Inhouse Healthcare Service Consultant

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

Job summary

A leading financial services group in Bellville is seeking a Junior Client Services Representative to manage clients' healthcare queries and provide exceptional service. The ideal candidate will have experience in a healthcare environment, proficiency in Microsoft Office, and be fluent in both English and Afrikaans. This role presents an excellent opportunity for personal and professional growth in a supportive environment.

Benefits

Opportunities for growth and development

Positive working environment

Diversity and inclusion initiatives

Qualifications

• 2-3 years’ experience in a healthcare environment.
• Exposure to intermediary services is required.
• Proficient in English & Afrikaans – both verbal and written.

Responsibilities

• Manage claims and queries for clients regarding various health insurance products.
• Demonstrate understanding of medical scheme options and benefits.
• Provide administrative support and effective communication with clients.

Skills

Problem-solving

Client relationship management

Verbal communication

Written communication

Education

Matric

Industry related qualification (NQF level 5)

Regulatory Examination RE5

Tools

CRM software

Microsoft Office

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 100 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?

In this servicing role you will be responsible for providing excellent client services to a portfolio of clients of SIMEKA HEALTH. You will be required to efficiently manage all claims and queries which may relate to medical schemes, gap cover, primary health insurance and loyalty related clients. This junior role will be based in Bellville, Cape Town.

Key Responsibilities

• Provide an effective and efficient administrative channel between clients and service providers
• Demonstrate a good understanding of all medical scheme options and benefits, primary care insurance, gap cover and loyalty programs
• Must be able to provide multiple query resolutions
• Follow up with clients on open and outstanding requirements until query is resolved
• Manage escalated administration and any other requirements from service providers for clients
• Assist with in-bound and out-bound client calls
• Assists with email mailboxes
• Be able to log queries on the CRM system as and when required
• Provide timeous feedback and resolution on queries
• Keep ongoing records on internal CRM systems
• Assist clients with the application process and queries both telephonically and/or via e-mail
• Demonstrates the ability to communicate effectively in both verbal and written formats within a business environment

Qualifications and Experience

• Matric
• Industry related qualification (NQF level 5) is required (e.g. financial services/business admin/wealth management)
• Regulatory Examination RE5 is required
• 2 - 3 years’ experience in a healthcare environment
• Exposure to intermediary services is required
• 2-3 years’ working experience on a CRM system
• Proficiency in Microsoft Office (Word, Excel, Outlook)
• Full accreditation with the Council for Medical Schemes is advantageous
• Broker tools experience advantageous
• Proficient in English & Afrikaans – both verbal and written

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

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 and meets deadlines, 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 independently
• 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.