Job Description

Company Description
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 xe2x80x93 products offerings include Medical Insurance, Medical Aid, Gap Insurance, Kaelo Money and employee assistance programmes.


The Kaelo Health Claims Administrator is responsible for the management of all gap cover related tickets and 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) Level 4 and 5 process elements The accurate and efficient capturing of claims received Assist Kaelo clients with queries and provide suitable query resolution Accurate completion of administrative targets on a daily basis Dealing with multiple queries from Kaelo members and intermediaries 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

Qualifications
PERSON DETAILS: WORK EXPERIENCE REQUIRED Insurance industry experience PREFERRED Health Insurance industry EDUCATION: QUALIFICATIONS: ACCREDITATIONS WITH PROFESSIONAL BODY REQUIRED Grade 12 xe2x80x93 Matric PREFERRED TECHNICAL SKILLS OR KNOWLEDGE REQUIRED Computer literate, including Microsoft Access PREFERRED
Additional Information

• 
  Accountability
• Action orientated
• Collaborative
• Communication
• Business writing skills
• Manage complexity
• Problem solving skills
• Decision thinking
• Encourages engagement
• Resilient and adaptive
• Resourceful
• Demonstrates self-awareness
• Purpose driven
• Significance and values orientated