Junior Operations Administrator

Kaelo; Sandton; On-site; ZAR 180,000 - 240,000; Full time

Job summary

Kaelo in South Africa seeks an organised operational administrator to support billing, claims, policy servicing and reporting, ensuring accurate processing and client-focused service.

You will handle end-to-end servicing for individual and corporate clients, maintain records, generate daily to monthly reports and contribute to system improvements.

Qualifications

• 1–2 years’ administration or client service experience; insurance or financial services exposure is advantageous.
• Grade 12; relevant administration, business or insurance qualification is advantageous.
• Computer literacy including Outlook, Word and Excel; confidence using administration systems.

Responsibilities

• Billing administration: Process billing accurately within agreed timelines; validate billing information and resolve discrepancies.
• Billing reconciliation: Perform reconciliations, investigate discrepancies, follow up on items or client queries.
• Claims administration: Receive, capture, validate and track claims; obtain outstanding documentation and communicate progress to finalisation.
• Client changes: Action amendments and instructions from clients, including member, policy and billing updates, with checks and approvals.
• Client servicing: End-to-end servicing for individual and company clients through professional written and telephonic communication.
• Operational reporting: Compile daily, weekly and monthly reports; monitor volumes and service levels.
• System enhancements: Assist with requirements gathering, testing, issue logging, feedback and implementation of improvements.

Skills

Accountability

Action oriented

Communication

Business writing

Manage complexity

Decision thinking

Resilient

Resourceful

Self-awareness

Values oriented

Education

Grade 12; admin/insurance qualification advantageous

Tools

Microsoft Outlook

Microsoft Word

Microsoft Excel

Job description

About Kaelo
Kaelo provides essential healthcare solutions ensuring the physical and psychosocial wellbeing of all South Africans towards lasting social change. Kaelo meets the Healthcare needs of Corporate and Retail clients across South Africa – products offerings include Medical Insurance, Medical Aid, Gap Insurance, Kaelo Money and employee assistance programmes.

Job Description

Role Purpose

To provide accurate, efficient and client-focused operational administration across billing, claims, policy servicing and reporting. The role supports both individual and company clients while contributing to smooth day-to-day operations and continuous system improvement.

Key Responsibilities

• Billing administration: Process billing accurately and within agreed timelines; validate billing information and resolve discrepancies.
• Billing reconciliation: Perform billing reconciliations, investigate and resolve discrepancies, and follow up on outstanding items or client queries.
• Claims administration: Receive, capture, validate and track claims; obtain outstanding documentation and communicate progress through to finalisation.
• Client changes: Action all amendments and instructions received from clients, including member, policy, contact and billing updates, subject to required checks and approvals.
• Client servicing: Provide end-to-end servicing for individual and company clients through professional written and telephonic communication.
• Operational reporting: Compile accurate daily, weekly and monthly reports; monitor volumes, turnaround times, outstanding work and service-level performance.
• System enhancements: Assist with requirements gathering, testing, issue logging, feedback and implementation of operational system improvements.

Administration and controls: Maintain accurate records, follow standard operating procedures, protect confidential information and escape risks or delays promptly

Qualifications

• Grade 12; a relevant administration, business or insurance qualification is advantageous.
• 1–2 years’ administration or client service experience; insurance or financial services exposure is advantageous.
• Computer literacy, including Microsoft Outlook, Word and Excel, with confidence using administration systems.

Additional Information

Core Competencies

Strong attention to detail; accuracy; organisation and prioritisation; customer focus; clear communication; problem-solving; teamwork; accountability; adaptability; and the ability to work under pressure and meet deadlines.

Personal Attributes

• Accountability
• Action orientated
• Communication
• Business writing skills
• Manage complexity
• Decision thinking
• Resilient and adaptive
• Resourceful
• Demonstrates self-awareness
• Significance and values orientated

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