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Clinical Hospital Pre-Authorisation Service Agent
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1 year ago2059 views
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General Details
Description
Our client in the Insurance Industry based in Port Elizabeth is currently looking to employ a Clinical Hospital Pre-Authorisation Service Agent.
An awesome career opportunity awaits!
Requirements:
- Grade 12 Certificate – Essential.
- Degree or Diploma in General Nursing – Essential.
- Valid South African Nursing Council Registration – Essential.
- MS Office Suite Experience – Essential.
- 2 - 3 Years' experience in a private hospital – Essential.
- Relevant experience in a call centre environment – Advantageous.
- Exposure to claims and ICD-10 coding – Advantageous.
- Understanding of the Medical Scheme Industry – Advantageous.
Responsibilities:
- Pre-authorisation of all in-hospital procedures for applicable schemes, according to CRM protocols, telephonically and via email.
- Pre-authorisation of all specialised radiology for all schemes, according to CRM protocols.
- Pre-authorisation of all medical appliances and oxygen for all schemes.
- Assistance with clinical related queries and escalations where applicable.
- Presenting of complicated cases at clinical meetings when required.
- Accurate and comprehensive recording of notes on the system.
- Rotational filing of audit reports.
- Running of daily reports and distribution to the applicable case managers.
- Accurately resolve client queries and ensure excellent client service.
- Participate and contribute to a culture which builds rewarding relationships, facilitates feedback and provides exceptional client service.
- Demonstrate exemplary team behaviour through personal involvement, commitment and dedication in support of organisational values.
- Be part of a culture that directs best practice, fostering an environment of continuous learning, improvement and cohesiveness.
- Identify own growth and development needs and discuss interventions to enable ongoing development, training and personal growth.
- Deal with ambiguity, uncertainty and provide perspective in difficult situations.
Please note should you not receive a response within two weeks of applying please consider your application unsuccessful.
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Id Subtitle 1184862866
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If you meet the qualifications and are interested in this exciting opportunity, please submit your application today to vacancy at letslink dot co dot za or contact Gary on 011 0261907
Please view our website: letslink dot co dot za and contact Gary.
By applying for this position and providing us with your CV and other personal information, you are consenting to the information being used for the specific purpose for which it was provided, which is recruitment purposes and possible appointment purposes (Should you be successful). Please note that your information will be processed for recruitment purposes only or for such purposes relating to assessing the establishment of the employment relationship with yourself, and this will be done in accordance with the applicable data protection and privacy legislation. We confirm that such information will not be used for any other purpose without your prior consent.
If your application is not successful, we retain your CV and other information provided for a period of 24 months after which it will be destroyed in a secure manner. If you object to your information being used in accordance with the aforementioned clauses, please indicate your objection and we will immediately destroy your personal information in a secure manner
https://www.ditto.jobs/job/gumtree/3552133833?source=gumtree
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Responsibilities:
Collection of information from prospective clientSetting up of and attendance to appointments with the Financial AdvisorRequesting quotations from panel of insurersEnsure rates and quotations are competitive or negotiate lower rates (on instruction from financial advisor)Quotations loaded to CIMSUpdating and save notes on CIMS and Sales RegisterTyping up of comparative quote sheetsIdentify cross-selling/up-selling opportunities not yet identifiedPreparing of files with applicable paperworkPre-populating documentation necessary to issue new businessEnsure all FICA documentation is on fileEnsure detailed minutes of the meeting recorded in writing in order to draft a thoroughClient Advice Record upon return to the officeEnsure that all client instructions are noted for future referenceEnsure that documentation in need of completion and signatures are completed by the client prior to conclusion of the meetingTyping up of new business instructions and renewal notes and changes where applicable and sending this through to the applicable box to be processed by the Underwriting DepartmentObtaining outstanding info, where applicableCleaning up file and ensuring all in order for processing by the Underwriting DepartmentAny and all other tasks assigned by the broker in respect of the clientUpdating CIMS and save notes and all client correspondence on CIMSUpdating the relevant registers (Sales, New Business, Renewals etc.)Managing and taking control of all renewals to ensure renewal deadlines are metInitiate renewal process 3 months in advance and liaise with Underwriter / financial advisorIdentify Risk on all policies and make recommendations to financial advisorAssist Retentions team by sourcing alternative quotations, comparisons of alternative quotations and reviewing the recommendations made to the client, conducting exit interviews where applicableAttending to ad hoc special projects as and when requiredAttending to projects related to upsell further product offeringsAll other reasonable duties that might be assigned from time to time
Education/ Experience:
Grade 12 qualificationAfrikaans Speaking (Advantageous) but with an excellent command of the English language.RE5 Examination advantageousMinimum of 3 years’ administrative experience in a BrokerageDriver’s License essentialBasic Short Term insurance knowledge essentialShort Term Insurance Qualification / Life Insurance Qualification will be advantageousMinimum of 2 years’ experience dealing with Short Term Insuran...
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Type of Position:Applications from suitably qualified & experienced persons are invited to fill the above vacancy in the companys Production – Paint Shop Department.
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Ensuring that all Paint shop electrical installations and PLC systems are maintained to company standards and requirements in order to ensure safe plant operation by means of structured maintenance systems such as PM’s, check lists, weekend work job cards etc.
Recommending, updating and modifying electrical installations to the latest engineering technology in order to stay in line with the latest technologies available on the market by constantly dealing with external suppliers and similar industrial companies.
Maintaining of electrical equipment to meet the required health & safety standards to ensure a safe work environment for all employees.
Making the necessary adjustments to facilities such as conveyor speeds, fan speeds, system pressures, tank levels etc. by means of PLC settings, controller adjustments and thereafter verify that the adjustments produced the required outcome by measuring the output performance/parameters.
Carrying out planned maintenance activities using the correct tools and testing equipment according to company systems, processes and procedures to ensure that all equipment is serviced at the required intervals as determined from time to time by the maintenance planner / original equipment supplier.
Activating participation on daily basis in the Shop Floor Management structure. This includes sectional meetings and problem resolution activities/implementation as driven by the team.
Education and Experience
NN Diploma/ National Diploma/Degree in Electrical Engineering (light current) / MechatronicsTrade test certificate Electrician /MillwrightMinimum 2-4years’ proven operations and maintenance experience within in the manufacturing environmentGood experience in VSD control system (Danfoss & SEW)Automation experience & Certified training (PLC’s Drives, etc.). Advantageous
Please forward CV and ALL supporting documentation to, Caree-Lee@profilepersonnel.co.za. Should you not hear from Profile Personnel within 14 days please consider your application unsuccessful for the vacancy. Please note all applications will automatically be added to our database for future vacancies.
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