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Clinical Service Specialist

1 week ago

Durban, KwaZulu-Natal, South Africa Discovery Limited Full time
Job Description

We are seeking a skilled Clinical Service Specialist to join our team at Discovery Limited. As a vital member of our healthcare services department, you will play a key role in providing exceptional support to our members and stakeholders.

About the Role
  • To deliver world-class service to all Discovery Health Members, Providers, Employer groups, Hospitals, and Brokers by supporting and fully resolving their queries through various servicing channels.
  • To effectively manage the risk of in-hospital admissions by using your clinical knowledge and integrating this with your understanding of the benefits of the scheme and ensuring accurate information regarding funding.
Key Responsibilities
  • Confirming benefits according to set protocols and funding rules.
  • Accurately obtaining and capturing information to confirm correct funding.
  • Servicing all key stakeholders telephonically and via other servicing channels until the query has been resolved.
  • Servicing key stakeholders in a customer-centric way to ensure that we live by our service principles.
  • Keeping up to date with product changes and benefits to ensure that all key stakeholders are accurately serviced.
  • Continuously staying abreast of all digital servicing tools within the business and ensuring that the functionality is fully understood.
  • Achieving and exceeding key performance metrics relating to service delivery.