Inhouse Associate Healthcare Consultant

Sanlam; Gauteng; On-site; ZAR 200 000 - 300 000; Full time

Job summary

A leading financial services provider is looking for a Client Services Representative in Gauteng. This role involves managing client inquiries and ensuring efficient communication about health insurance and benefits. The ideal candidate should have a background in healthcare environments, hold relevant qualifications, and be proficient in both English and Afrikaans. Join us in creating a client-centric experience and contributing to financial resilience.

Qualifications

• 2 - 3 years' experience in a similar healthcare environment.
• Full accreditation with the Council for Medical Schemes is advantageous.
• Financial services industry experience would be advantageous.

Responsibilities

• Provide excellent client service to a portfolio of clients.
• Manage human capital queries and claims.
• Assist clients with application processes and queries.
• Keep ongoing records on internal CRM systems.

Skills

Client relationship management

Communication skills

Proficient in Microsoft Office

Knowledge of industry regulations

Ability to handle customer complaints

Proficiency in English and Afrikaans

Education

Matric

Industry related Degree or Diploma (NQF level 5)

Regulatory Examination RE5

Tools

Brokertools

Job description

Who are we?

Sanlam Corporate forms part of the Sanlam Group which offers retail and corporate life insurance, health and investment products in South Africa.

Our vision is to be the preferred partner to Corporate and Public Sector by providing an awesome client experience and comprehensive solutions that enable the financial resilience and prosperity of those entities and their employees.

We tap into over years of expertise to provide cost‑effective Employee Benefits and Healthcare Solutions that enable financial confidence for our members.

We enable our clients to make better retirement and risk decisions today through determined and passionate thought leadership and best‑in‑class people, innovative products and proven processes all designed to help people live a better life tomorrow.

We believe in creating and cultivating a positive, energised working environment that gives every individual the opportunity to achieve success by embracing diversity and growing our talent.

What will you do?

You will be responsible for providing excellent client services to a portfolio of clients of SIMEKA HEALTH by efficiently managing human capital queries, provide advice when required, claims and queries and all other medical scheme, gap cover, primary health insurance, loyalty related queries.

This role will be based in Sandton, Johannesburg.

Key Responsibilities

• Provide an effective and efficient administrative channel between clients and service providers
• Must demonstrate a good understanding of all medical scheme options and benefits, primary care insurance, gap cover and loyalty programs
• Must provide multiple query resolutions, ability to communicate in both written and a verbal professional manner
• Manage escalated admin and other requirements from service providers for clients
• Assists the Centralised Service Centre with in‑bound and out‑bound client calls
• Provide timeous feedback and resolution

Keep ongoing records on internal CRM systems

Assist clients with the application process, requirements and queries telephonically and / or via e‑mail up to resolution. Frequent follow up with clients

Assisting with new and existing quotes and advice where required

Qualification and Experience

Matric

Industry related Degree or Diploma (NQF level 5) is required

Regulatory Examination RE5 is required

2 - 3 years' experience in a similar healthcare environment is required

Full accreditation with the Council for Medical Schemes is advantageous

Financial services industry experience would be advantageous

Knowledge and Skills

Knowledge of industry regulations e.g., POPI and TCF

Experience in managing customer relationships

Experience in handling customer complaints

Strong knowledge of medical scheme product and processes

Strong knowledge of Internal and external processes including service level commitments

Knowledge of relevant escalation channels

Knowledge in managing and co‑ordinating escalations from HR and other stakeholders

Experience in managing customer relationships

Proficiency in Microsoft Office (Word, Excel, Outlook)

Brokertools experience advantageous

Proficient in both English and Afrikaans (verbal and written)

Core Competencies

Cultivates Innovation by creating new and better ways for the organisation to be successful

Client Focus - Building strong customer relationships and delivering customer‑centric solutions

Drives Results - Consistently achieving results, even under tough circumstances

Collaborates - Building partnerships and working collaboratively with others to meet shared objectives

Resilience - Rebounding from setbacks and adversity when facing difficult situations.

Behavioural Competencies

Communicates effectively - Contributing independently

Decision quality - Contributing independently

Action orientated - Contributing independentl

Optimises work processes - Contributing independently

Build a successful career with us

We're all about building strong, lasting relationships with our employees.

We know that you have hopes for your future – your career, your personal development and of achieving great things.

We pride ourselves in helping our employees to realise their worth.

Through its five business clusters – Sanlam Fintech, Sanlam Life and Savings, Sanlam Investment Group, Sanlam Allianz, Santam, as well as MiWay and the Group Office – the group provides many opportunities for growth and development.

Turnaround time

The shortlisting process will only start once the application due date has been reached.

The time taken to complete this process will depend on how far you progress and the availability of managers.

Our commitment to transformation

The Sanlam Group is committed to achieving transformation and embraces diversity.

This commitment is what drives us to achieve a diverse, inclusive and equitable workplace as we believe that these are key components to ensuring a thriving and sustainable business in South Africa.

The Group's Employment Equity plan and targets will be considered as part of the selection process.