Medical Aid administrator \ Services Co-ordinator Cape Town

Recruiter:

Execuplace Appointments

Job Ref:

903

Date posted:

Thursday, February 10, 2022

Location:

CapeTown, South Africa

Salary:

R292K

SUMMARY:
Medical Aid Administrator - Services Co-ordinator Cape Town

JOB DESCRIPTION:

	SERVICE COORDINATOR Cape Town
Division	Position Job title
Business area	Cape Town – Employee Benefits Company
Closing date	Date
Salary grade/level/family/range— including minimum and maximum pay bands.	R24 348



Type of role:	Permanent
Position type and expected hours of work	FULL TIME – 5DAYS PER WEEK – 8H00 TILL 17H00
Position Location	CAPE TOWN

Qualification Essential Competency	Essential Qualifications: - 3 to 5 years medical aid experience – either in Medical Aid Administrator or with an FSP – with relevant training certificates
Qualification preferred education and experience	Preferred Qualifications: - 3 to 5 years medical aid experience - NQF Level 5 RE FAIS
Essential functions	- Loading/checking/updating cases on internal client relationship systems (DCP and BIAS), including new activations and terminations, queries and underwriting - Flexi care activations each month - Submit Terminations each week and month - Ensure that all membership movements are implemented on the monthly billing - Respond to member queries where necessary - Work through induction packs each month and identify member applications for medical aid - Submitting medical aid applications to the schemes and follow ups - Cross check terminations with activations each week and month - Assist with provident fund withdrawal claims, ensuring all documentation is complete prior to submission for Admin Department – main claims processing function being done in JHB office - Following up regularly on the progress of the claim in accordance to provider timelines - If there is outstanding information from client HR/member, follow up on a regular basis until the documentation is received and submitted to the provider - Delays on claims to be escalated to managed - Full understanding of the clients benefits and rates per provider - Special projects
Experience required	- Minimum 3 to 5 years’ experience in medical scheme membership administration - Proficient in advanced Excel, Outlook, internal systems and team expectations Knowledge of employee benefits structures (Pension, Provident, Life cover Disability Benefits), FICA, FAIS and TCF – a bonus to have Full understanding of medical aids and employee benefits, requirements, timelines, and processes
Work environment	Business Support - Performs a professional specialised support function in office and at client sites, including clerical / administrative support. May require vocational training or the equivalent experience. Category 3: Has working knowledge and skills developed through formal training or work experience. Works within established procedures with a moderate degree of supervision. Identifies the problem and all relevant issues in straightforward situations, assesses each using standard procedures and makes sound decisions.
Physical demands
Travel	Yes

NB! This job is now closed. You can apply for other jobs by uploading your CV.

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