Validator - Bergvliet, South Africa - Crisis24
Description
At Crisis24, A GardaWorld Company, we take a proactive approach to solving business challenges and our customers are at the heart of everything we do.
It's the reason we love rolling up our sleeves and getting down to work - and it's why we're so successful.
It takes an entire team to stand behind something big. Interested?Position overview:
- Quality checks case (setup) details of claims with provider payments raised in the claims/finance systems
- Validates and authorises provider payments in claims/finance systems to a senior team level delegated authority
- Maintains a 1 working day SLA on provider payments in claims/finance systems
- Logs 10% of each team members total payments validated onto the Quality Assurance system (AQUA) weekly
- Provide support and coaching for the team where applicable in ad hoc meetings and clinics
- Oversee the quality of the outgoing reinvoicing and fees
The team is responsible for various functions such as:
- Validations review and authorise all medical assistance supplier invoices
- Finance Assistance Support generating invoices for clients on case fees generated per medical assistance case, and rebilling of medical invoices to insurers/third party claim handlers
Key Skills, Qualifications and Attributes Required:
- Grade 1
- Strong verbal/written communication skills
- High problem solving skills
- High levels of resilience
- Attention to detail, accurate keyboard and data entry skills
- Professional approach
- Results orientated, ability to work to targets
- Ability to handle complex issues
- Ability to be flexible and display strong adaptability skills
- Ability to work under pressure
- Time/Self management skills with ability to multitask, organize and prioritise
- Strong Computer literacy and PC skills
- Demonstrated ability to execute with a sense of urgency
- Positive attitude, sense of humor and willingness to learn
- Supportive and contributing team player, can be relied upon by company and team members
- Highly motivated
- Proactive and displays initiative when needed
Key Performance Indicators:
- Adherence to schedule attendance
- Meeting all agreed KPI's and quality standards
- Develop excellent relationships with all stakeholders
- Ensure all communications are accurately processed within agreed timescales and guidelines defined
- Provide high standard of service, both internally and externally
- Maintain a good knowledge of external clients policies, data, and insurer policy information
We do not discriminate against any individual based on race, color, sex, national origin, age, religion, marital or parental status, sexual orientation, gender identity, gender expression, military or veteran status, disability, or any factors protected by applicable laws.
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