Member Service Representatives

5 days ago


Pretoria, Gauteng, South Africa Choctawhatchee Electric Cooperative Full time

A well-established company is recruiting for a MEDICAL CUSTOMER CARE CONSULTANT in BRYANSTON.

PURPOSE OF THE JOB
Responsible for resolution of queries in accordance with the scheme rules and legislation.

Professional Customer Care work at an advanced level involving answering phone calls and resolving queries, complaints, and providing information and educating the members.

Responsibilities & Duties

  1. Telephonic liaison and written response to members and suppliers.
  2. Search files and records for information related to complaints/queries and determine solutions to the problems according to the company's policy and procedures (telephonically or in written format).
  3. Liaison with members, providers, internal departments, and Healthcare partners.
  4. Complete all related administration work.
  5. Provide feedback to members and Healthcare suppliers on the enquiry/complaint.
  6. Work out quotes on dental, optometry, etc.
  7. Utilise and record information using the elected systems.
  8. Check accounts for amendments and resubmissions.
  9. Validate and confirm benefits and medical scheme membership.
  10. Identify highly complex calls and queries to escalate to Team Leaders.
  11. Maintain interdepartmental processes and protocols.

Qualification & Experience

  • NQF Level 5 qualification.
  • Matric.
  • 3 to 5 years' customer care experience within the Medical Aid Industry.

Please send your CV and supporting documents to (Email Address Removed). If you have not received any feedback within 2 weeks, please assume that your application was not successful.

Desired Skills
customer care, medical

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