OFFER MANAGEMENT CONSULTANTS X8

Location: Johannesburg, Gauteng, ZA
Job Type Classification: Permanent
Closing Date: Not Specified
Salary: market related

 

PURPOSE OF THE JOB:

The Consultant: Offer Management is responsible to quality assure, consult and communicate the offer made and request payment on accepted offers.

KEY PERFORMANCE AREAS:

Offer Management

• Quality assure the type of offer made.
• Identify and correct any defects in consultation with the originator of the offer.
• Provide recommendations to the manager and team leader on settlement offers.
• Communicate approved offer.
• Request payment to be made.

Exeption Handling:

• Assess the basis of the rejected offer.
• Make necessary adjustment on the initial offer and communicate.
• Suspend the claim until the dispute is resolved.

Quality assurance:

• Ensure that legal costing processes are implemented and maintained at the highest standards.
• Maintain the implementation of an unusual occurrence procedures

Administrative support:

• Document and upload offers on the system.
• Adequate provision of administrative support.
• Deal with/and respond to correspondence.
• Produce documents, briefing papers, reports and presentations.
• Assist with typing and editing briefs, technical papers, letters to various parties, and memos.

Reporting

• Track and report against set objectives and targets.
• Report on emerging risks.
• Provide ad hoc reports on process improvement initiatives.

 

Stakeholder management:

• Maintain healthy relationships with all stakeholders.
• 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.

Qualifications:

• Bachelor’s Degree/Advanced Diploma in a Health Sciences or Law related qualification.

Experience:

• Relevant 3 years’ experience in an insurance related environment.

COMPETENCIES:

Behavioural

• Planning, Organising and Coordinating
• Personal Mastery
• Judgement and Decision Making
• Ethics and Values
• Client Service Orientation

Technical

• Knowledge of cash flow and invoicing.
• Understanding of post claim management and settlement.
• Medical bill reviewing.
• Medical case management.
• Complex problem identification, solving and decision making.
• Customer value proposition.
• Good financial management skills.
• Strong Analytical capabilities.
• Knowledge of Motor Vehicle Accident legislation.
• PFMA knowledge.
• Knowledge of budgeting, sales, business development, and strategic planning.

 

 

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