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Job Purpose:
The Team Administrative Assistant provides administrative support to assigned teams. Key Performance Areas (KPAs) may vary depending on the team allocation ensuring efficient operations and support across different functions. Individual performance reviews take into account the specific KPAs assigned to each Team Assistant.
Key Performance Areas:
1. Preparing of Claims for Purchasing/Administration by Account Administrators
1.1. Ensure that the patient demographics and images for weekly batches are accurately captured/uploaded onto the relevant internal system.
1.2. Ensure that the preparation of each claim is timeously completed within the given deadlines.
1.3. The claim preparation includes:
1.3.1. Updating the internal system with the correct Patient Demographics.
1.3.2. Ensuring that all images are correctly assessed and annotated (this includes any metadata to be captured) onto the internal system.
1.3.3. Completing the relevant system actions when assessing an IOD claim for purchase/administration by CompSol.
2. Follow-up and Resolution of IOD Claim Queries:
2.1. Proactively follow up on the outstanding queries for information or documentation which resulted from IOD claims assessment during the weekly batches.
2.2. Follow up includes telephonic and electronic mail interactions with the relevant employer or non-CompSol medical provider.
2.3. IOD claim queries should be followed up at least once per month with either the employer or non-CompSol medical provider.
2.4. Educate and assist the employer regarding the current online processes set by the Compensation Fund including user registration process as well as the claim registration process.
3. Claim Management
3.1. Check CF system for any claim notes captured by CF official and action accordingly.
3.2. Manage such claims on the relevant internal systems ensuring that the claim is loaded onto CF System in full and ready for CF adjudication. (manual submissions)
3.3. Update internal systems with any claim information outstanding and block claim for future resubmissions.
3.4. Assist in claim registration on CF system via Gateway applications or manual submissions.
3.5. Assist to notify the claim via the CF System on the MSP Application to create a preliminary claim number.
4. Gateway Applications
4.1. Monitor and investigate claim status exceptions on the Gateway applications.
4.2. Injecting claim documents on relevant CF system
5. CF Liaison
5.1. Build and maintain a good working relationship with the CF employees.
5.2. Liaise with the Compensation Fund when the Supervisor is not available this includes visits to the local Department of Labour if/when needed.
6. Operational projects
6.1. Complete any special projects on instruction from Supervisor and/or Management.
If you do not receive a response within 30 days please consider your application unsuccessful.
Full-Time