Customer Service Consultant

3 days ago


Sandton, South Africa Weiss Associates Full time
About the Role

This role requires an individual who is passionate about delivering exceptional customer service and has a strong understanding of medical aid terminology, benefits structures, and claims procedures. As a Medical Aid Customer Service Consultant, you will be responsible for handling inbound calls from medical aid members, answering queries about their benefits, resolving issues related to claims, and providing information on policy changes.

The successful candidate will have:

  • Excellent communication skills: Clearly explaining complex information in a concise and understandable way to members.
  • Customer service focus: Prioritizing member satisfaction and building positive relationships.
  • Problem-solving abilities: Identifying the root cause of issues and finding effective solutions to resolve member concerns.
  • Attention to detail: Ensuring accuracy when processing member information and claims.

Key Responsibilities

You will be expected to:

  • Provide accurate and timely responses to member inquiries regarding their plan benefits, claim status, and provider network access.
  • Assist members with claim submissions, verify eligibility, and address any issues related to claim denials.
  • Communicate effectively with healthcare providers regarding member eligibility and claim details.
  • Stay informed about new medical aid policies, product changes, and legislative updates to accurately advise members.

Benefits

We offer a competitive salary and a range of benefits, including medical aid, pension fund, and statutory benefits. Our company values its employees and provides opportunities for growth and development.



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