Medical Aid and Insurance Policy Administrator

2 days ago

Cape Town, Western Cape, South Africa JenRecruitment Full time
Job Opportunity

A vacancy exists for Inbound Client Contact Centre and Correspondence Administrators in JenRecruitment's Client Contact Department based in Cape Town.

The contact centre is responsible for providing exceptional customer service to individual policyholders and brokers via telephone, ensuring a first call resolution experience. They also respond to claim-related queries and correspondence received.

Key Responsibilities:
  • To be logged onto the Client Services inbound telephone queue and web touchpoint.
  • Resolve a minimum of 30 telephone calls per day.
  • To respond to and resolve about 15 general/claim related correspondence queries per day within a 24 hour turnaround time.
  • Maintain and update your daily workflow queue for management reporting.
  • To strive to have zero lost calls per day.
  • To log all telephone calls received on the policy/claim records.
  • To verify and update if necessary all personal contact information for clients including the Medical Aid details.
  • To ensure relevant processes are adhered to and the policy option and commencement date is checked before providing information and advice and to ensure the applicable potential claim disclosure is communicated to the client when necessary.
  • To achieve a minimum QA (quality standard) of 90%.
  • Interacting with medical aids and medical practitioners regarding medical history and accounts if required, relevant to obtaining information required for assessing the claim.
  • Liaising with the Manager regarding the claim decision pertaining to a client query when necessary.
  • Dealing with client queries professionally, adequately and timeously.
  • Arranging for priority claim investigations and escalations.
  • To be proactive and apply the TCF principals in every aspect of your job functions.
  • Other basic policy administration related functions.
  • Answering the telephone within 2 rings and resolving the client/broker query/request in a professional and timeous manner.
  • To always try and retain clients when they call in to cancel their policy.
Requirements:
  • Good written and verbal communication skills.
  • Good negotiation skills and effective in dealing with customers and meeting their expectations.
  • Ability to apply administration principals and work with detail and with a high level of accuracy.
  • Intermediary MS Office, especially Excel, Word and Microsoft Outlook skills.
  • Individual life policy administration knowledge and experience.
  • Medical Aid understanding and servicing experience.
  • 2 years proven client service/call centre experience.
  • Good time management.
  • Proactive and creative in resolving queries.
  • Good use of initiative.
  • Ability to understand the bigger client or claim picture and the impact your interaction with the client can have on the business.
  • Planning and organising.
  • Works well in a team and independently.
  • Ability to cope with pressure and setbacks.
  • Ability to work independently.
Additional Information:
  • Applicants must have a thorough understanding of medical aid operations or insurance policy administration and operations.
  • Salary bracket: R15000 – R23000 per annum.

  • Claims Assessor

    3 weeks ago

    Cape Town, Western Cape, South Africa Status Staffing Full time

    Claims Assessor - Medical Aid SpecialistWe are seeking a highly skilled Claims Assessor to join our team at Status Staffing. As a Claims Assessor, you will be responsible for processing and validating GAP claim documents, verifying client personal information, and assessing the validity of claims in accordance with policy terms and conditions.Key...

  • Medical Aids Coordinator

    2 months ago

    Cape Town, Western Cape, South Africa Clicks Group Limited Full time

    Job SummaryWe are seeking a highly skilled and experienced Medical Aids Coordinator to join our team at Clicks Group Limited.The successful candidate will be responsible for managing and coordinating service provider agreements and arrangements, as well as tracking and resolving queries related to service provision.Key ResponsibilitiesManage and coordinate...

  • Medical Aid Sales Representative

    2 months ago

    Cape Town, Western Cape, South Africa ABC Worldwide Full time

    {"h1": "Medical Aid Sales Consultant Role at ABC Worldwide", "p": "At ABC Worldwide, we are dedicated to supporting our clients\u0027 financial needs by providing affordable and easy-to-use solutions. As a Medical Aid Sales Consultant, you will play a crucial role in helping us achieve this goal by identifying and acquiring new business opportunities.Your...

  • Medical Office Coordinator

    2 months ago

    Cape Town, Western Cape, South Africa Persona Staff Full time

    Job Title: Medical SecretaryWe are seeking a highly organized and detail-oriented Medical Secretary to join our team at Persona Staff. As a Medical Secretary, you will be responsible for providing exceptional administrative support to our healthcare team.Key Responsibilities:Day-to-Day Operations: Oversee the daily operations of the practice, ensuring a...

  • Insurance Policy Specialist

    4 weeks ago

    Cape Town, Western Cape, South Africa Hanel Full time

    Job Description for Insurance Advisor and UnderwriterKey Responsibilities:Deliver exceptional customer service to personal and commercial insurance clientsQuote, underwrite, and issue new and renewal policies for new and existing clientsBuild and maintain strong relationships with clients and internal stakeholdersRecord policy details and information on...

  • Insurance Support Specialist

    1 month ago

    Cape Town, Western Cape, South Africa INTELLISURE INSURANCE BROKERS Full time

    Job Title: Insurance Support AdministratorWe are seeking a highly skilled and experienced Insurance Support Administrator to join our team at Intellisure Insurance Brokers in Cape Town.Key Responsibilities:Provide administrative support to our insurance brokers, ensuring seamless day-to-day operations.Manage and maintain accurate records, including policy...

  • Medical Office Coordinator

    2 months ago

    Cape Town, Western Cape, South Africa Persona Staff Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Medical Secretary to join our team at Persona Staff. As a Medical Secretary, you will be responsible for providing administrative support to our medical practice, ensuring the smooth operation of our day-to-day activities.Key ResponsibilitiesFront Desk Operations: Greet and assist patients in a...

