Medical Aid Admin Assistant - - Port Elizabeth

Medical Aid Administration & Servicing

Preparing of quotes as per instructions received as well as all necessary paperwork (via email of physical file).
Complete application, submit and then submit additional requirements where applicable. The update the health new business register.
Update portfolio (Medical Aid only) and health new business register.
Obtain tax certificates.
Obtain travel certificates.
Obtain member certificates.
Obtain information regarding unpaid debits.
Update health new business register.
Any changes to the membership additions or cancellation of dependents.
Manage and Maintain plan changes.
Provision and assisting with Chronic application forms (we will not be responsible for following-up on chronic
applications, we will merely submit them on behalf upon members request).
Reward programmes e.g. Vitality and Multiply.
Assisting in improving Multiply status and providing training to clients.
Preparing Gap cover new business proposals.
Preparing the necessary Gap cover paperwork and compliance.
Provide ongoing advice and assistance with Gap cover claims.
Keeping Gap cover register up to date.

Corporate Benefits / Schemes

Preparing of quotes as per instructions received as well as all necessary paperwork (either via email of physical file)
Complete application, submit and then submit additional requirements where applicable.
Communicate monthly billing to all our clients (Employers)
Once employer approves billing or once the amendments have been noted on billing, submit for processing
Make sure Statement of Account is issued with the amendments if applicable and communicate it with our client (Employer).
Annual Reviews - Rates to be discussed with our client (Employer)
Submit the signed rate renewal to insurance company for processing.
Obtain rate renewal endorsement documents and forward to our client, the employer.
Upon receipt of instruction, submit withdrawal to insurance company.
Send confirmation to our client, the employer once the withdrawal is finalized.
Make sure the next months billing is adjusted where necessary.
One receipt of the instruction, submit claim to insurance company.
Send confirmation to our client, the employer once claim is finalized.
Make sure the next months billing is adjusted (for example. if it was a death claim).

Compliance:

Preparation of all Compliance related documentation
FICA Checklists to be prepared and completed.
Risk ratings completed and to ensure that there is a valid risk rating on file for each client.
Scan and save compliance documents in the right place in the right way.
Any ad hoc duties as and when required.

Minimum Requirements:

Grade 12-qualification
Be Fully bilingual (English & Afrikaans)
RE5 Examination is advantageous.
Full relevant tertiary qualification (NQF Level 5) advantageous
Drivers License essential
Computer skills and knowledge (especially of Word, Excel, Outlook, Internet)
Knowledge of operation of standard office equipment
Knowledge of clerical and administrative procedures and systems, such as filing and proper record keeping
Knowledge of principles and practices of basic office/administrative management
Medical Aid Products Know the different types of medical aid products, limits, and restrictions.
Knowledge of Medical Insurance Policies would be advantageous
Knowledge of different plans, types of cover, standard exclusions etc.
Proven track record on prescribed minimum benefits and the Chronic Conditions as recognised by current legislation.
Thorough knowledge on Gap Cover.
Corporate Benefit knowledge would be advantageous

Core Competencies of the position:

The ability to take reference material and assimilate information to determine relevancy to the client cases.
Ability to work under pressure - Ability to remain calm and focused during stressful situation is vital.
Effective communication skills Listen and communicate instructions clearly and simple. This relates to verbal as
well as written communication. Listening forms the foundation of communication, and one must be able to listen to their requests and suggest relevant, suitable policies
Accuracy and Attention to detail Provide correct information and pay attention to every detail.
Problem Solving Our industry has lots of challenges and changes therefore the ability to conquer challenges and present solutions is a must have.
Diversity sensitivity Culture sensitivity and the ability to build strong relationships with colleagues.
Planning and Prioritizing Proper planning and prioritizing will make your workday more efficient.
Interpersonal Abilities Relate to fellow employees as well as clients. Build relationships and the business will prosper this is a highly valued skill.
Service Orientated and client centric must have a desire to make a difference in our clients lives.
Systematic and Methodical in executing daily duties.
Strong Admin Skills ability to organize and plan work and follow the process strictly.
Must be neat and have good attention to detail as well as awareness of the importance of meeting deadlines.
Positivity and energy Promote emotional maturity and positive outlook; be energetic and exert radiance.
Work Ethics Embrace the work culture and dynamics of the employer.
Professionalism Always be professional whether at work or at function. Set an example to all around you you never know who sees you.
Self Confidence Be confident. Speak Clearly and persuasively and maintain your composure if rejected.
Motivated Stay motivated and be able to motivate team/fellow employees when they feel discouraged.
Ability to work with little to no supervision.
Determination & perseverance When at first you do not succeed, try again. Never give up.
Enthusiasm Be enthusiastic in every aspect of your tasks no matter how trivial it may seem.
Punctuality Always be on time for every appointment as this shows respect for the other person/party involved.
Be Pro-Active Be a go-getter, do not wait for the opportunity, create the opportunity. Take initiative. Actively
seek out new customers to maintain a flow of Commissions.
Honesty Always be honest and open and people will relate to you and respect you for this. The foundation of a successful relationship is built on trust.
Adaptability & Flexibility - Change is inevitable especially in the insurance industry thus adaptability and flexibility are non-negotiable.
Curiosity desire to self-study in own time and read, learn, and research technical aspects / issues.