Client Services Admin, Medical/GAP Claims Assessor & Underwriters

Client Contact Centre Services & Medical/GAP Claims Assessor

CPT/Southern Suburbs (Office based during the probation period)

Salary Negotiable on experience (R12K - R19 K CTC PM)

My client, a leading established Long-term Insurance Corporate (Medical/Individual Life Insurance) are looking for an experienced Client Contact Centre Service Inbound Administrator & A Medical/GAP Claims Assessor.

Fast paced, cutting edge – customer centric environment – providing first line support to members re. Medical aid and Individual Life Insurance queries.

Criteria:

· Matric minimum + MS Office literate

· 2 years exp. In Medical Aid Client Services – Inbound Contact Centre OR Medical Aid claims processing and administration experience

And/ Or Individual Life Policy Admin. Knowledge and exp.

· GAP Claims Assessing knowledge & experience (advantageous)

· Excellent written and verbal communication skills, accompanied with good negotiation skills and effective in dealing with customers, meeting their expectations.

KPIs

As Medical/GAP Claims Assessor

• To assess, verify and update all personal contact information for clients including the Medical Aid details and latest claim.

• Interacting with medical aids/ medical practitioners regarding medical history and accounts required relevant to assessing the claim. Arranging for priority claim investigations and escalations.

• To assess the validity of the claim in accordance with the terms and conditions of the client’s policy document and to make the relevant claim notes on the system.

Underwriter Administrator

(Insurance policy medical underwriting experience)

Salary – R15k- R17k CTC pm. (Based on exp.)

My client, an Established Leading Medical Aid Insurance Provider based in central Claremont, are actively recruiting for an experienced Underwriter Administrator.

Career Opportunity to join the dynamic driven team.

Criteria:

· · · Good negotiation skills and effective in dealing with customers and meeting their expectations.