Claims Administrator

About Kaelo
Kaelo provides essential healthcare solutions ensuring the physical and psychosocial wellbeing of all South Africans towards lasting social change. Kaelo meets the Healthcare needs of Corporate and Retail clients across South Africa – products offerings include Medical Insurance, Medical Aid, Gap Insurance, Kaelo Money and employee assistance programmes

Job Purpose
The Claims Administrator is responsible for the management of all gap cover related tickets & correspondence. The responsible person captures all gap cover claims and corresponds with the membership base. This individual has knowledge of the gap claims environment. There is a strong focus on accurately and efficiently resolving the claim ticket received whilst ensuring effective communication and exceptional customer service and satisfaction.

KEY OUTCOMES (not limited to)

• The accurate and efficient capturing of claims received
• Assist Xelus clients with queries and provide suitable query resolution
• Accurate completion of administrative targets on a daily basis
• Dealing with multiple telephonic queries from Xelus members, brokers and franchises
• Ongoing feedback to clients
• Management of all claim related mailboxes
• Ad hoc functions as required by Management

SPECIAL REQUIREMENTS

• Good communication skills
• Analytical ability
• Time management
• Team work
• Customer focus
• Data capturing experience

PERSON DETAILS : WORK EXPERIENCE
REQUIRED

• Insurance industry experience

PREFERRED

• Health Insurance industry

EDUCATION : QUALIFICATIONS : ACCREDITATIONS WITH PROFESSIONAL BODY
REQUIRED

• Grade 12 – Matric

TECHNICAL SKILLS OR KNOWLEDGE
REQUIRED

• Computer literate, including Microsoft Access

PERSONAL ATTRIBUTES : COMPETENCIES [SELECT MINUMUM OF THREE]

• Accountability
• Collaborative
• Communication
• Simple writing skills
• Planning and organisation
• Resilient and adaptive

Closing Date : 16 November 2019