Client Contact Centre Services & Medical/GAP Claims Assessor x 3
Detalhes do emprego
Client Contact Centre Services & Medical/GAP Claims Assessor x 3CPT/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. As Client Contact Centre Service ConsultantTo be logged onto the Client Services inbound telephone queue and web touchpoint •Resolve a minimum of 30 telephone calls per day - To strive to have zero lost calls per day. •Answering the telephone within 2 rings and resolving the client/broker query/request in a professional and timeous manner. •To respond to and resolve about 15 general/claim related correspondence queries per day within a 24-hour turnaround time.
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