Business Process Specialist - Centurion at PPS

Job Advert Summary    

• A challenging opportunity for a dynamic, result driven, quality orientated Claims specialist with strong administrative skills exists. The successful candidate will provide high level administrative support to the Head of Department and Service manager within the Claims group to ensure the smooth running of the office.

Minimum Requirements    

• A minimum of a Grade 12
• A completed degree / diploma in Business Management or similar qualification would be an added advantage
• Experience in a Claims Management environment is essential
• Exposure within the Medical Scheme administration environment, ISO principles and other related legislature would be an added advantage
• Ability to effectively communicate at all levels
• Attention to detail and high level of accuracy
• Computer literacy (MS Office, advanced MS Excel and MS Access would be beneficial)
• Experience in reporting and data extraction essential

Duties and Responsibilities    

• Ensure effective communication of information between various stakeholders
• Facilitate interdepartmental meetings between various internal groups
• Ensuring the availability of equipment and stationary to support the department (includes arranging of system access, PC, desk, update documents on shared drive).
• Together with the HC Department, support the Claims group with the full recruitment process
• Arrange training for new employees and facilitating the micro induction process with new employees
• Provide administrative support to the Service Manager on performance related information and statistics.
• Prepare accurate reports for presentation to the Senior Management Team and Schemes
• Ensure effective management of specialised ad-hoc projects within the organisation and provide progressive feedback to the Head of Department
• Support the service quality within the department through effective management of processes and procedures and evaluate results.
• Maintain any changes to the Claims Management systems, processes and procedures and update the work instructions accordingly.
• Technical understanding of all PPS Healthcare Administrators products and business processes and the ability to apply that understanding to daily outputs, including system testing and year end product testing and system enhancements.
• Maintain interdepartmental service level contracts and pro-actively monitoring the Service Level agreements

Closing Date    
2023/07/06