Company Address: Address Antwerpen

Operations Supervisor – Eligibility Team

As a supervisor you will support the Team Manager in managing a team of Eligibility Representatives in Nairobi. Key to the role will be developing and coaching the team to deliver a high quality customer centric service offering.
Your role includes:

Review and assess inventory levels co-ordinating daily allocations and planning ahead to maximise staffing levels to maximise results.
Set team and individual goals and actively follow up on them
Ensure that productivity, quality and customer satisfaction, are managed within own team and motivation of the individuals and team to achieve the operational KPI’s
Being proactive in identifying improvement/enhancement opportunities and be active in seeking and sharing ideas for innovation in business processes.
Striving to provide excellent service to our members and clients
Ensure strong employee engagement within the team, including day to day oversight, motivation, conflict management, training, well being and performance by providing coaching and skill development in collaboration with the Management Team.
Ensure appropriate performance management actions are taken
Having quarterly check-in conversations with all team members
Promote a culture of continuous improvement and be fully responsible for the implementation of new ways of working and the measurement of the results in alignment with the broader Strategy and in coordination with the Management Team
Taking ownership of any escalated cases and provide updates to the Team manager on any issues
Proactively address and/or escalate any risks to the Team Manager
Developing/maintaining proactive/effective business relationships, both internally and externally to ensure a seamless delivery of service. Actively encourage all team members to do likewise.
Being able to represent the Organisation during client visits, absences, stakeholder meetings, or act as a relationship manager towards some our strategic partners.

YOUR PROFILE

Strong performance track record
International mind-set, with holistic and able to work remotely with peers across locations
Active and fluent in at least English and French, an extra language may be desirable
2 years of Cigna experience, or relevant leadership experience in other functions/companies – ideally Healthcare/Insurance company
Experience and/or interest in coaching, managing, developing and motivating individuals
Experience in complaint management – with a proven track record in improving customer service standards
Strong presentation skills, and knowledge of Window tools, e.g. Excel, PowerPoint, Windows
A growth mindset with a positive attitude towards change and the ability to play an active role in implementing change initiatives.
Excellent interpersonal skills: strong empathy and listening skills, strong articulation and communication skills
Competency to build a team and create an atmosphere of positive collaboration, innovation and creative solutioning among the team members
Action-orientated problem-solving attitude
Excellent organisation, planning and prioritisation skills
Able to seek out best practice in order to effectively deal with diverse, complex and highly sensitive issues
Results orientated – ability to cascade and translate goals, establish plans and manage work to achieve desired outcomes. Create meaningful business related metrics and track progress/results
Accountability – assume ownership for achieving personal results and collective team goals
Analytical and proactive: questions current work procedures and suggests ways to meet deadlines without compromising quality.
Personal flexibility

Apply via :

jobs.cigna.com

October 28, 2024
Operations Supervisor – Eligibility Team

As a supervisor you will support the Team Manager in managing a team of Eligibility Representatives in Nairobi. Key to the role will be developing and coaching the team to deliver a high quality customer centric service offering.

Your role includes:

Review and assess inventory levels co-ordinating daily allocations and planning ahead to maximise staffing levels to maximise results.
Set team and individual goals and actively follow up on them
Ensure that productivity, quality and customer satisfaction, are managed within own team and motivation of the individuals and team to achieve the operational KPI’s
Being proactive in identifying improvement/enhancement opportunities and be active in seeking and sharing ideas for innovation in business processes.
Striving to provide excellent service to our members and clients
Ensure strong employee engagement within the team, including day to day oversight, motivation, conflict management, training, well being and performance by providing coaching and skill development in collaboration with the Management Team.
Ensure appropriate performance management actions are taken
Having quarterly check-in conversations with all team members
Promote a culture of continuous improvement and be fully responsible for the implementation of new ways of working and the measurement of the results in alignment with the broader Strategy and in coordination with the Management Team
Taking ownership of any escalated cases and provide updates to the Team manager on any issues
Proactively address and/or escalate any risks to the Team Manager
Developing/maintaining proactive/effective business relationships, both internally and externally to ensure a seamless delivery of service. Actively encourage all team members to do likewise.
Being able to represent the Organisation during client visits, absences, stakeholder meetings, or act as a relationship manager towards some our strategic partners.

