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Back Office Agents

4 months ago

Cape Town, South Africa Palesa Mbali Group Full time

Position: Agent: Back Office Support

Position Purpose:

To support the management team in the department and to attend to escalated queries. To ensure the prompt resolution of member queries regarding all medical aid claims, telephonically and in writing.

Experience:

  • 1 - 2 years experience in the medical aid industry
  • business writing skills in English is essential
  • Claims processing experience essential

Qualifications: Matric

Generic Objectives:

-Ensure that payments were processed at correct rate and against available benefits
-Investigate all documentation, correct where required and link to member's records
-Analyse and correct incorrect payments and identify reason for non
-payment. Apply Quality Analysis checklist to processing of claims
-Provide comprehensive and accurate feedback to clients
-Identify system constraints and escalate accordingly
-Assist in Call Centre/other areas when required
-Ensure that quality control targets are met


Skill

  • Problem solving and decision making skills
  • Business Writing Skills
  • Communication Skills
  • Computer Technology Skills
  • Task Management
  • Adobe Creative Suite
  • Data modelling and evaluation
  • Attention to Accuracy and Detail
  • Numerical Ability
  • Customer Focus