Intake Care Associate Analyst- Cigna Healthcare

• Review and process preauthorization requests for medical services and treatments.
• Assess medical necessity using clinical guidelines and policy criteria.
• Collaborate with clinical teams to ensure appropriate care and service use.
• Identify high-risk or costly cases for care coordination or case management.
• Review medical claims for accuracy, coding, and benefit alignment.
• Support appeals, reconsiderations, and audits as required.
• Lead or assist in negotiations for out-of-network claims and high-cost procedures.
• Analyse trends in high-cost claims and suggest improvements.

• Degree or diploma; further education in healthcare, business or related fields is preferred.
• Knowledge of medical claims adjudication, prior authorization, medical necessity review, and utilization management guidelines.
• Ability to review clinical documentation and apply coverage criteria.
• Coding certification (e.g., CPC, CCS) is a plus but not required.
• Excellent written and oral communication skills with good telephone manner.
• Flexibility and ability to multitask.
• High accuracy and attention to detail.
• Strong problem-solving and decision-making skills.
• Team player with ability to interpret data and identify trends.
• Willingness to work on a 24/7 schedule including weekends and holidays, with assigned shifts between 7:00 AM and 7:00 AM next day.

Send your CV through the employer's official contact. The closing date for applications is Thursday, 5 November 2026.