PPS

  • Gauteng
  • PPS
Job Description:

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    PPS has more than 200 000 members who enjoy access to a comprehensive suite of financial and healthcare products that are specifically tailored to meet the needs of graduate professionals. PPS is the largest South African company of its kind that still embraces an ethos of mutuality, which means that it exists solely for the benefit of its members. Thus, ...

    Technical Claims Administrator

    Minimum Requirements

    Education:

    • A tertiary qualification (NQF6 or above) with relevant business orientation advantages

    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.

    Key Responsibilities:

    • Quality assurance of claims documents received, as per the work instruction.
    • Ensuring valid banking details linked to payment scheduler.
    • Drafting of claims correspondence e.g. letters and emails.
    • Verifying of member’s contact details and personal information.
    • Sending out of communication of claims correspondence, inclusive of attachments.
    • Uploading of claims assessment correspondence/documents on system (correspondence, emails, reports referral sheets, stats, etc.).
    • Correctly administer claim documents and claim correspondence as per the published work instruction.
    • Maintaining Team service level agreement by ensuring daily targets achieved

    Assist Management and Support Team :

    • Agree duties with team members in order to achieve operational targets including prioritization and work schedules.
    • To execute policies and procedures related to service delivery in Operations and between other areas.
    • Build and maintain relationships with relevant stakeholders

    Maintain Product Expertise:

    • In order to answer customer complaints and questions, a Technical 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.
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