Membership New Business and Underwriting Quality

2 weeks ago


Pretoria, South Africa HRInsync Full time

**Membership New Business and Underwriting Quality Controller**

**Company**

One of the largest private Medical Aid companies in SA. They have been established for 20 years and are striving to be #1 in SA.

**Purpose**

To perform quality control on all admin updates, to stay in touch with operational requirements the quality controller is also responsible to manage a financial profile. Assistance on an ad-hoc basis may be required to ensure optimal functioning.

**Responsibilities**
- Review, maintenance and monitoring quality and turnaround.
- Outstanding information review and feedback
- Monitoring weekly stats per allocated Consultant.
- Correspondence to all stakeholders with a personally yours approach, measuring feedback as per weekly outstanding report and response to stakeholder internal/external
- Reporting and active involvement in projects
- Process information, communicate with stakeholders, investigate and correct member profiles.
- Test membership changes by due date. Assist with data clean-up.
- Enhance processes and raise red flags.
- Admin Errors versus output, financial errors and impact assessment. POPIA breach risk control.
- Admin turnaround, SLA as reported weekly, average will be measured.
- Outstanding information execution
- Monitoring weekly stats per allocated Consultant.
- Correspondence to all stakeholders with a personally yours approach, measuring feedback as per weekly outstanding report and response to stakeholder internal/external

**Requirements**:

- Minimum 4-5 years previous Medical Scheme Industry experience
- Membership administration experience 4-5 years
- Minimum 3-4 years underwriting experience
- Grade 12
- Diploma in Business Management of related

**Job Types**: Full-time, Permanent

**Education**:

- Diploma (required)

**Experience**:

- Medical Scheme Industry: 4 years (required)
- Membership administration: 4 years (required)
- underwriting: 3 years (required)


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