The General Clerk Associate Representative is responsible for organizing and processing the flow of incoming and outgoing documents (paper & electronic) in a back-office environment. The role ensures consistency in timely delivery of quality and quantity to meet set parameters measures and Service Level Agreements (SLAs).
Key Responsibilities
- Receiving and documenting claims (both electronic and paper).
- Sorting, processing, and vetting claims firsthand for claims payment and ensuring they are accurately assigned.
- Performing file management and classification of data, and supporting reporting compilation.
- Executing electronic transfer of received claims to the various platforms.
- Managing the workflow between members and provider claims.
- Processing member and provider claims within stipulated Turn Around Times.
- Managing the different channels through which claims are received.
- Cross-referencing emails received from members and providers for further processing.
- Performing any other tasks as allocated.
Requirements and Qualifications
Education & Language
- Diploma or Bachelor's degree in a related field.
- Active language knowledge of at least English (additional languages are a plus).
Required Skills and Competencies
- Executes assignments accurately and pays attention to detail.
- Ability to plan and organise tasks independently.
- Excellent time management skills with ability to continuously prioritize set tasks accordingly.
- Upholds utmost discretion when handling confidential information.
- Ability to handle large quantities of paper and electronic documents.
- Works to deliver consistently even under pressure.
- Self-Driven and can work with little or no supervision.
- Ability to work collaboratively within a team.
- Proficient in the use of Spreadsheets, word-processing and associated office IT Skills with CRM systems (e.g., Salesforce) with accurate data inputting.
- Accountability – assumes ownership for achieving personal results.
- Customer focused while executing mundane tasks.
- Copes well in a changing environment.
