- Defined legal, statutory and regulatory compliance is maintained at the required standards
- Operational risk and governance structures, measures and frameworks are complied with and necessary action is taken to address issues, when necessary
- Ensure that payments were processed at correct rate and against available benefits
- Investigate all documentation, correct where required and link to member's records
- Analyse and correct incorrect payments and identify reason for non-payment. Apply
- Quality Analysis checklist to processing of claims
- Provide comprehensive and accurate feedback to clients
- Identify system constraints and escalate accordingly
- Assist in Call Centre/other areas when required
- Ensure that quality control targets are met
- Meet delivery objectives through working with other team members within and linked to the department / project
- Resolve operational performance variations and problems and escalate unresolved issues to higher levels
- Ensure delivery targets/objectives are met and operate in a supportive manner to achieve successful delivery
- Ensure appropriate, active and informative relationships with customers and relevant stakeholders are successfully achieved
- Address customer or stakeholder complaints in alignment with the policies and procedures and ensuring customer / stakeholder buy-in
- Problem solving and decision making skills
- Business Writing Skills
- Communication Skills
- Computer Technology Skills
- Task Management
- Adobe Creative Suite
- Data modelling and evaluation
- Attention to Accuracy and Detail
- Numerical Ability
- Customer Focus
- Relevant systems knowledge and application
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PT 415517
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Africa Manager
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Salesworx Johannesburg, South AfricaJob Description · Our client is a leading global and logistics company with an international network of 250 offices in over 120 countries. · We are looking to recruit an experienced Africa Manager for the Johannesburg Office. · Purpose: · Africa Agent performance and relationshi ...
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Finance Manager
Found in: Executive Placements ZA C2 - 2 days ago
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PA (Marketing & Procurement Department) Tour / Travel Industry
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RMV Solution Johannesburg, South AfricaPA (Marketing & Procurement Department) Tour / Travel IndustryBryanstonSalary - Market relatedTo start asap.JobDescriptionCompany Overview:Our client is a global business with offices, representatives, and GSAs in 46 source markets.They specialize in serving the business-to-busin ...
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Relationship Manager
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Conveyancing Secretary
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The Skills Mine Johannesburg, South Africa Full timeRequirements · Matric certificate or equivalent Qualification · A relevant tertiary qualification in paralegal studies through an accredited institution i.e., Certificate Course/ Diploma in Conveyancing or Advanced Conveyancing is advantageous · Minimum of 8 years' experience as ...
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Core Agent
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Four Seasons Hotels and Resorts Johannesburg, South Africa Full timeAbout Four Seasons: · Four Seasons is powered by our people. We are a collective of individuals who crave to become better, to push ourselves to new heights and to treat each other as we wish to be treated in return. Our team members around the world create amazing experiences f ...
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Agent: Broker Support
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Palesa Mbali Group Johannesburg, South Africa Full timePosition: · Agent: Broker Support · Position Purpose: · To assist the Key Account Officers with the general administration, queries, presentations, stand in for KAO at the pay points etc. · Experience: · 1 - 2 years experience in the medical aid industry · Qualifications: · Matri ...
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Contact Centre Dialler
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Business Development Manager
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Service Administrator
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PA (Marketing & Procurement Department)
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Forwarding Sales Manager
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Secretary - Academic Department
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Digital Marketing Coordinator
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Time Personnel Johannesburg, South AfricaREQUIREMENTSMatric, Degree in Marketing and/or equivalent certification in Marketing · Minimum of 2 years working experience in a similar role working with digital marketing campaigns · Strong understanding of SEO and its overall impact. · MS Office Skills working experience requ ...
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Sales Agent
Found in: Talent ZA C2 - 4 days ago
Telebest Johannesburg, South Africa ContractOur client has an opportunity available for a Sales Agent based in Johannesburg. · Requirements: · Understand letting, tenant & other operational procedures and processes. · Can easily adapt to change. · Ability to prioritize and work under pressure. · Confident and vibrant perso ...
Back Office Agents - Johannesburg, South Africa - Palesa Mbali Group
Description
To support the management team in the client's Management department and to attend to escalated queries. To ensure the prompt resolution of member queries regarding all medical aid claims, telephonically and in writing.
Key Activities
Skills
Experience and Qualifications
1 - 2 years' experience in the medical aid industry, Business writing skills in English is essential, Investigative, communication and interpersonal skills required, In depth working knowledge of the client's rules will be advantageous, Claims processing experience essential
Company Description – A formidable company that aims to deliver exceptional services.