Risk AssessorMedical aid Our client is a registered medical scheme in Mozambique and offer medical cover to its members throughout Mozambique and South Africa.
They have successfully provided medical cover since 2009 and has grown their service provider network and services exponentially since then.
They have contracted service providers nationwide, and their membership cards are accepted at the 3 major private hospital groups in South Africa.
They have a well-established network of service providers in Nelspruit and is a registered member of BHF in South Africa.
The objective of the risk assessor position is to help achieve, by means of effective actions and assistance to Manager, Service Providers and Members, Mediplus' objectives in respect of effective productivity and client services.
PRIMARY DUTIES South African age analysisUpdate South African accounts to the age analysis.Update South African file with all outstanding accounts.
South African validate and payment sheetsCompile validate sheets for management.Email proof of payments to service providers.
Customer Care Attend to Service provider queries (written / verbal), correspondence with external as well as internal stakeholders.
Backdate terminations requested from membership department.Managing of South African accountsReceiving and processing of South African claims.
Follow up on outstanding claims.Ad hoc assignmentsPerform any additional duties from managementJOB REQUIREMENTS Computer literateAny experience in the medical aid or insurance industry is an advantageMust perform independentlyMust possess effective organizing and coordinating skillsTreat sensitive information confidentialAttentive to detailJOB REQUIREMENTS Computer literateAny experience in the medical aid or insurance industry is an advantageMust perform independentlyMust possess effective organizing and coordinating skillsTreat sensitive information confidentialAttentive to detailBasic salary plus full cover medical aid for the candidate and their wife / husband & children