YOUR PROFILE

Strong performance track record
International mind-set, with holistic and able to work remotely with peers across locations
Active and fluent in at least English and French, an extra language may be desirable
2 years of Cigna experience, or relevant leadership experience in other functions/companies – ideally Healthcare/Insurance company
Experience and/or interest in coaching, managing, developing and motivating individuals
Experience in complaint management – with a proven track record in improving customer service standards
Strong presentation skills, and knowledge of Window tools, e.g. Excel, PowerPoint, Windows
A growth mindset with a positive attitude towards change and the ability to play an active role in implementing change initiatives.
Excellent interpersonal skills: strong empathy and listening skills, strong articulation and communication skills
Competency to build a team and create an atmosphere of positive collaboration, innovation and creative solutioning among the team members
Action-orientated problem-solving attitude
Excellent organisation, planning and prioritisation skills
Able to seek out best practice in order to effectively deal with diverse, complex and highly sensitive issues
Results orientated – ability to cascade and translate goals, establish plans and manage work to achieve desired outcomes. Create meaningful business related metrics and track progress/results
Accountability – assume ownership for achieving personal results and collective team goals
Analytical and proactive: questions current work procedures and suggests ways to meet deadlines without compromising quality.
Personal flexibility

Apply via :

jobs.cigna.com

October 28, 2024
Customer Service Representative

YOUR JOB

You address our clients’ questions with expertise and empathy by e-mail and telephone. These questions may involve policy content, eligibility, hospital admission procedures, the reimbursement of submitted claims.
You organize the in- and outflow of all incoming communication with special attention to the quality of the messages and to the response times.
You make sure that hospitals worldwide receive all necessary documents for a plan member’s admission within the best possible terms.
All of these tasks are performed in English or other languages.

YOUR PROFILE

You have a bachelor or master degree or equal through experience.
You have active knowledge of English. Knowledge of an extra language (French, Portuguese) is an asset.
You are strong in communication.
You are service-minded.
You work accurately and you do not mind working with tight deadlines.
You have a strong sense of responsibility.
You can easily handle procedures regarding document verification.
You can easily work with several software applications simultaneously (PC, mainframe, multimedia, etc.).
You like to work with numbers.
You handle confidential information in a discrete manner.
You work autonomously but also enjoy working as part of a team.
You like to take initiative.

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: SeeYourselfEMEA@cigna.com for support. Do not email SeeYourselfEMEA@cigna.com for an update on your application or to provide your resume as you will not receive a response.

Apply via :

jobs.cigna.com

October 28, 2024
Fraud Analyst

It’s fun to work in a company where people truly BELIEVE in what they are doing!
We’re committed to bringing passion and customer focus to the business.
Your Responsibilities

You review and analyze triggered cases based on pre- and post-payment risk assessments and take appropriate action.
You assist in analyzing files that are passed on to the FWA team for suspected fraud, waste or abuse.
You support the team of investigators in gathering facts on suspected cases with a special focus on African health care providers.
You give advice for claims release and track steps taken accordingly.
You assist in reaching out to suspected providers in Africa and conduct fact-finding interviews.
You help reveal patterns of fraud, waste or abuse in your designated region through data-mining exercises.
Based on your initial analysis, you are able to summarize your findings in a report, to be directed to the region’s senior investigator.
You follow-up with stakeholders to ensure deadlines are met and any delays are communicated proactively.
You manage your workload proactively, communicating with your manager any risks or challenges to targeted completion dates.
You are able to identify and take an active role in optimizing workflows of the department.
You take initiative and show confidence in your correspondence with internal and external parties.

YOUR PROFILE

You have a bachelor degree or equivalent through experience. Any prior experience in the field is preferred.
You have an excellent knowledge of English and French. Any additional languages are a plus.
Good medical knowledge or a strong interest in exploring the medical field is preferred.
You have a strong knowledge of Microsoft Office, especially Excel.
You are analytical and have a critical mindset.
You are decisive and able to work independently as well as within a team.
You act with the highest integrity and respect for procedures and regulations.
You work efficiently and accurately.
You are excellent in setting priorities.

Qualified applicants will be considered without regard to race, color, age, disability, sex (including pregnancy), childbirth 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.

