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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