Dental Insurance Claims Administrator
2 weeks ago
ABOUT DENIS
Dental Information Systems (Pty) Ltd (DENIS) has been a leader in dental managed care services since 1996.
Our extensive experience in dental risk management combined with cutting edge technology offers a world class service relevant to the South African market.
DENIS currently provides dental managed care services to 9 medical scheme clients.ABOUT THE DENTAL INSURANCE BUSINESS:
Separate to the DENIS business we offer dental insurance products through Denis Insurance Administrators (Pty) Ltd. Our services include claims and membership administration for Guardrisk and claim administration for Hollard. Denis Insurance is a registered financial services company with licensing for Category 1, Life and Non-Life Personal lines.
ABOUT THE POSITION
An opportunity exists at DENIS for a Claims Administrator. The incumbent will report directly to the Insurance Manager.
The role will be based at our Head Office in Century City, Cape Town with hybrid working flexibility.
Key responsibilities may include but are not limited to:
- Taking calls and handling them appropriately
- Verify and process claims within a reasonable timeframe
- Ensure Treating Customers Fairly (TCF) principles are applied in the assessment of all claims
- Ensure that clients are informed of their right to complain
- Escalate unresolved queries and claims to Team Leader or Manager
- Weekly reporting
Critical Skills/ Competencies
- Highly numerate
- Solutions driven
- Excellent Problem solving
- Meticulous attention to detail
- Good Telephone etiquette
- Selfstarter, motivated, takes initiative and can work independently
- Excellent communicator with all levels in an organisation (verbal and written)
- Confident in operating in a dynamic environment
- Flexibility and agility
- Resilient mindset
- Ability to adapt to different situations as they arise (adaptive thinking)
- Ability to operate in a team environment
- Ability to prioritise deliverables and work load accordingly (good organisational skills)
- Ability to logically work with volumes of data
Experience
- 23 year's experience in a Claims Assessing or similar role
- Experience in healthcare insurance, financial or administration industry & knowledge of relevant legislative environment is highly desirable
Education and Applicable Systems
- Grade 1
- Relevant Tertiary Qualification (Diploma or Degree)
RE
- Class of Business Studies completed at least in Life and Non-Life
Job Types:
Full-time, Permanent
Pay:
R10 500,00 - R15 000,00 per month
Application Deadline: 2024/06/30
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