Senior Human Resources Assistant
This position is within the Medical Benefits section of Human Resources Department and reports to the Specialist - Medical Benefits. Key Accountabilities Responsible for the daily supervision of onsite clinic operations and monitoring outcomes as per the SLA defined for each clinic process to enable on time service delivery. Responsible for raising queries with the respective process owners for any process/policy nonconformity and escalating to the Medical Benefits Specialist any matters that cannot be resolved directly with the process owner. Manage and resolve queries pertaining to medical benefits from employees, departments and service providers. Compile medical benefits data and prepare meaningful monthly/quarterly/annual statistical reports to monitor performance of the insurance scheme and service quality of providers. Organise preventative / wellness programmes for employees in accordance with defined requirements to facilitate awareness of quality health care initiatives across the company. Review and update training material for training sessions for appointed health care provider staff on EKFC’s medical policies & managed care concepts. Train and provide updates to onsite clinic provider, on all related procedures in order to ensure awareness of EKFC’s service requirements and policies. Prepare and interpret reports related to medical operations in a timely and accurate manner to meet EKFC policies and standards, and department requirements. Ensure medical expense claims are processed and paid to employees by the TPA in timely & accurate manner. Validate medical service fees to ensure payable amount is as per contractually agreed tariffs and ensure timely payment. Gather feedback from employees to ensure high quality of customer service is offered by TPA & Clinic provider. Respond appropriately to medical emergencies or urgent issues as they arise, including liaison with internal stakeholders, service providers etc. Develop and streamline processes and IT systems pertaining to medical benefits. Requirements & Competencies Qualification Diploma in Human Resources, Business Administration or Equivalent Qualification. Experience Minimum 4 years of experience in the field of HR / Medical Insurance Experience in managing health care clinics – Preferred Skills Proficient in Microsoft Office Packages. Excellent attention to detail and accuracy. Familiarity with private and government health care delivery systems and insurance programs. Knowledge of basic medical terminology and knowledge of legal aspects of medical records Ability to write clear, concise narrative and statistical reports, effective communication skills and ability to present reports
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