October 26, 2024
Administrative Assistant

Job description

It’s fun to work in a company where people truly BELIEVE in what they are doing!We’re committed to bringing passion and customer focus to the business.YOUR JOBYou are responsible for organising efficiently and processing correctly the flow of incoming and outgoing documents (paper and electronic): letters, faxes, claims, payment letters, etc. Some of your tasks include:

dispatching mail daily to our other offices

managing the different intake points through which we claims arrive
Triaging the flow between members and providers, urgent and non-urgents keeping the TAT’s for PG contracts in mind.

administrative preparation of claims and communication
file management and management of the electronic archive of your department
ordering supplies weekly and keeping statistics on supply usage
you also provide administrative support to colleagues in your department: sending faxes, copying documents, etc

YOUR PROFILE

You speak and write fluent English, knowledge of French is a plus
Organizational skills: you can assess different tasks and proceed according to priorities; you are able to plan ahead in order to ensure daily workflows are respected, you are able to work in close cooperation with your (administrative) colleagues
You can rapidly and accurately handle a large quantity of paper and electronic documents
You can keep a clear overview of the work to be done, even in busy times.
You are orderly.
You can deal with (confidential) information with the utmost discretion.
You can perform accurate data entry.

Qualified applicants will be considered without regard to race, color, age, disability, sex (including pregnancy), childbirth 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.

October 26, 2024
Customer Service Representative

Job description
It’s fun to work in a company where people truly BELIEVE in what they are doing!
We’re committed to bringing passion and customer focus to the business.
YOUR JOB

You address our clients’ questions with expertise and empathy by e-mail and telephone. These questions may involve policy content, eligibility, hospital admission procedures, the reimbursement of submitted claims.
You organize the in- and outflow of all incoming communication with special attention to the quality of the messages and to the response times.
You make sure that hospitals worldwide receive all necessary documents for a plan member’s admission within the best possible terms.
All of these tasks are performed in English or other languages.

YOUR PROFILE

You have a bachelor or master degree or equal through experience.
You have active knowledge of English. Knowledge of an extra language (French, Portuguese) is an asset.
You are strong in communication.
You are service-minded.
You work accurately and you do not mind working with tight deadlines.
You have a strong sense of responsibility.
You can easily handle procedures regarding document verification.
You can easily work with several software applications simultaneously (PC, mainframe, multimedia, etc.).
You like to work with numbers.
You handle confidential information in a discrete manner.
You work autonomously but also enjoy working as part of a team.
You like to take initiative.

Qualified applicants will be considered without regard to race, color, age, disability, sex (including pregnancy), childbirth 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.

October 26, 2024
Network Provider Manager

Job description
Are you looking for a new challenge in your career? Great! And you’re considering working at Cigna? Even better! You’ll have lots of questions. Here are some answers.
YOUR MISSION

Succesfully acquire, maintain and monitor agreements with medical service providers in allocated regions.
Analyse and determine in which countries, regions and cities our network of providers must grow.
Negotiate with clients and client managers the most appropriate network extension efforts in the allocated region.
Actively look for and bring on new providers by all means, including business trips.
Negotiate and discuss agreements (direct payment agreements and/or discounts fees and price agreements).
Visit clients and manage the relationship with the providers under agreement in allocated regions and monitor the quality of their services and execution of the agreements.
Act as an expert with regards to the medical landscape in the countries within your region and continuously monitor evolutions in that respect
Ensure the correct handling of all administrative aspects of the agreements with the providers, you maintain the Provider Data Base (PIMS) and make overviews of provider networks.
Analyse price lists and data, write clear conclusions and you identify cost containment opportunities.
You are the internal key person for all other Units and departments for issues relating to the providers in the allocated regions. Especially intensive communication with Clinical, Service OPS and Sales and Client Management.

YOUR PROFILE

You have a Master Degree or similar by experience.
Knowledge of the Provider Network is an asset.
You have active knowledge of at least English and French, an extra language is an asset.
You have a good knowledge of Microsoft Office applications
You know how to be correct, professional and easy in contact with different stakeholders (providers, clients, colleagues, superiors).
You possess good negotiations skills that help you to easily come to an agreement with providers on a commercial and strategic manner. You can excite someone’s interest through good arguments.
You are able to communicate own and/or company visions fluent and clear and can pay attention to the message of the provider at the same time.
You are able to plan, prioritize and coordinate tasks in an efficient way and you work accurately.
You take initiative, are able to anticipate on expectations of providers and you love the challenge of problem-solving.
You are able to independently plan, organize and carry through (international) trips.
You are empathetic and a constructive team player.

