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Good Day I am currently looking for a Monday - Friday job I am currently working but, I am looking for something more flexible to spend time with my kids. I have customer service experience and Admin and willing to learn and grow if anyone know of companies that are hiring please let me know.
21h
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Medical/GAP
Claims Assessor - Client Services & Client Services Administrator (Inbound Contact Centre)
Southern
Suburbs, Cape Town (Office based)
Salary Negotiable on
experience (R15K - R18 K CTC PM)
My client, a leading established Long-term
Insurance Corporate (Medical/Individual Life Insurance) are looking for an experienced
Medical/GAP Claims Assessor.
Fast paced, cutting edge – customer
centric environment – providing first line support to members re. Medical aid
and Individual Life Insurance queries.
Criteria:
Matric minimum + MS Office literate
Must have 2 years medical aid/insurance experience (Inbound Contact Centre) with Medical Aid claims processing and
administration experience. GAP Claims Assessing knowledge & experience (advantageous)
KPIs
As
Medical/GAP Claims Assessor - Dealing with Medical Gap products and communicating
with Medical Aid Schemes, Doctors & Hospitals.
To assess, verify and update all personal contact
information for clients including the Medical Aid details and latest
claim.Interacting with medical aids/ medical practitioners
regarding medical history and accounts required relevant to assessing the
claim. Arranging for priority claim investigations and
escalations. To assess the validity of the claim in accordance
with the terms and conditions of the client’s policy document and to make
the relevant claim notes on the system. Client Contact Centre Service Inbound Administrator Negotiable on experience (R12K - R15K CTC PM)
My client, a leading established Long-term Insurance Corporate
(Medical/Individual Life Insurance) are looking for an experienced Client Contact Centre Service Inbound Administrator
Fast paced, cutting edge – customer centric environment – providing
first line support to members re. Medical aid and Individual Life Insurance
queries.
Criteria:Matric minimum + MS Office literate2 years
Medical aid/Insurance experience / Medical Aid Client Services in an
Inbound Contact Centre OR Medical Aid claims processing and administrationexperience And/ Or Individual Life Policy Admin. Knowledge andexp.GAP Claims Assessing knowledge & experience (advantageous)Excellent written
and verbal communication skills, accompanied with good negotiation skills
and effective in dealing with customers, meeting their expectations.
KPIsAs Client Contact Centre Service Consultant To be logged onto the ClientServices inbound telephone queue and web touchpoint • Resolve a minimum of 30 telephone calls per day - To strive to have
zero lost calls per day. • Answering the telephone within 2 rings and resolving the client/broker
query/request in a professional and timeous manner. • To respond to and resolve about 15 general/claim related correspondence
queries per day within a 24-hour turnaround time.
Please email your CV to natalie@careerdynamics.co.za
11d
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