Responsible for organizing and processing the flow of incoming and outgoing documents (paper & electronic) in a back-office environment. The candidate ensures there is consistency in timely delivery of quality and quantity to meet set parameters measures to meet Service Level Agreements.
Responsibilities
- Receiving and documenting claims both electronic
and paper claims
- Sorting, processing, and vetting claims
firsthand for claims payment and ensuring they are accurately assigned.
- File management and classification of data and
supporting reporting compilation.
- Electronic transfer of received claims to the
various platforms.
- Managing the flow between members and provider
claims
- Processing member and provider claims within
stipulated Turn Around Times
- Managing the different channels through which
claims are received.
- Cross reference of emails received from members
and providers for further processing.
- Any other tasks as allocated.
Requirements
- Active language knowledge of at least English
(additional languages are a plus)
- Executes assignments accurately and pays
attention to detail.
- Ability to plan and organise tasks
independently.
- Excellent time management skills with ability to
continuously prioritize set tasks accordingly.
- Upholds utmost discretion when handling
confidential information.
- Ability to handle large quantities of paper and
electronic documents.
- Works to deliver consistently even under
pressure.
- Self-Driven and can work with little or no
supervision.
- Ability to work collaboratively within a team.
- Proficient in the use of Spreadsheets,
word-processing and associated office IT Skills with CRM systems (e.g.)
Salesforce with accurate data inputting.
- Accountability – assumes ownership for achieving
personal results.
- Customer focused while executing mundane tasks.
- Copes well in a changing environment
- Diploma or Bachelors degree in a related field.
How to Apply