October 25, 2024
Administrative Assistant

Job description
For our office in Nairobi we are looking for an Administrative Assistant.
YOUR JOB
You are responsible for organising efficiently and processing correctly the flow of incoming and outgoing documents (paper and electronic): letters, faxes, claims, payment letters, etc. Some of your tasks include:

dispatching mail daily to our other offices
administrative preparation of claims and communication
file management and management of the electronic archive of your department

YOUR PROFILE

Education: Diploma in business management or a related field.
You speak and write fluent English, knowledge of French is a plus
Organizational skills: you can assess different tasks and proceed according to priorities; you are able to plan ahead in order to ensure daily workflows are respected, you are able to work in close cooperation with your (administrative) colleagues
You can rapidly and accurately handle a large quantity of paper and electronic documents
You can keep a clear overview of the work to be done, even in busy times.
You are orderly.
You can deal with (confidential) information with the utmost discretion.
You can perform accurate data entry.

OUR OFFER

A challenging job in an international and growing enterprise.
A dynamic, young and entrepreneurial company culture that values and stimulates initiative.
Market – related salary conditions

October 25, 2024
Network Provider Manager

Job description
Are you looking for a new challenge in your career? Great! And you’re considering working at Cigna? Even better! You’ll have lots of questions. Here are some answers.
YOUR MISSION

Succesfully acquire, maintain and monitor agreements with medical service providers in allocated regions.
Analyse and determine in which countries, regions and cities our network of providers must grow.
Negotiate with clients and client managers the most appropriate network extension efforts in the allocated region.
Actively look for and bring on new providers by all means, including business trips.
Negotiate and discuss agreements (direct payment agreements and/or discounts fees and price agreements).
Visit clients and manage the relationship with the providers under agreement in allocated regions and monitor the quality of their services and execution of the agreements.
Act as an expert with regards to the medical landscape in the countries within your region and continuously monitor evolutions in that respect
Ensure the correct handling of all administrative aspects of the agreements with the providers, you maintain the Provider Data Base (PIMS) and make overviews of provider networks.
Analyse price lists and data, write clear conclusions and you identify cost containment opportunities.
You are the internal key person for all other Units and departments for issues relating to the providers in the allocated regions. Especially intensive communication with Clinical, Service OPS and Sales and Client Management.

YOUR PROFILE

You have a Master Degree or similar by experience.
Knowledge of the Provider Network is an asset.
You have active knowledge of at least English and French, an extra language is an asset.
You have a good knowledge of Microsoft Office applications
You know how to be correct, professional and easy in contact with different stakeholders (providers, clients, colleagues, superiors).
You possess good negotiations skills that help you to easily come to an agreement with providers on a commercial and strategic manner. You can excite someone’s interest through good arguments.
You are able to communicate own and/or company visions fluent and clear and can pay attention to the message of the provider at the same time.
You are able to plan, prioritize and coordinate tasks in an efficient way and you work accurately.
You take initiative, are able to anticipate on expectations of providers and you love the challenge of problem-solving.
You are able to independently plan, organize and carry through (international) trips.
You are empathetic and a constructive team player.

October 25, 2024
Administrative Assistant

Job description
For our office in Nairobi we are looking for an Administrative Assistant.
YOUR JOB
You are responsible for organising efficiently and processing correctly the flow of incoming and outgoing documents (paper and electronic): letters, faxes, claims, payment letters, etc. Some of your tasks include:

dispatching mail daily to our other offices
administrative preparation of claims and communication
file management and management of the electronic archive of your department

YOUR PROFILE

Education: Diploma in business management or a related field.
You speak and write fluent English, knowledge of French is a plus
Organizational skills: you can assess different tasks and proceed according to priorities; you are able to plan ahead in order to ensure daily workflows are respected, you are able to work in close cooperation with your (administrative) colleagues
You can rapidly and accurately handle a large quantity of paper and electronic documents
You can keep a clear overview of the work to be done, even in busy times.
You are orderly.
You can deal with (confidential) information with the utmost discretion.
You can perform accurate data entry.

OUR OFFER

A challenging job in an international and growing enterprise.
A dynamic, young and entrepreneurial company culture that values and stimulates initiative.
Market – related salary conditions

October 25, 2024