Role description:

Primarily an Administration function, the role will be responsible for the following:

•  Effective coordination of member service transactions o i.e. Activations, Amendments, Cancellations, Option changes, General Queries
• Ownership of product provider conservation and retention activities
• Dependent registration and maintenance
• Financial Controls i.e. Change of D/O’s, Billings, Recons/Refunds
• Age Analysis of D/O’s
• Liaison with Distribution channels i.e. Optivest Health Services
• Service delivery and liaison with clients (both telephonically and via email)
• Assistance with other functions within Administration area if and when required
• Group administration
• Claims administration

Generic key result areas:

• Functions as a subject matter expert in a specific field of administration / product / process
• Resolves technical and complex problems in support of administrative queries/issues
• Personal Effectiveness
• Accountable for client service delivery through own efforts
• Accountable for managing own time, tasks and output quality
• Makes increased contributions by broadening individual skills
• Accepts and lives the company values
• Effective team player with high level of interpersonal skills
• Quality Assurance
• Performs quality checks on own work
• Adheres to service and quality standards
• Claim Processing and operational effectiveness

Requirements for the role:

• Knowledge and experience of the above mentioned functions
• Minimum 3 years’ experience in Medical Scheme/Health insurance industry
• Very strong Client service focus
• Attention to detail
• Strong analytical skills
• Relationship management skills
• Operational efficiency

Desired Work Experience:

• 3 to 5 years

Desired Educational Level:

• Grade 12 / Matric