Employee Benefits Administrator and Billing Specialist

Found in: Talent ZA 2A C2 - 2 weeks ago


Johannesburg, South Africa Execuplace Appointments Full time

Essential Functions

  • Daily management of various claim types and adherence to agreed turnaround timelines.
  • Review claim submissions and quality assess documentation received for completeness and accuracy, inclusive of determination of eligibility and level of coverage.
  • Attend to allocated workflow management system cases, ensuring that all requirements and any outstanding documentation is received, and quality assured before submission to Providers.
  • Ensure accurate and professional feedback is provided to the different stakeholders
  • Ensure that all calls and emails are handled promptly and professionally.
  • Keep updated and informed of the companys Employee Benefits and Intermediaries product range, documentation, policies and procedures.
  • Data management/interpretation Maintain SLA of members and clients
  • Keep updated and informed of the Companys Employee Benefits client portfolios; product range, policies and special rules.
  • Perform any other work-related duties and responsibilities that may be assigned from time-totime by management.
  • Previous experience with claims for Group Risk policies with a strong understanding in the policy requirements and claim process, will be considered as an advantage

Experience Required

The candidate will be responsible for processing various types of employee benefits claims i.e. withdrawal, retirement, death, disability and unclaimed benefits according to agreed processes inclusive of daily, weekly and or monthly reports inclusive but not limited and monthly billing and disability reconciliations. Minimum 5 years experience in Employee Benefits and related benefits

Qualification preferred education and experience

  • Administrative experience in the financial services industry will be considered as an advantage. Previous experience with claims for Group Risk policies and a strong understanding in the policy requirements and process will be considered as an advantage.
  • Employee Benefits claims experience. Proficient in English, verbal and written.
  • Ability to multitask and prioritise daily workload.
  • Must be able to work independently.
  • Performance driven.
  • Self-motivated
  • Able to work under pressure.
  • Attention to detail

Qualification Essential Competency

  • Financial industry and FAIS (NQF Level 5 and RE)
  • Computer literacy Microsoft Office Outlook, Word, Excel


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