Portfolio Administrator - Employee Benefits (Group Risk)

Recruiter:

Execuplace Appointments

Job Ref:

Portfolio Administra..

Date posted:

Friday, January 21, 2022

Location:

CapeTown, South Africa

Salary:

R200 000 - R250 000

SUMMARY:
Our client a Financial Services provider (Insurance Company) based in the Norther suburbs of Johannesburg is looking for a Portfolio Administrator – Employee Benefits – Group Risk. Will work remotely from home, must be able to work from home – own internet setup -uncapped data with at least 10 Mbps speed

JOB DESCRIPTION:

Purpose of the Job

Responsible for the reconciliation of the monthly membership data vs. premiums due and received. Responsible for initial update in respect of client reconciliation
Responsible for the submission of all risk benefit claims received and monitoring the process until claims are paid

Key Relationships

External Insurance Companies / Underwriter Consultants
Internal and External Brokers
Internal Staff

Key Responsibilities

Data:

On a monthly basis ensure premiums and data are received for each scheme
Ensure the correct updating of the scheme membership data
Reconcile the monthly membership data (as updated) vs premiums received per scheme
Ensure strict adherence to the documented processes
Update membership onto relevant administration platform and ensure this balances to the client

premium reconciliation and data Reconciliations:

Prepare and provide premium recons to clients monthly analysing under or over payments
Perform credit control checks and follow up for over and underpayments
Follow PPR15 processes by informing clients of non-payment within specified deadline Claims:
Action all claims timeously
Ensure correct execution of all claims in terms of documented processes
Maintain updated claims workflow systems
Ensure data records are always correct with regards to PHI claimants Medicals
On a monthly basis identify members whose insured benefits are in excess of the Medical Free Cover Limit on each scheme
Process medical requests immediately in terms of set guidelines
Ensure data records are always correct with regards to members whose insured benefits are in excess of the Medical Free Cover Limit on each scheme
Maintain updated medicals workflow system

General

Attend to all other client requests (benefit statements, conversion options, monthly billings etc.)
Ensure the divisional renewals team is provided with information required to do the annual renewals on the schemes
Assist (as and when required) the divisional finance team to ensure that the client reconciliations of premiums due and received are updated correctly

Education/Qualification requirements

Matric
Relevant business qualification or equivalent experience
At least 3 years of relevant working experience

Skills and Knowledge requirements

Skills

Highly Computer literate and thorough knowledge of Excel and its application
Analytically Inclined
Accounting Inclined
Strong Administrative skills
Problem solving ability
Good Communication skills
Professional Independence and assertiveness

Knowledge

Thorough knowledge of Risk Benefits & Employee Benefit Industry
Extensive work experience and knowledge linked to the Risk Benefit Industry
Understanding of the Financial Services Industry

Key Attributes

Integrity: Being ethical and truthful, maintaining good governance practices, and not misrepresenting or withholding information to which stakeholders are entitled.
Interdependence: The achievement of goals is based on the interrelationship of all the components of the service delivery chain.
Client focus: Actions derived from stakeholder needs.
Organisational Awareness: Understands business plan goals.
Teamwork: Working cooperatively and productively with others to achieve results
Impact and Influence: Persuading, convincing or influencing.
Fairness: Consistency in dealing with others
Professional Work Ethic: Always working with diligence, competence, confidentiality, and reliability. Self-managed: able to work without constant supervision

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

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Portfolio Administrator - Employee Benefits (Group Risk)

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