Provider Benefits & Eligibility Specialist

EXL; Cape Town; On-site; ZAR 180,000 - 280,000; Full time

Job summary

EXL in Cape Town is seeking a detail-oriented provider relations assistant to support benefit plans, claims, and related topics. You will answer provider questions and communicate information clearly to resolve issues efficiently.

You will also perform eligibility and benefit verification, ensuring accurate and timely responses while maintaining compliance and high service standards in a fast-paced environment.

Responsibilities

• Answers questions to providers related to Benefit Plans, Claims and related topics
• To communicate effectively for additional information as needed by providers
• Perform eligibility and benefit verification
• Create effective, grammatically correct and compliant written communications and demonstrate effective listening and soft skills, engaging in effective dialogue through proper, clear, and effective verbal communication

Job description

EXL in Cape Town is seeking a detail-oriented provider relations assistant to support benefit plans, claims, and related topics. You will answer provider questions and communicate information clearly to resolve issues efficiently.

You will also perform eligibility and benefit verification, ensuring accurate and timely responses while maintaining compliance and high service standards in a fast-paced environment.