Service Consultant - Health Professionals | Fixed Term Contract

Discovery Limited; Gauteng; On-site; ZAR 200 000 - 300 000; Full time

Job summary

A leading healthcare service provider in Gauteng is seeking a Service Consultant - Health Professionals to take inbound calls regarding claims queries. The ideal candidate will have experience in customer services and claims, focusing on delivering exceptional service and first-time resolution. A Matric qualification and knowledge of MS Office are essential. This role supports a dynamic working environment within a reputable organization.

Qualifications

• Minimum 6 months experience as a Contact Centre Consultant in Customer Services.
• Minimum of 6 months Claims Specialist experience.

Responsibilities

• Take inbound calls from Health Professionals regarding claims queries.
• Provide first time resolution and excellent service.
• Assist with escalated queries from providers.

Skills

Delivering results and meeting customer expectations

Presenting and communicating information

Adapting and responding to change

Analyzing

Education

Matric - Maths/Accounting and English with 50%

Tools

MS Office

Job description

Overview

Service Consultant - Health Professionals | Fixed Term Contract

About Discovery

Discovery’s core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in exceptional individuals who understand and support our core purpose, and whose own values align with those of Discovery. Our fast-paced and dynamic environment enables smart, self-driven people to be their best. As global thought leaders, Discovery is passionate about innovating in order to not only achieve financial success, but to ignite positive and meaningful change within our society.

Key Purpose

To take inbound calls from Health Professionals, regarding claims queries and provide first time resolution. Provide excellent service and quality through Discovery Service Standards.

Responsibilities

• Operate mainly in the office (may be required to visit a provider offsite)
• Taking calls and dealing with Discovery Health, Key Care as well as In House related queries from Health Professionals
• Dealing with all queries through to resolution Admin functions (i.e. TWT, CRM assistance as well as ad hoc admin for members)
• Working on Discovery Systems as well as DIScribe Positioning policy and benefit changes
• Assisting with escalated queries from providers and liaising with internal departments for resolution of those cases
• Maintaining acceptable performance in the following areas: TMBR, DPMO, AHT

Personal Attributes And Skills

• Delivering results and meeting customer expectations
• Presenting and communicating information
• Delivering results and meeting customer expectations
• Deciding and initiating action
• Following instructions
• Adapting and responding to change
• Persuading and influencing
• Analyzing
• Adhering to principles and values

Education And Experience

• Matric - Maths/Accounting and English with 50%
• Basic MS Office Knowledge
• Minimum 6 months experience as a Contact Centre Consultant in Customer Services
• Minimum of 6 months Claims Specialist experience

EMPLOYMENT EQUITY

The Company’s approved Employment Equity Plan and Targets will be considered as part of the recruitment process. As an Equal Opportunities employer, we actively encourage and welcome people with various disabilities to apply.