Administrator (Portuguese Speaking) | Remote Working (Gauteng)
The Recruitment Council
Don't miss out on the opportunity to join this registered global Medical Health Insurer as a Policy Administrator, you will need to process day to day administrative support to the admin Manager, and to maintain operational efficiency and adherence to the agreed upon service level agreements, In line with the clients health investments standing goal to constantly improve internal processes, protocols and practices, there will be an expectation on the successful Candidate to not only master the existing processes, protocols, and practices, but constantly look forimprovements and introduce these into practice.
Skills and Experience: Must speak, read, and write Portuguese – Non Negotiable Experience in health insurance and claims processing will be beneficial.
Experience within healthcare administration and service provision within local or international private medical insurance will be beneficial.
A high degree of attention to detail ensuring that existing and new policies are maintained accurately and in accordance with the prescribed product requirements.
A "can do" attitude and critical thinking will stand the successful candidate in good stead.
Computer literacy Knowledge of Microsoft Office software packages and in particular, Microsoft Excel and Word.
Analytical and logical thinking.
Able to work under pressure Good Communication skills both in Portuguese and English to understand and provide feedback to various stakeholders including clients, partners and management Underwriting experience would be an advantage Able to work independently within required service level agreements and deadlines Self-thinker Self-starter Team player Need to be able to manage and oversee team Attention to detail Duties and Responsibilities: Analyzing Proposals prior to activation Activate Group and Individual Policies based on proposal Schedule meeting with Clients prior to Group activations Ensure all necessary KYC documents are received prior to activation Communicate directly with clients and Lead Insurers Assist in client relation meetings Process day to day Membership movement as per clients' requests Weekly follow up on Pending renewals Send out all Monthly Outpatient Payrolls Ensure members utilizations are sent out monthly Ensure all invoices are requested from specific Lead Insurers Manage Quarterly Policies, and ensure all up to date Prepare Monthly renewals Prepare and issue Renewal letters, Resolve all client and admin queries Ensure that all Outpatient Benefits are loaded correctly on Inhouse system Process development and improvement: Assist finance in account queries.
Liaison with partners including brokers and in country partners.
Overseeing and reviewing work performed by fellow staff.
Constantly streamlining and improving processes, protocols and practices within the membership and claims processing environment.
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