Claims Supervisor Transpharm Pretoria | Shoprite Group

Closing Date

2022/09/13

Reference Number

SHO220906-4

Job Title

Claims Supervisor – Transpharm Pretoria

Job Type

Permanent

Location – Country

South Africa

Location – Province

Gauteng

Location – Town or City

Hermanstad, Pretoria

Purpose of the Job

Overseeing all employees in the Receiving Claims department to make sure daily goals are met. That activities related to claim processing and follow-up are under supervision and in accordance with relevant policies and procedures.

Job Advert Details

Job Category

Pharmaceutical

Job Objectives

• Direct supervision of the day-to-day activities in the department to ensure that claims are resolved within the required service level agreement.
• Maintaining and recording claim information, including details about the situation that resulted in the claim, dates of service rendered, and other relevant information.
• Act as intermediary between Transpharm and client and timeously relay communication, requests and documentation.
• Follow the recoveries process, diaries follow-ups and keep all stakeholders informed.
• Continuously monitor and initiate claims improvement processes and policies.
• Ensure compliance to contracted service levels and optimised processes.
• Manage internal and external relationships.
• Manage loss costs and loss expenses.
• Frequently communicate with all appropriate parties involved with the claim.
• Regularly review system reports, and respond promptly if necessary to resolve queries in a reasonable timeframe and to escalate where necessary.
• Create and maintain reports for submission to management.
• Checking whether calculations are correct, duplicate invoices are not being passed.
• Dealing with payment, debit note queries and ad hoc queries.
• Keep internal system and records up to date at all times.
• Keep relevant internal stakeholders up to date on the progress of claims.
• Make assessment of claims validity and estimate value and administer claims.
• Responsible for training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
• Continually review and measure team activities against targets, standards and service levels, agreeing and taking actions to improve capability and performance so that the team achieves its maximum potential.
• Perform personnel administration when necessary.
• Ensure that staff comply with health and safety policies and procedures.
• Accountable for keeping the department organized, conducting investigations, and enforcing all warehouse systems, processes, and procedures

Qualifications

Essential

• Matric qualification

Experience

Essential

• 3 -5 years experience working in a warehouse environment in a similiar role
• 2–3 years of experience working as a supervisor

Knowledge and Skills

• Highly effective supervisory skills and techniques.
• Strong numerical skills.
• Diligently attends to details and pursues quality in accomplishing tasks.
• Develops fresh ideas that provide solutions to all types of workplace challenges.
• Excellent communication and interpersonal skills.
• Strong organisational and time management skills.
• Hands-on commitment to getting the job done.
• Knowledge of warehouse sytems such as Pos-i-Till and MS Office proficiency.
• Proven ability to direct and coordinate operations.

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