Administrative Assistant: Claims Audit (24-Month Contract) – Centurion
Admin and Office Management ~ Finance / Accounting
Centurion – Gauteng
Administrative Assistant: Claims Audit (24-Month Contract) – Centurion
Salary: up to R244,732.00 per annum (Based on experience)
Purpose of the role:
- Responsible for the verification and validation of claims status.
Minimum Requirements and Experience:
- Matric or Grade 12 certificate.
- Administrative certification would be advantageous
- Relevant 2-3 years’ experience in Administrative or similar environment
- Knowledge of Compliance and findings Validation.
- Experience in the public sector would be advantageous
Key Performance Areas:
Office Administration:
- Administer the records management and filling processes in line with The Company filling plan.
- Attending to file movements in the team.
- Follow up and feedback to all stakeholders to keep them updated on the status of a query.
- Respond to queries within the predefined turnaround times.
Claim status verification and audit:
- Verify whether the claim file meets the criteria of the backlog and record discrepancies.
- Check and record the claim stage status and prescription expiry date.
- Determine the extent of claim payments already made.
- Record claim ageing and identify the processing stage or hub where the file has remained outstanding.
- Identify missing information required to progress, settle or close the file.
Mortality and claimant validation:
- Check mortality status against Home Affairs records where required.
- Record the outcome as alive or deceased.
- Where deceased, identify the need for engagement with the plaintiff or representative regarding executor information or further processing requirements.
- Validate claimant details against available system and file information.
- Flag matters where claimant details, mortality outcome or representative information require follow-up.
NB: Should you not be contacted within 2 weeks of your application, please consider it as unsuccessful.
