Medical Aid Administrator: Enrollments & Claims

Profile Personnel; East London; On-site; ZAR 180,000 - 240,000; Full time

Job summary

Profile Personnel is seeking a Medical Aid Administrator based in East London, South Africa. The successful candidate will manage medical aid member enrollments, claims, and will provide accurate information regarding plan benefits and options.

Responsibilities include processing claims efficiently, ensuring compliance with medical policies, and maintaining up-to-date member records. Ideal candidates will have a background in medical aid administration and strong communication skills.

Qualifications

• Proven experience in medical aid administration or related fields.
• Strong communication skills and attention to detail.
• Ability to work under pressure and manage multiple tasks effectively.

Responsibilities

• Managing medical aid member enrollments, claims, and updates.
• Providing accurate information to clients regarding plan benefits and coverage options.
• Handling client queries and resolving issues related to medical aid benefits and claims.
• Processing medical aid claims in a timely and efficient manner.
• Ensuring compliance with medical aid policies and procedures.
• Maintaining accurate and up-to-date member records.
• Collaborating with healthcare providers and clients to ensure smooth processing of claims.

Skills

Medical aid administration

Communication skills

MS Office proficiency

Tools

Medical aid administration software

Job description

Profile Personnel is seeking a Medical Aid Administrator based in East London, South Africa. The successful candidate will manage medical aid member enrollments, claims, and will provide accurate information regarding plan benefits and options.

Responsibilities include processing claims efficiently, ensuring compliance with medical policies, and maintaining up-to-date member records. Ideal candidates will have a background in medical aid administration and strong communication skills.