VACANCY: INSUREMED ADMINISTRATORS
MEMBER SERVICE CONSULTANT
Due to growth in the Insuremed Administrators business unit, the need exists to expand the team with a Member Service Consultant.
This role will form part of the Administration team, and report to Operations.
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
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We ensure efficient new business processing, a clear-cut claims administration process and uncomplicated underwriting. Insuremed delivers customised Gap Cover solutions of the highest quality.