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MEDICAL AID ADMINISTRATION, MEDICAL ACCOUNTS, AND GAP COVER CLAIMS.
PROFCON BROKERS Graaff- Reinet : July 2017 - to date Sales Support
Creating and sending sales proposals, offer letters, contracts and communication.
Follow up queries
New Business applications
New Business Gap applications, receive and submit. Capture Discovery Health New Business via online portal Provide customer service regarding all Medical aid and Gap Cover queries.
Benefit confirmation.
Strong written and verbal communication skills
Perform advanced administrative customer support duties Problem solve
Experience working with various applications and databases. Updating client information and changes.
Data Capturing
Communicate effectively to resolve issues, inquiries, and concerns from provider/ broker and medical aid member.
Assist client in completing Gap Cover claims.
Request claim remittance from the medical aid as well as a full hospital account.
Submit claims to the medical aid on behalf of the client and follow up. Arrange authorization for medical procedures in-hospital and in rooms. Arrange ICD 10 and NappI codes as per procedure.
Arrange International Travel Insurance.
Knowledgeable on billing, including handling inquiries and dealing with multiple types of medical aid.
Scanning, photocopying, faxing and emailing of documents. Prepare medical records and supporting information Experience in communicating with Doctors rooms, and hospitals regarding billing and correcting thereof.
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Own Vehicle & Code 08 Drivers
License.
Short Term Insurance Administration
Medical aid Administration
Diary Management
Social Media
Marketing
Sales
Research
Attention to detail
Meticulous
Excel
Word
Windows
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Creative spirit
Reliable and professional
Organized
Time management
Team player
Fast learner
Motivated
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M E D I C A L A I D A N D C L A I M S
A D M I N I S T R A T O R
ELSONA STUDIO AND CERAMICS GRAAFF-REINET:
Manufacturing company specializing in ceramics for local and international export: January 2017 - June 2017
OFFICE ADMINISTRATOR.
Administer phone calls to and from customers with questions or concerns regarding the product,production and information.
Diary Management
Invoicing (Basic Pastel)
Update and collect all client information
Ordering of office and manufacturing supplies.
Prepare paperwork for local and international export Arrange courier service for collection and distribution Registration of shipment and confirmation of orders with MEGAFREIGHT shipping consultants.
Prepare paperwork for international shipment.
Municipal account queries and payments
Office maintenance
Website maintenance and queries
Wages
Reason for leaving : Retrenched
Reference
TANIA ROSSOUW ( Office Manager)
Contact: 071*******
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OCTOFIN CONSULT GRAAFF- REINET
Medical aid and Short Term Insurance Brokerage :
November 2014-October 2016
MEDICAL AID CLERK /ADMIN SUPPORT
Reception
Administer phone calls to and from clients with questions or concerns regarding medical aid and short term insurance information. Diary Management
Update and collect all client information
Ordering of office and manufacturing supplies.
Office maintenance
Data Capturing
Follow ups on claim pay outs and progress
Filing
faxing
scanning
distribution of post to the relevant person
International travel insurance
request tax certificates
request membership certificates
Reason for leaving:It is important to grow with a company and be part of a companies vision. And i felt my growth and that of the companies was stunted.
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MATRIC - 2001
DAMELIN COLLEGE - 2002
MICROSOFT OFFICE 2000
CCS I.T TRAINING CENTER EAST LONDON (2007)
ICDL (International Computer Drivers License)
Subjects taken:
The basic concepts of IT
Using the computer and managing files.
Word Processing
Spreadsheets
Databases
Presentations
PowerPoint
Information & Communication
Short Term Insurance Qualification
COMPLETED NQF LEVEL 4 /32 FAIS credits
First Level Regulatory Examination: Representative FICA Awareness 2016
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NOVEMBER 2012 TO JUNE 2014
COMPANY:STRATA INSURANCE BROKERS CC EAST LONDON
EASTERN CAPE, SOUTH AFRICA.
PERSONAL LINES SHORT TERM INSURANCE
CONSULTANT/UNDERWRITER
POLICY RENEWALS
QUOTATIONS
ATTENDING TO ALL CLIENT QUERIES AND AMENDMENTS
PREMIUM NEGOTIATIONS
CANCELLATION OF POLICIES
RE BROKING THE CLIENT
FILING
REVISION OF POLICIES
UNPAID PREMIUMS COLLECTIONS AND FOLLOW UPS.
ARRANGING PREMIUM REFUNDS
LIAISING WITH CLIENTS VIA E-MAIL AND IN PERSON
MANAGING E-MAILS
EFFICIENT ON POLICY SYSTEMS:
AMENDMENTS.
LIAISING WITH INSURERS RE PREMIUMS, QUOTATIONS AND AMENDING POLICIES CORRECTLY & PROMPTLY
ENSURING THAT CUSTOMER QUERIES ARE ATTENDED TO AND RESOLVED EXPEDITIOUSLY
PROVIDING A REWARDING SERVICE EXPERIENCE AT ALL TOUCH POINTS.
BUILDING RELATIONSHIPS THROUGH REGULAR AND PROACTIVE CARING CALLS – KEEPING THE CLIENT ABREAST OF LATEST PRODUCTS AND ANY NEWS OF RELEVANCE TO THEM AND
THEIR PORTFOLIO.
Contact this candidate