Medical Insurance Application Specialist

2 days ago

Cape Town, Western Cape, South Africa EXL Full time

The Medical Insurance Application Specialist plays a crucial role as the first point of contact for patients or new members seeking medical insurance coverage. This position involves guiding applicants through the enrollment process, verifying eligibility, and ensuring that all required documentation is completed accurately and on time.

Key Responsibilities include:

  • Assisting patients and new members with completing medical insurance applications, renewals, and updates.

  • Verifying personal information to determine eligibility for coverage.

  • Explaining insurance plan options, benefits, and requirements in clear, easy-to-understand terms.

In alignment with the Employment Equity Act, preference will be given to applicants from historically underrepresented groups/ aligned with our EE targets

  • Tracking and following up on application status to ensure timely approval and enrollment.

  • Providing exceptional customer service by responding promptly to questions and concerns.

  • Collaborating with internal teams to resolve application or eligibility issues.

Qualifications for this role include:

  • Prior experience in insurance enrollment, healthcare administration, or patient services preferred.

  • Strong communication, problem-solving, and organizational skills.

  • A compassionate and patient-focused approach with attention to detail.

If interested, please share an updated CV to

In alignment with the Employment Equity Act, preference will be given to applicants from historically underrepresented groups/ aligned with our EE targets

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