to the Guarantee of Payment.
• Manage the English language well, both spoken and written, as all our clients and medical providers are internationally located.

Your Profile

Experience

• You are fluent in English, both spoken and in writing. Knowledge of other languages are a plus.
• Work experience in a medical environment is a plus, though not required.

Skills

• You have an analytical mind.
• You work in an accurate and independent way.
• You can work against deadlines.
• You are stress resistant.
• You are a team player.

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.