Client Services Consultant

Pivot Services; Centurion; On-site; ZAR 180,000 - 240,000; Full time

Job summary

Pivot Services in Centurion is seeking a Client Services Consultant with strong medical scheme knowledge to act as an ambassador for PPSHA and ensure high customer satisfaction through accurate enquiry handling.

The role requires a Grade 12, a 3-year tertiary qualification, and at least 2 years’ experience in a Medical Call Centre, plus knowledge of industry rules. Afrikaans fluency is advantageous for servicing members.

Qualifications

• Grade 12 and a 3-year tertiary qualification in related field.
• At least 2 years of experience in a Medical Call Centre environment.
• Sound knowledge of Medical Aid Industry, Scheme Rules & Regulations, ISO and related legislation; strong communication & writing skills.

Responsibilities

• Effective and accurate recording and resolution of all enquiries; maintain adherence to service levels; manage priority and stale claim requests; monitor members' accounts for correct payments.

Skills

Medical Call Centre Experience

Afrikaans (advantageous)

Education

Grade 12

3-year tertiary Qualification

Job description

About the Role

An exciting opportunity for a consultant exists in our Client Services Department. The successful candidate must have excellent Scheme knowledge and will act as an Ambassador for PPSHA to ensure effective customer satisfaction.

Key Responsibilities

• Effective and accurate recording and resolution of all enquiries. - Maintain and ensure adherence to Service Levels Agreements. - Facilitating corrections and providing feedback on resolution. - Management of all priority and stale claim requests on behalf of members. - Effective monitoring of Member's accounts to ensure correct payments in accordance with Nappi, Reason and Agreed Tariff Codes.

Qualifications and Experience

• Qualifications & Experience - Grade 12 - 3-year Tertiary Qualification in any related field. - 2 years or more experience in a Medical Call Centre environment. - Sound knowledge of the Medical Aid Industry, Scheme Rules & Regulations, ISO and other related legislation. - Effective business communication & writing skills with exceptional telephone etiquette (Fluency in Afrikaans is advantageous).


• years or more experience in a Medical Call Centre environment.