Medical Aid Administrator – Healthcare / Vitality

Optimum Insure Consulting; Pretoria; On-site; ZAR 200 000 - 300 000; Full time

Job summary

A healthcare consulting firm is seeking a Medical Aid Administrator in Pretoria. The role involves managing medical aid policy applications, liaising with medical aid companies, and ensuring documentation accuracy. Ideal candidates will have at least 1–2 years of experience in medical administration and be fluent in English and Afrikaans. This is a full-time, on-site position offering an opportunity to support healthcare operations.

Qualifications

• 1–2 years’ experience in medical administration or healthcare support.
• Ability to work independently and collaboratively.
• Strong problem-solving skills.

Responsibilities

• Manage and process new medical aid policy applications.
• Liaise with medical aid companies regarding policy changes.
• Ensure accuracy of healthcare-related documentation.
• Provide professional customer service to clients.

Skills

Fluent in English and Afrikaans

Strong organizational skills

Excellent communication skills

Proficiency in Microsoft Office Suite

Attention to detail

Education

Grade 12 (Matric)

Job description

Job Title

Medical Aid Administrator – Healthcare / Vitality

Location: Pretoria, Gauteng, and Tygervalley, Cape Town

Job Purpose: The Medical Aid Administrator will be responsible for handling all administrative tasks and functions related to the healthcare department.

This role requires accuracy, efficiency, and strong client service skills, as it involves dealing with policy administration, claims handling, and direct interaction with both clients and medical aid companies.

Job Context: The Medical Administration Specialist plays a key role in supporting the healthcare division by managing and processing new policy applications, broker appointments, amendments, and cancellations.

This position involves ensuring that all health policy documentation is complete, accurate, and regularly updated. The role also requires liaising with medical aid providers to facilitate policy changes, renewals, and underwriting requirements, while ensuring compliance with industry regulations and company procedures.

In addition to processing and managing medical aid claims, the specialist will serve as a point of contact for clients, addressing queries and providing guidance on healthcare-related policies. Maintaining accurate records of policies, client correspondence, and medical aid interactions is a critical part of this role.

The specialist will also support management with reporting, performance reviews, and the smooth running of healthcare administration functions.

Key Requirements

• Grade 12 (Matric)
• 1–2 years’ experience in medical administration or healthcare support or Vitality (preferred)
• Fluent in English and Afrikaans (fully bilingual)
• Proficiency in Microsoft Office Suite (Word, Excel, Outlook)
• Strong organizational skills with high attention to detail
• Excellent communication and interpersonal skills
• Ability to work independently and collaboratively within a team
• Ability to maintain confidentiality and handle sensitive information professionally
• Reliable, accountable, and deadline‑driven
• Ability to perform well under pressure in a fast‑paced environment

Additional Skills

• Energetic, professional, and approachable demeanor
• Diligent and self‑motivated
• Strong problem‑solving skills with the ability to resolve queries effectively
• Adaptable and able to navigate challenging or stressful situations with composure
• Willingness to learn and continuously develop within the role

Key Responsibilities

• Manage and process new medical aid policy applications, broker appointments, amendments, and cancellations.
• Liaise with medical aid companies regarding policy changes, renewals, underwriting requirements, and client queries.
• Ensure accuracy and completeness of all healthcare‑related documentation and update records promptly.
• Communicate outstanding requirements to clients, advisers, or medical aid providers.
• Provide professional and efficient customer service by handling client queries, offering policy information, and resolving issues.
• Process and manage all types of medical aid claims within required timelines.
• Maintain accurate, up‑to‑date records of policies, client files, and correspondence.
• Collaborate with the medical aid team to provide effective administrative support to advisers and management.
• Prepare and submit reports on medical aid operations, claims status, and client appointment files.
• Ensure compliance with medical aid regulations, company procedures, and confidentiality standards.
• Manage personal professional development and remain updated on medical aid procedures, benefits, and regulations.
• Attend monthly performance meetings with the Chief Operations Officer and Executive Head: Vitality.
• Contribute to process improvement by identifying administrative gaps and recommending solutions.

Job Type : Full‑time

Work Location : In person