Job Description
Medical Industry
Our Client is seeking a BROKER SUPPORT OFFICE ASSISTANT to join their team in Faerie Glen.
Should you meet the above requirements, please email your CV to cathy@aaaa.co.za with copy of ID, qualifications and latest payslip
Main purpose of the job:
Responsible for the Administrative duties in the regional office in Gauteng, liaising with in-house consultants, Medical schemes and other product suppliers and services.
Responsibilities:
- Building and maintain good relationships with all stakeholders as Indicated below:
- Maintain excellent client service daily on:
- Receiving, checking and submitting of Medical Scheme applications, GAP cover applications &/or all applications of product suppliers
- Confirmation of application received and submitted to client & consultant
- Feedback received from product supplier to client & consultant
- Follow-up on outstanding information & documentation on all applications for all product suppliers
- Follow-up on all feedback received
- Follow-up on GAP certificates received, send to client & consultant & maintaining records
- Submitting documents of changes in membership status to product suppliers
- Submitting documents of finalising an application to product suppliers
- Receiving, submitting and confirming of broker appointments received
- Receiving, submitting of claims and claim queries via Telephonic / e-mail / fax related services
- Receiving, submitting of chronic applications
- Follow-up & feedback on all claims & chronic submissions to client & consultant
- Benefit confirmation via telephonic / e-mail / fax related services
- Membership status confirmation via Telephonic / e-mail / fax related services
- Authorisation assistance
- Forwarding Membership Enquiries to product suppliers (e.g. requesting membership certificates / Tax certificates / new membership card) and provide feedback to client & consultant.
- Maintaining records and statistics re administration service rendered (e.g. # of applications, faxes, e-mail enquiries, etc.) on Atwork system & Pansol
- Maintaining & updating the consultant book and supplying this to consultant on a weekly basis
- Keeping record of all client Complaints, the escalation and resolving thereof.
- Walk-In Centre related services
- Receiving of queries regarding Gap Cover and non-payment of claims etc.
- Product suppliers rejection list supply to consultant for follow-up
- Product suppliers cancellation list supply to consultant for follow-up
- Maintain spread-sheet of other schemes member admission
- General Office Duties
Requirements:
- Grade 12
- Tertiary Qualification (diploma)
- 3 years experience in a similar role
- Administration experience
- English and Afrikaans speaking a must
- Medical Aid Scheme knowledge is a must (know the Medical Schemes Act)
- Knowledge to interpret scheme rules and administration processes
Salary: R7500.00 per month
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