Business Processing & Compliance Officer

Job Purpose: Co-ordinate activities and support services within the Business Processing and compliance maintaining prompt, efficient and effective operational support. Key responsibilities: • Process all policies new and renewal as per SLA and within the set guidelines. • Preparation of data upload files- Benefit set up and Member upload files and ensure set up of correct benefits for each corporate schemes and Retail policies. • Process all claims from service providers, sort out invoices with reconciliations issues shared by finance (stuck invoices within the process, resubmissions). • Process all reimbursements as per SLA. • Process all endorsements as per SLA. • System testing, validation and continuous innovation on processes and training of colleagues as required from time to time. • Performing Quality assurance on captured claims ensuring reduced reconciliation challenges and that business does not suffer any loss from fraudulent claims. • Ensure customer data quality and compliance is maintained across all operations as required. • Schemes reconciliation and maintenance of client data – Data reconciliation for Renewals and New Business policies. • Master policy creation and conversation for new retail policies. • Processing of retail policies and advising finance on receipt and allocation of premiums for retail policies booked. • Preparation and request of medical cards within set TAT and maintaining clear records on requested and issued cards to clients. • Preparation and presentation of departmental and business reports – Daily and Monthly reports. • Maintain regular internal (to staff) and external (to customers) communication on Customer Service matters...