Pi Claims Administrator

2 weeks ago


Parktown North, Gauteng, South Africa PPS Recruitment Full time

Job Advert Summary:

Minimum Requirements:

Key Responsibilities

  • Quality assurance of claims documents received, as per the work instruction
  • Prepping of cases for the Medical Officer Committee
  • Updating of Masterfile for payments
  • DISA and PI payments
  • Sending out of PI claims correspondence, inclusive of attachments
  • Cancelling PI agreements (Age 66, deceased)
  • Payment prep, NAM tax, Trail balances for SA and NAM, premium waivers, IC file, not working, working, S&PI files.

Maintain Product Expertise

  • In order to answer customer complaints and questions, a PI Claims Administrator must be an expert in the products offered by PPS. This requires one to take the initiative to master every feature and benefit of each product. Identify process and procedure improvements and make recommendations to streamline and simplify processes.

Duties and Responsibilities:

Education:

  • Matric
  • A tertiary qualification (NQF5 or above) with relevant business orientation

Experience:

  • 2+ years of experience in an administration environment
  • Experience in the policy administration environment would be beneficial
  • Call Centre experience would be beneficial to assist with telephonic enquiries

Knowledge and Skills:

  • A good business acumen
  • Knowledge of Financial institutions (advantageous)
  • Computer Literate (MS Office Package)
  • Have excellent administration skills
  • Display attention to detail and analytical skills
  • Have strong organisational skills

Competencies:

  • Ability to communicate clearly and effectively both verbally and in writing
  • Demonstrate good telephone etiquette
  • Have good problemsolving abilities
  • Be solution driven and take accountability and responsibility of own work
  • Deadline and target driven particularly in a production environment
  • Be adaptable
  • Have an ability to work within a teamwork environment
  • Have stress tolerance and resilience

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