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A prominent South African company is seeking a customer support specialist to handle queries related to claims and benefits. This position requires building relationships to ensure efficient resolutions, along with a strong focus on customer needs. Essential qualifications include Matric and MS Office knowledge, alongside a minimum of 24 months of face-to-face customer service experience. Additional advantageous skills encompass medical scheme industry knowledge and proficiency in an African language. The candidate should demonstrate strong problem-solving abilities and effective communication skills.
Provide support with all queries including but not limited to Claims investigations, benefit limits, new business, chronic medication and general queries such as explaining policy, protocol and benefit decisions. Identifying and proposing solutions to processes and service related failures. Building and establishing relationships at all levels to facilitate first time resolution of queries.
Focuses on customer needs through the resolution of queries. Scrutinizes numerical data, verbal data and all other sources of information so as to ensure a thorough investigation into queries presented and produces workable solutions to a range of problems. Presenting and communicating information effectively so as to ensure clear understanding and buy-in. Establishes good relationships with customers and staff (both internally and externally) to wide and effective networks. Gains clear agreement and commitment from others by persuading, convincing and negotiating. Resolve highly escalated queries swiftly and efficiently. Coordinating own and team’s administration. Ability to draft written responses of an excellent and consistently professional standard in English, occasionally subject to executive and legal scrutiny.
EMPLOYMENT EQUITY The Company’s approved Employment Equity Plan and Targets will be considered as part of the recruitment process. As an Equal Opportunities employer, we actively encourage and welcome people with various disabilities to apply.