About Us
  Our Mission, Vision and Values
  Client support department
  Broker support
  Management
  Empowerment
  Call centre
  Service
  Managed care
  Sechaba Well-Care
  Technology
  Shareholding structure
  History
 
Focused service ensures satisfaction
 
One of Sechaba’s strengths as an administrator is the way it puts both people and technology to optimum use in serving its clients’ members better. 90% of claims are received via EDI. Of all claims received, 88% are paid within five days.
 
We have set the following service levels as standards:  
Function Standard
Claim processing time: Five working days from receipt
Applications, registrations and changes on existing member records: Five working days from receipt
Termination of membership where necessary: Two working days from receipt
Payment runs:
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Weekly (electronic funds transfer)
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Monthly (cheque)
Member statements: Once a month
Doctor statements: Four times per month
Resolution of claim inquiries (telephone): Immediately, where possible, otherwise within 72 hours
Resolution of claim inquiries (written): Within five working days
 
Maintenance and updates of member records are done daily, ensuring accuracy in customer service assistance. A simple claiming system has been developed, and payments are weekly, if done via electronic funds transfer (EFT), or monthly, if done by cheque. Claims can be traced from time of capturing to payment stage. At any stage of the process the status of the claim can be accessed should there be a query.
 
Our primary objective is to maintain a high level of client satisfaction, timeously anticipate and establish client needs, and provide satisfactory feedback on queries in the shortest time possible.