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Leceania — Junior Medical Aid Specialist from South Africa

Leceania

Junior Medical Aid Specialist

South Africa 3-6 years
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Languages
English
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About

April L. is an experienced professional specializing in the medical aid and employee benefits industry, having worked primarily with Medscheme in roles such as Vip Broker Specialist and Billing Specialist. At Medscheme, she has demonstrated her proficiency by managing medical aid enquiries for brokers and HR personnel, handling claims assessment, and assisting with oncology applications and billing queries. In her role as a Billing Specialist, she delivered exceptional service to GEMs members, facilitating monthly contributions and handling inquiries related to medical aid debt and contributions. Previously, April L. held the position of Employee Benefit Specialist, where she managed medical and gap cover administration for corporate clients across various sectors. Her skill set includes communication written and verbally and strong team collaboration abilities, bringing a critical role in supporting corporate medical aid administration and retirement funds. She completed her education with a matric from Noordgesig Secondary School. Her varied experience underpins her competence in confronting and resolving service failures, supported by her project work as a Recovery Specialist.

Experience

  • Vip Broker Specialist

    Medscheme · 2021 — 2022
    Engaged with brokers regarding members' medical aid inquiries. Supported HR personnel with employee medical aid questions. Evaluated and reprocessed claims from members. Recorded admission dates for both inpatient and outpatient procedures. Provided assistance with chronic management. Addressed billing queries from both companies and members. Completed and submitted application forms while vetting the applications. Aided in Oncology application processes. Scheduled and facilitated appointments for members. Assisted in investigating service failures through Root Cause Analysis. Collaborated on projects and streamlined the dissemination of new information.
  • Billing Specialist

    Medscheme · 2020 — Present
    Delivered premium service to Gems, members, Clo, and walk-in center agents. Assisted Gems members with inquiries regarding monthly contributions. Addressed member queries concerning medical aid. Helped manage debt and contributions related to medical aid. Supported the transfer of members between pay points and handled contribution letters for members.
  • Employee Benefit Specialist

    null · 2019 — 2020
    Provided assistance to corporate clients with medical aid, funeral claims, and life cover claims. Supported SARS employees and government personnel in public sectors with medical aid administration, including gap covers. Managed medical aid matters for clients such as Super Group, Shell, and McCain. Executed administration duties for various funds, including Provide Fund, Funeral, and Life Cover. Handled medical aid duties for mine workers and interacted with multiple medical aid providers including Discovery, Bonitas, and Fedhealth. Managed gap covers from Netcare, Kaelo, and others. Aided the team leader with Financial Needs Analysis for SARS executives.

Skills & Expertise

Education

  • Matric
    Noordgesig secondary school

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