Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Timeline
AccountManager

Petrus Geel

Fund Manager
Mayberrypark

Summary

I'm a hard working individual that takes every task given to me seriously and give a 150% to ensure a successful outcome. I have worked really hard in the last 27 years to achieve what I have achieved.


I see myself as a asset to any organization, as I am firm believer that hard work will open doors for you.

Overview

27
27
years of professional experience
1
1
Certification
1
1
Language

Work History

FUND MANAGER/PROVIDER NETWORK SPECIALIST/SENIOR KEY ACCOUNTS MANAGER

UNIVERSAL HEALTHCARE ADMINISTRATORS
10.2013 - Current
  • Manage and build a relationship with the scheme and all stakeholders
  • Contract service providers for new clients joining the scheme
  • Service existing providers to ensure networks rules are followed, do provider training when required. Service about 6000 general practitioners on a national basis.
  • Address non-compliance with providers servicing scheme members
  • Annual provider training on rule and benefit changes and reviewing of provider manuals
  • Attend mass meetings when required to do so
  • Set up scheme rules on Universal IT systems
  • Adjust annual contracts and rules on capitation agreements
  • Have weekly and monthly meetings with all internal/external stakeholders
  • Attend to all enquiries from scheme and CLO’s
  • Manage internal SLAs with internal stakeholders to ensure it is aligned to industry standards.
  • Attend annual roadshow to represent the scheme and Universal.
  • Deal with all Council for Medical Scheme matters.
  • Reference: Christo Becker
  • Contact Details: 084 558 3060

MANAGER CUSTOMER SERVICES

UNIVERSAL HEALTHCARE ADMINISTRATORS/UNIVERSAL 360
06.2009 - 09.2013
  • Compile weekly and monthly management reports on SLA
  • Recruiting new staff members
  • Resolving irate client’s complaints and give feedback
  • Approving all appliances according to benefits and medical motivations
  • Create a working environment that encourages cost savings
  • Update staff on industry developments and changes weekly
  • Roster Staff
  • Training staff on annual product changes
  • Identifying system problems and logging it with IT
  • Reference: Desmond Kerr (Administrator Director Universal Health Care Administrators)
  • Contact Details: 011 208 1010
  • Reason for leaving: Looking for Growth as I managed a department of 96 staff members

CALL CENTRE AGENT

UNIVERSAL HEALTHCARE ADMINISTRATORS
06.2009 - 12.2009
  • Resolving members telephonic queries within 48 Hours
  • Resolving written and email queries within 48 Hours
  • Assisting members with telephonic benefit confirmations
  • Assisting walk in members and providers with claim queries and benefits
  • Reconciliations of members and providers claims history
  • Training of new consultants on telephone system and system navigation
  • Issuing Manual Tax Certificates and Reconciliations
  • Sending out all documents to members and providers
  • Navigating Members around scheme website and explaining the processes
  • Selling products telephonically to potential new clients and firms
  • Reference: Desmond Kerr
  • Contact Details: 011 208 1000
  • Reason for Leaving: Promoted

SENIOR CLIENTS RELATIONS CONSULTANT

ETERNITY PRIVATE HEALTH
02.2005 - 10.2008
  • Resolving members telephonic queries within 48 Hours
  • Resolving written and email queries within 48 Hours
  • Assisting members with telephonic benefit confirmations
  • Assisting walk in members and providers with claim queries and benefits
  • Reconciliations of members and providers claims history
  • Training of new consultants on telephone system and system navigation
  • Issuing Manual Tax Certificates and Reconciliations
  • Sending out all documents to members and providers
  • Navigating Members around scheme website and explaining the processes
  • Selling products telephonically to potential new clients and firms
  • Reference: Cathy Hopf
  • Contact Details: 011 707 8510
  • Reason for Leaving: LOOKING FOR GROWTH

NEW BUSINESS SUPERVISOR

PRIVATE HEALTH ADMINISTRATORS (PHAROS MEDICAL PLAN)
03.2002 - 01.2005
  • Dealing with irate clients and brokers
  • Signing up new walking clients and explaining various packages
  • Preparing benefit and rates comparisons against competitors
  • Printing and sending out new membership cards
  • Dealing with broker firms
  • Preparing scheme graphs for management meetings on scheme growth
  • Training new sales consultants on packages and documentation
  • Calculation sales staff commissions as well as broker Firms commissions
  • Designing of new applications to streamline sales process
  • Selling products to both individual members and broker firms
  • Networked with brokers and firms at corporate level.
  • Reference: Ian Lowdon – Human Resource Manager
  • Contact Details: 083 303 4212
  • Reason for Leaving: PROMOTED

MEMBERSHIP MANAGER

PRIVATE HEALTH ADMINISTRATORS (PHAROS MEDICAL PLAN)
01.2000 - 02.2002
  • Underwriting new applications
  • Applying scheme rules to new applications and underwriting process
  • Calculating member contributions and annual increase
  • Quality Control of staff performance and process flows
  • Calculating commissions
  • Prepared tapes for PERSAL on monthly contributions runs
  • Prepared monthly reports for STRAT Meeting on scheme growth
  • Managed ten staff members
  • Reason for Leaving: PROMOTED

CLAIMS CONSULTANT

PRIVATE HEALTH ADMINISTRATORS (PHAROS MEDICAL PLAN)
01.1999 - 12.1999
  • Capturing pharmacy claims
  • Check for duplicate claims
  • Investigating possible fraud claims
  • Capturing minimum of 700 Lines per day
  • Training of new consultants on system and reporting
  • Reason for Leaving: PROMOTED

Education

Grade 12 -

J.G. Strijdom High School
01.1998

Skills

Financial statements

Accomplishments

  • Prefect
  • 5 Years First Team Rugby

Certification

National Certificate Generic Management NQF Level 5, Service Seta, 2020

Timeline

FUND MANAGER/PROVIDER NETWORK SPECIALIST/SENIOR KEY ACCOUNTS MANAGER

UNIVERSAL HEALTHCARE ADMINISTRATORS
10.2013 - Current

CALL CENTRE AGENT

UNIVERSAL HEALTHCARE ADMINISTRATORS
06.2009 - 12.2009

MANAGER CUSTOMER SERVICES

UNIVERSAL HEALTHCARE ADMINISTRATORS/UNIVERSAL 360
06.2009 - 09.2013

SENIOR CLIENTS RELATIONS CONSULTANT

ETERNITY PRIVATE HEALTH
02.2005 - 10.2008

NEW BUSINESS SUPERVISOR

PRIVATE HEALTH ADMINISTRATORS (PHAROS MEDICAL PLAN)
03.2002 - 01.2005

MEMBERSHIP MANAGER

PRIVATE HEALTH ADMINISTRATORS (PHAROS MEDICAL PLAN)
01.2000 - 02.2002

CLAIMS CONSULTANT

PRIVATE HEALTH ADMINISTRATORS (PHAROS MEDICAL PLAN)
01.1999 - 12.1999

Grade 12 -

J.G. Strijdom High School
Petrus GeelFund Manager