Health Claims Administrator

The Kaelo Health Claims Administrator is responsible for the management of all gap cover related tickets and correspondence.  The responsible person captures all gap cover claims and corresponds with the membership base. This individual has knowledge of the gap claims environment. There is a strong focus on accurately and efficiently resolving the claim ticket received whilst ensuring effective communication and exceptional customer service and satisfaction. KEY OUTCOMES(not limited to) Level 4 and 5 process elementsThe accurate and efficient capturing of claims receivedAssist Kaelo clients with queries and provide suitable query resolutionAccurate completion of administrative targets on a daily basisDealing with multiple queries from Kaelo members and intermediariesOngoing feedback to clientsManagement of all claim related mailboxesAd hoc functions as required by management SPECIAL REQUIREMENTSGood communication skillsAnalytical abilityTime managementTeam workCustomer focusData capturing experience