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
Administration Management
Provider Relationship Management
Data management
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