Medical Scheme Operations Specialist

5 days ago


Pretoria, Gauteng, South Africa HR insync Full time
Job Overview

The Medical Scheme Operations Specialist role at HR Insync involves overseeing quality control on all administrative updates to ensure optimal functioning.

This includes staying in touch with operational requirements, managing a financial profile, and providing assistance on an ad-hoc basis as needed.

Duties & Responsibilities
  • Review and maintain quality and turnaround times.
  • Monitor weekly statistics for allocated consultants.
  • Correspond with stakeholders using a personalized approach.
  • Report and actively participate in projects.
  • Process information, communicate with stakeholders, investigate and correct member profiles.
  • Test membership changes by due date and assist with data clean-up.
  • Enhance processes and identify areas for improvement.
Desired Experience & Qualifications
  • Minimum 4-5 years of experience in the medical scheme industry.
  • Membership administration experience of 4-5 years.
  • Minimum 3-4 years of underwriting experience.
  • Grade 12.
  • Diploma in Business Management or related field.

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