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The Health Administrator is responsible for the efficient performance of the department by ensuring that all Member Management transactions & monthly invoices are processed accurately and in a timely manner.
KEY POSITION RESPONSIBILITIES:
Ensure that all member management changes are completed within specified TAT’s.
Update PCM, Great Plains with ACH information. Prepare Leaflets, Medical Cards and Group Life Certificates across all territories.
Prepares and dispatch Monthly Billing Statements to Clients/Brokers & update Great Plains with Credit memos
Prepare commission statements/Monthly retainer for Medical Consultant
Prepares Premium Receivable reports for Trinidad St. Lucia and St. Vincent, as well as any additional reports that are requested by our clients (Dependent Listings, Beneficiary Listings, Reconciliations).
Attend to all Internal and External Customer Queries
Ensure the customer is treated fairly and that the customer receives excellent service in accordance with industry and Company guidelines
Manage any complaints associated with a claim in accordance with CX Guidelines
Ensure compliance with legal and industry regulatory requirements and customer quality standards set by the Company.
Complete any other job-related function that is related to the EBHL Division.
KEY BEHAVIORAL COMPETENCIES:
Effectiveness in transmitting information, including confidentiality, facilitation/participation in sharing information, and oral and written expression.
Ability to provide quality service to internal and external clients, including demonstrated commitment to improvement of service.
Ability to complete job assignments, including judgement, problem solving, and use of appropriate resources in decision making.
Effectiveness in working with others to achieve individual and unit goals.
KEY TECHNICAL COMPETENCIES:
Basic knowledge and understanding of the core principles of insurance and how this is applied.
Basic knowledge and understanding of the range of insurance products and services available in the market.
Advanced knowledge and understanding of regulatory requirements and how to meet these on a day to day basis.
Basic knowledge of how claims should be handled and managed.
Basic knowledge of Beacon and the wider insurance market place and how this is applied on day-to-day basis.
Basic knowledge and understanding of the factors that affect the performance of an underwriting portfolio and how risk exposure can be monitored and controlled.
QUALIFICATIONS AND EXPERIENCE:
Must include Math and English (Grade 2)
Certification in Administration or Porficiency in Microsoft Suite
Diploma in Administration or equivalent (Grade II)
Advanced Diploma in Administration or equivalent (Grade III)
We accept MS Word, PDF and Rich Text Format. Maximum file size 2MB
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Health Administrator - Head Office
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