Health Insurance Claims Advisor

Our client is an international insurance company, specialist in international wellbeing offering a variety of international insurance products. They are seeking to employ a Claim Advisor to assist them in the processing of medical claims.

If you have extensive healthcare claims experience in the healthcare insurance industry and are in the market for a new opportunity, then this job is for you. They are looking for a candidate that can provide high quality and efficient claims assessment function to their key distributors and members based worldwide.

Requirements:

• Matric
• FAIS Compliant is preferred.
• Minimum 3 to 5 years’ experience.
• Customer service certificate.
• High standard of written and verbal English communication and an excellent communicator on all levels.
• Good problem-solving skills and the ability to work on own initiative when required.
• Highly organised and able to implement an effective time management system to plan and prioritise own workload.
• Excellent administration skills.
• International Health Insurance experience is an advantage.

Duties:

• Assessment and processing of medical claims.
• Provide first class customer service to members, responding to enquiries by email, telephone, and letter.
• Liaison with Distributors and Brokers globally.
• Ensure all necessary administrative tasks are completed accurately and within agreed time limits.
• To consider and abide by the Data Protection Act, particularly in respect of the handling of sensitive medical data.
• To consider and abide by guidelines, regulations and standards as set by the FCA.
• Always adhere to departmental Service Level Agreements.
• Production of Life & Personal Accident documentation under the direction of the Senior Operations Adviser.
• Assessment of existing processes and evaluation and implementation of possible improvement solutions.
• Testing of new processes and procedures in concert with the Operation Team Manager.

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Candidates who meet the relevant requirements must please apply by contacting Gary on 011 0261907 or email a detailed CV to vacancy @ letslink.co.za

Please view our website: www. letslink .co.za

Our consultants will contact short listed candidates within 7 days of receipt of your application, should you not be contacted within 14 days of applying for the vacancy, please consider your application unsuccessful