Broker Support Office Assistant

Medical Industry

Our Client is seeking a BROKER SUPPORT OFFICE ASSISTANT to join their team in Faerie Glen.

Should you meet the above requirements, please email your CV to cathy@aaaa.co.za with copy of ID, qualifications and latest payslip

Main purpose of the job:

Responsible for the Administrative duties in the regional office in Gauteng, liaising with in-house consultants, Medical schemes and other product suppliers and services.

Responsibilities:

• Building and maintain good relationships with all stakeholders as Indicated below:
• Maintain excellent client service daily on:
• Receiving, checking and submitting of Medical Scheme applications, GAP cover applications &/or all applications of product suppliers
• Confirmation of application received and submitted to client & consultant
• Feedback received from product supplier to client & consultant
• Follow-up on outstanding information & documentation on all applications for all product suppliers
• Follow-up on all feedback received
• Follow-up on GAP certificates received, send to client & consultant & maintaining records
• Submitting documents of changes in membership status to product suppliers
• Submitting documents of finalising an application to product suppliers
• Receiving, submitting and confirming of broker appointments received
• Receiving, submitting of claims and claim queries via Telephonic / e-mail / fax related services
• Receiving, submitting of chronic applications
• Follow-up & feedback on all claims & chronic submissions to client & consultant
• Benefit confirmation via telephonic / e-mail / fax related services
• Membership status confirmation via Telephonic / e-mail / fax related services
• Authorisation assistance
• Forwarding Membership Enquiries to product suppliers (e.g. requesting membership certificates / Tax certificates / new membership card) and provide feedback to client & consultant.
• Maintaining records and statistics re administration service rendered (e.g. # of applications, faxes, e-mail enquiries, etc.) on Atwork system & Pansol
• Maintaining & updating the consultant book and supplying this to consultant on a weekly basis
• Keeping record of all client Complaints, the escalation and resolving thereof.
• Walk-In Centre related services
• Receiving of queries regarding Gap Cover and non-payment of claims etc.
• Product suppliers rejection list supply to consultant for follow-up
• Product suppliers cancellation list supply to consultant for follow-up
• Maintain spread-sheet of other schemes member admission
• General Office Duties

1. Grade 12
2. Tertiary Qualification (diploma)
3. 3 years experience in a similar role
4. Administration experience
5. English and Afrikaans speaking a must
6. Medical Aid Scheme knowledge is a must (know the Medical Schemes Act)
7. Knowledge to interpret scheme rules and administration processes