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: Botswana, Gaborone
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Associated Fund Administration AFA Botswana (Pty) Ltd, a company involved in the administration of medical aid schemes invites applications from suitably qualified persons preferably Botswana citizens for the following positions:

Main purpose of the job
To assess member and employer groups applications, with a view to ensure risk management on employer groups and members applications, in accordance with laid down processing procedure and scheme rules and regulations.

Reporting directly to the Processing coordinator, the successful applicant will be responsible for;
• Assessing member and employer groups applications, to ensure risk management on applications
• Utilizing medical history when underwriting
• Investigating non-disclosure guided by set procedures and scheme rules
• Daily auditing on all claims for members with condition specific waiting period
• Daily auditing of all member claims within of 6 months of joining
• Compile monthly performance reports
• Qualify assurance supervision
• Assisting with alternative membership data clean-up projects
• All of the above will be carried out in accordance with laid down processing procedure and scheme rules and regulations.
Qualifications, experience and competencies
The ideal candidate must have the following qualifications, experience and competencies
• Diploma/ degree in Health or Business related field.
• 4 yrs experience in a business/health related environment
• Speed and accuracy
• Problem solving skills
• Customer relations
• Product knowledge
• Analytical skills
• Attention to details
• An understanding of medical claims and application assessment will be an added advantage.
The company offers a competitive remuneration package commensurate with an organization of its size. Only applicants who meet the above requirements need apply giving details of qualifications and experience, and names of at least two referees.

Certified copies of relevant certificates and a detailed CV must accompany applications addressed to:

The Human Capital Specialist
Associated Fund Administration Botswana
P O Box 1212
Note: AFA will only enter into correspondence with those applicants short listed for the interview.
Closing date: 27 May 2014

Source: Botswana Guardian, 16th May
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