Maria Jenkins

Resolved billing concerns related to corporate accounts and private memberships promptly.

Provided account reconciliations for both corporate and private members as needed.

Navigated customer challenges and offered solutions while adhering to company guidelines.

Supported Account Managers and Financial Advisers in relation to our billing, in-person and in online meetings as necessary.

Support internal customers, call-center, sales team and other invested departments.

Managed payment processing tasks, ensuring accurate handling of transactions.

• Responsible for end-to-end administration of Employer Work Schemes and members, including policy maintenance, billing, and payment processing.

Assessment and loading of policy changes in the system and applying relevant exclusions.

Reconciliation of group and member accounts and debt resolution.

Cultivated good relationships with key contacts of the employer schemes in my portfolio.

Supported our Account Managers from a billing perspective both internally and in person with company visits as needed.

Served as an escalation point to address challenging payment inquiries in the call center.

Part of a team responding to all written inquiries from members about their health insurance policy in relation to claiming.

Reviewed claims and processed reassessments as necessary.

Provided detailed explanations regarding policy benefits, rules, and exclusions in writing.

Ability to show care for our customers, who are our members, while applying rules-based decisions.

Recognised as a senior consultant due to prior experience within the call center, before this part of the role was separated and became specialised.

Answered member inquiries regarding health insurance benefits and the societies rules.

Processed policy pre-approval for eligible surgeries and treatments.

Audit claim evaluations and return to assessor for necessary reprocessing keeping member up to date.

Liase with other departments, the Medical Referee and Claims department manager as required to resolve any issues.

Kept up to date on policy changes and proficient in Societies rules