Claims Administrator

Company Affinity Health
Reference # 210/ 2017
Published 03/11/2017
Contract Type Permanent
Location Benoni, Gauteng, South Africa
Core Purpose

Reconciliation and payment of service provider’s accounts
Job Functions Administration,Call Centre
Industries Admin, Office & Support,Insurance
Key Role Outputs

a)Liaise with service providers regarding accounts due and all service provider account related queries
b)Collating invoices, statements and other relevant documents of allocated service providers, to ensure the service provider’s needs are met, therefore ensuring payments are made timeously as per agreed terms,
c)Ensure all queries are queries are addressed timeously with assistance of available resources
d)Provide feedback and resolve any service provider debit or credit balances on their accounts
e)Keeping records of all correspondence and discussions relating to service providers i.e telephonically, fax or email
f)Ensure all invoices are processed accurately and accrued for by month end closure
g)Ensure service provider payments are allocated accurately on a daily basis
h)Adhering to company set rules and regulations regarding service providers
i)Upload monthly payments on the CRM
j)Organize files and documentation
k)Updating all information on a register and ensuring upkeep of said register
l)Creating SOP’s for each function

Mandatory Qualifications

a)Matric Certificate
b)MS Office, Especially MS Excel (Advanced)

Advantageous Qualifications

a)SAGE Experience
b)Certificate in Accounting (Desirable)

Mandatory Experience/Exposure

a)Claims payable local vendors 3 – 4 years
b)In depth knowledge of medical aid claim process

Advantageous Experience/Exposure

a)Strong reconciliation skills
b)Knowledge of different electronic claim submission systems
c)Strong debt collection skills
Knowledge and Skills

a)Accurate and conscientious with the ability to investigate complex queries
b)Able to see forecast financial trends
c)Time management
d)Good Inter-personal, listening and problem - solving skills
e)Process, organisation and procedure management capability to ensure quality service delivery
f)Attention to detail, mature, rational, and capable of both making and supporting decisions.
j)Continuous Learning
k)Contributing to team success
l)Planning and Organisation
m)Analytical Skills
n)Multi-tasking skills

Desired attributes

b)Ability to work under pressure
c)Ability to deal with communication on all management levels

Job Closing Date 01/12/2017
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