Medical Aid Quality Controller

6 days ago


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

At HR insync, we are seeking an experienced Medical Aid Quality Controller to join our team.

The successful candidate will be responsible for ensuring the quality and accuracy of admin updates, while staying up-to-date with operational requirements.

Duties & Responsibilities

Key responsibilities include:

  • Reviewing and maintaining quality and turnaround times.
  • Monitoring outstanding information and providing feedback.
  • Tracking weekly stats for allocated consultants.
  • Corresponding with stakeholders in a personalized and responsive manner.
  • Reporting and participating in projects.
  • Processing information, communicating with stakeholders, investigating and correcting member profiles.
  • Testing membership changes and assisting with data clean-up.
  • Enhancing processes and identifying areas for improvement.
Required Experience & Qualifications

We are looking for candidates with:

  • A minimum of 4-5 years of experience in the Medical Scheme Industry.
  • Membership administration experience of 4-5 years.
  • Minimum 3-4 years of underwriting experience.
  • A Grade 12 qualification.
  • A Diploma in Business Management or a related field.


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