  • Medical Office Coordinator

    1 month ago

    Cape Town, Western Cape, South Africa Persona Staff Full time

    Job Title: Medical SecretaryWe are seeking a highly organized and detail-oriented Medical Secretary to join our team at Persona Staff.Key Responsibilities:Day-to-Day Operations: Oversee the daily activities of the practice, ensuring smooth and efficient operations.Patient Care: Greet and assist patients in a courteous and professional manner, whether in...

  • Insurance Brokerage Support Specialist

    1 month ago

    Cape Town, Western Cape, South Africa INTELLISURE INSURANCE BROKERS Full time

    Join Our Team: Insurance Brokerage Support SpecialistWe are seeking a motivated, detail-oriented, and organized full-time Insurance Brokerage Support Specialist to become a vital part of our esteemed insurance brokerage.Key Responsibilities:- Provide comprehensive support to insurance brokers in managing client accounts- Assist in the administration of both...

  • Insurance Broker Support Coordinator

    4 weeks ago

    Cape Town, Western Cape, South Africa INTELLISURE INSURANCE BROKERS Full time

    Job Opportunity: Broker Support AdministratorWe are seeking a highly skilled and organized Broker Support Administrator to join our team at Intellisure Insurance Brokers in Cape Town.Key Responsibilities:Provide exceptional support to our insurance brokers, ensuring seamless day-to-day operations.Manage and maintain accurate records, including client...

  • Insurance Policy Coordinator

    3 days ago

    Cape Town, Western Cape, South Africa iGrow Wealth Investments Full time

    About iGrow Wealth InvestmentsWe are a leading property investment company in South Africa, and we're looking for an experienced Insurance Administrator to join our team in Cape Town.

  • Service Operations Administrator

    4 days ago

    Cape Town, Western Cape, South Africa JenRecruitment Full time

    Job Title: Client Contact Centre Service AdministratorJob Description:The JenRecruitment Client Contact Centre Service Administrator role involves providing exceptional customer service and administrative support to our clients. The successful candidate will be responsible for handling inbound telephone calls and responding to claim-related queries and...

  • Administrative Insurance Coordinator

    6 days ago

    Cape Town, Western Cape, South Africa JenRecruitment Full time

    Job Title: Administrative Insurance CoordinatorJob Summary:We are seeking a detail-oriented and proactive Administrative Insurance Coordinator to support our short-term insurance division. This role is crucial for maintaining efficient administration and ensuring compliance with regulatory requirements.Key Responsibilities:Administrative Duties:1. Maintain...

  • Insurance Administration Specialist

    3 weeks ago

    Cape Town, Western Cape, South Africa JenRecruitment Full time

    We are seeking a highly skilled Insurance Administration Specialist to support our short-term insurance division. This role is crucial for ensuring efficient administration and underwriting performance.Key Responsibilities:Administrative Duties:Maintain and update client records in the insurance management system.Process policy renewals, endorsements, and...

  • Medical Researcher

    2 weeks ago

    Cape Town, Western Cape, South Africa Unistel Medical Laboratories Full time

    Job Title: Medical ScientistJob Summary:We are seeking a highly skilled Medical Scientist to join our team at Unistel Medical Laboratories. As a Medical Scientist, you will be responsible for performing a variety of molecular techniques, including profiling and diagnostic processing and analysis.Key Responsibilities:Comply with correct procedures, policies,...

  • Administrative Support Specialist

    3 days ago

    Cape Town, Western Cape, South Africa Origin Financial Group Full time

    Job Title: Health Administrative AssistantAbout the RoleThe Health Administrative Assistant will be responsible for ensuring the efficient and timely administration of medical aid and gap cover claims in accordance with company and medical scheme/insurer guidelines. This role will work closely with financial planners, medical schemes, and gap cover providers...

  • Insurance Broker Support Specialist

    1 week ago

    Cape Town, Western Cape, South Africa INTELLISURE INSURANCE BROKERS Full time

    **Insurance Broker Support Administrator Role**We are seeking a highly skilled and organized Insurance Broker Support Administrator to join our team at Intellisure Insurance Brokers.**Key Responsibilities:**Provide exceptional support to our insurance brokers, ensuring seamless day-to-day operations.Utilize extensive knowledge of commercial and personal...

  • Insurance Support Specialist

    2 months ago

    Cape Town, Western Cape, South Africa INTELLISURE INSURANCE BROKERS Full time

    Job Opportunity at Intellisure Insurance BrokersWe are seeking a highly skilled and experienced Broker Support Administrator to join our team in Newlands, Cape Town.Key Responsibilities:Provide exceptional support to our short-term insurance brokers in a fast-paced office environment.Utilize extensive knowledge in commercial, personal, and claims management...

  • Insurance Support Specialist

    3 weeks ago

    Cape Town, Western Cape, South Africa INTELLISURE INSURANCE BROKERS Full time

    Job OverviewWe are seeking a highly skilled and experienced Broker Support Administrator to join our team at Intellisure Insurance Brokers in Cape Town.Key Responsibilities:Providing exceptional support to our brokers in a fast-paced insurance environmentAssisting with client queries and resolving issues in a timely and professional mannerDeveloping and...

  • Client Service Administrator

    3 weeks ago

    Cape Town, Western Cape, South Africa JenRecruitment Full time

    Job Title: Client Service AdministratorA vacancy exists for an Inbound Client Contact Centre and Correspondence Administrator in our Client Contact Department based in our Cape Town office.Key Responsibilities:Resolve a minimum of 30 telephone calls per dayRespond to and resolve about 15 general/claim related correspondence queries per day within a 24 hour...