Administrator (Portuguese Speaking) Remote Working - Gauteng, South Africa - The Recruitment Council

Thabo Mthembu

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Thabo Mthembu

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Description

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.
  • 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
  • Selfthinker
  • Selfstarter
  • 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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