Momentum Medical Scheme jobs
- Momentum CorporateSandton, Gauteng
- Effective execution of retirement fund administration in line with business, legislative and industry requirements; thereby improving the overall client…
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- Momentum HealthCape Town, Western Cape
- To ensure administrative functions within the Employee Assistance Programme Care Centre are completed within service level agreements, resulting in cases being…
- Momentum HealthSandton, Gauteng
- To oversee and take accountability for key claims functions and as a result ensure that the business continues to efficiently and effectively provide leading…
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- Bestmed Medical SchemePretoria, Gauteng
- Permanent employees also have access to medical aid.
- Minimum 2 years’ experience gained in the medical funding industry.
- Momentum HealthBellville, Western Cape
- Reporting on investigations conducted by submitting an investigation report to management for review and submission to the relevant scheme.
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- Momentum HealthSandton, Gauteng
- Knowledge of the relevant scheme or product rules.
- Experience in the assessing of relevant insurance or medical aid claims, paper and/or EDI (Desirable).
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- Momentum HealthSandton, Gauteng
- Knowledge of the relevant scheme or product rules.
- Experience in the assessing of relevant insurance or medical aid claims, paper and/or EDI (Desirable).
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- Momentum HealthEastern Cape
- Facilitate members' access to relevant information pertaining to their medical conditions, managed through the Disease Management and Wellbeing Team as well as…
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- NMICape Town, Western Cape
- Employee referral scheme with generous financial reward.
- Annual bonus scheme (dependent on company and individual performance).
- Good enough isn't enough.
- Momentum HealthEastern Cape
- Excellent understanding of the medical scheme administration industry.
- Exposure to medical claims and ICD-10 coding.
- MS Office / 365 proficiency is essential.
- View all Momentum Health jobs - Eastern Cape jobs - Hospital Service Technician jobs in Eastern Cape
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- Momentum HealthSandton, Gauteng
- Experience in the medical scheme financial accounting and reporting.
- To oversee and take accountability for key Billing functions and as a result ensure that…
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- Momentum HealthDurban, KwaZulu-Natal
- Proven experience in the assessing of medical aid claims (paper and/ or EDI) will be adventageous.
- To ensure a professional and consistent customer service…
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- Salary Search: Query Resolution Officer salaries
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- Momentum HealthBellville, Western Cape
- Deep understanding of medical tariff codes, billing practices, and healthcare reimbursement methodologies.
- Apply medical tariff codes and billing guidelines to…
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- Momentum HealthBellville, Western Cape
- The role incumbent will be responsible for managing and guiding a team focused on proactive risk identification, by bringing a systematic and structured…
- NMICape Town, Western Cape
- This role requires a collaborative and adaptable, creative thinker, with hands-on experience in engagement and culture initiatives, HR administration and…
- Momentum Distribution ServicesJohannesburg, Gauteng
- The Retail Business Consultant crafts passionate, energetic, and meaningful partnerships with Independent Financial AdvisersIFAs that will stand the test of…
Job Post Details
Senior Administrator
Job details
Full job description
Through our client-facing brands Metropolitan and Momentum, with Multiply (wellness and rewards programme), and our other specialist brands, including Guardrisk and Eris Property Group, the group enables business and people from all walks of life to achieve their financial goals and life aspirations. We help people grow their savings, protect what matters to them and invest for the future. We help companies and organisations care for and reward their employees and members. Through our own network of advisers or via independent brokers and utilising new platforms Momentum Group provides practical financial solutions for people, communities and businesses. Visit us at www.momentumgroupltd.co.za
Effective execution of retirement fund administration in line with business, legislative and industry requirements; thereby improving the overall client experience.
- Grade 12.
- 6-8 Years' Employee Benefits experience.
- Knowledge and understanding of Life Insurance products and services and Industry Legislation.
- Knowledge of Pension Funds Act and Treat your Customers Fairly.
- 1-2 Years' leadership experience will be advantageous.
- Resolve escalated claim queries and ensure queries are processed in a timeous manner.
- Monitor and manage the adherence to the service level agreements.
- Be responsible for, coaching and guiding the team in processes and procedures.
- Competence and high level of understanding of retirement fund daily processing, including contributions processing and managing defaults in line with S13A of the PFA.
- Guiding Administrators in Death claims processing in line with S37 of the PFA where required.
- Ability to understand and resolve member and employer queries expeditiously.
- Ability to perform reconciliations on member transactions to resolve complex queries.
- Ability to coach and guide Administrators in day-to-day functions.
- Assist the Administration Manager in their day-to-day oversight duties of the Administration team and stand-in when the Manager is not available.
- Ensure that the necessary risk management controls are in place.
- Assess, quality control and authorise the payment of claims.
- Provide factual, logical, expertise and informative feedback to clients and stakeholders.
- Build and maintain relationships with clients, internal and external stakeholders.
- Deliver on service level agreements with all stakeholders to ensure that client expectations are met and managed.
- Make recommendations to improve client experience and fair treatment of clients within area of responsibility.
- Participate and contribute to a culture which builds rewarding relationships, facilitates feedback and provides exceptional client service.
- Ensure compliance to regulatory Treating Customer Fairly outcomes.
- Drive a culture that guides and directs best practice, fostering an environment of continuous learning, improvement and cohesiveness.
- Enable a learning and growth culture whereby information regarding successes, issues, trends and ideas are actively shared between team members.
- Encourage innovation, change agility and collaboration within the team.
- Develop and maintain productive and collaborative working relationships with peers, team members and stakeholders.
- Positively influence and participate in change initiatives.
- Continuously develop own expertise in terms of professional, industry and legislation knowledge.
- Contribute to continuous innovation through the development, sharing and implementation of new ideas.
- Responsible to manage, identify and mitigate risk through the adherence of the claims process.
- Identify to enhance cost effectiveness and increase operational efficiency.
- Manage financial and other company resources under your control with due respect.
- Provide input into the risk identification processes and communicate recommendations in the appropriate forum.
- Client/ Stakeholder Commitment.
- Drive for Results.
- Leads Change and Innovation.
- Motivating and Inspiring Team.
- Collaboration.
- Impact and Influence.
- Compiling Management Administration and Board Reports.
- Attendance and Presentation of Reports at Client and Board meetings.
- Resolution of all queries relating to finance, audits and actuarial department.