Medical Aid Administrator - Port Elizabeth
Top Vitae Recruitment
Minimum Requirements: Grade 12-qualification Be Fully bilingual (English & Afrikaans) RE5 Examination is advantageous. Full relevant tertiary qualification (NQF Level 5) advantageous Driver’s License essential Medical Aid Products – Know the different types of medical aid products, limits, and restrictions. 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. Responsibilities: 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. Obtain tax, travel, and member certificates. Obtain information regarding unpaid debits. Update health new business register. 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 member’s request). Assisting in improving Multiply status and providing training to clients. Preparing the necessary Gap cover paperwork and compliance. Keeping Gap cover register up to date. Preparing of quotes as per instructions received as well as all necessary paperwork. Complete application, submit and then submit additional requirements where applicable. 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). 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. 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. Core Competencies of the position: Professionalism – Always be professional whether at work or at function. Punctuality – Always be on time for every appointment. Please consider your application unsuccessful if you have not received a response within two weeks of applying.
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