Medical Insurance - Administrative Officer

Handle health insurance admin tasks: send quotes, follow up on KYC/forms, enroll members, issue documents, manage renewals, update records, coordinate with teams, resolve client queries, issue debit notes, reconcile premiums, and ensure top service delivery.

Main Responsibilities:

• Send health quotations to clients.
• Follow up for documents/KYC/application form.
• Enroll members in health insurance system.
• Prepare welcome letters for new members and issue credentials.
• Prepare for the Certificate of insurance.
• Update the system for additions and deletions.
• Ensure the renewal process for existing clients and members, including follow-up and processing renewal applications.
• Attend to questions or issues with client’s health insurance plans..
• Maintain accurate records of all members, including demographic information, plan coverage, and claim history.
• Work closely with other colleagues, such as claims processing, customer service, and provider relations, to ensure that members receive the highest level of service and care.
• Issue Debit Notes and follow-ups of payment
• Ongoing reconciliation of membership premiums.
• Any other cognate duties that might be assigned

Academic Qualifications:

• Minimum HSC or equivalent qualification.

Functional skills:

• Answer customers in a friendly, professional manner and attends to e-mail inquiries in a timely manner.
• Have good communication and interpersonal skills.
• Team Spirit: Helps the team in case of backlog.
• Ensure compliance by following company policies, procedures, and guidelines.

Key competencies:

• Attentive to details
• Fast processor with objectives to meet Turnaround time as per SLAs.
• Accuracy in data capturing.
• Continuous Innovation
• Ownership & Commitment