Execuplace Appointments – Johannesburg, Gauteng – Our client, a dynamic growing Financial Services provider seeks to employ a Portfolio Administrator – Group Risk Funds/Pension Funds to join their dynamic team The candidate must be able to work remotely with a very stable and reliable internet connection (Preferably fibre)(Working from home) Purpose of the job Responsible for the reconciliation of the monthly membership data vs. premiums due and received. Responsible for initial update in respect of client reconciliation Responsible for the submission of all risk benefit claims received and monitoring the process until claims are paid Key Relationships External Insurance Companies / Underwriter Consultants Internal and External Brokers Internal Staff Data: On a monthly basis ensure premiums and data are received for each scheme Ensure the correct updating of the scheme membership data Reconcile the monthly membership data (as updated) vs premiums received per scheme Ensure strict adherence to the documented processes Update membership onto relevant administration platform and ensure this balances to the client premium reconciliation and data Reconciliations: Prepare and provide premium recons to clients monthly analysing under or over payments Perform credit control checks and follow up for over and underpayments Follow PPR15 processes by informing clients of non-payment within specified deadline Claims: Action all claims timeously Ensure correct execution of all claims in terms of documented processes Maintain updated claims workflow systems Ensure data records are always correct with regards to PHI claimants Medicals On a monthly basis identify members whose insured benefits are in excess of the Medical Free Cover Limit on each scheme Process medical requests immediately in terms of set guidelines Ensure data records are always correct with regards to members whose insured benefits are in excess of the Medical Free Cover Limit on each scheme Maintain updated medicals workflow syst… – Permanent – Full-time