Client Services Consultant

Job Advert Summary

An exciting opportunity for a consultant exists in our Client Services Department.

The successful candidate must have excellent Scheme knowledge and will act as an Ambassador for PPSHA to ensure effective customer satisfaction.

Applications are invited for the above-mentioned position, to be filled as soon as possible.

Minimum Requirements

Qualifications & Experience

• Grade 12
• 3-year Tertiary Qualification in any related field.
• 2 years or more experience in a Medical Call Centre environment.
• Sound knowledge of the Medical Aid Industry, Scheme Rules & Regulations, ISO and other related legislation.
• Effective business communication & writing skills with exceptional telephone etiquette (Fluency in Afrikaans is advantageous).
• Must be a strong team player and be able to work under pressure.
• Computer literacy and exposure to Medical Administration system will be an added advantage.

Duties and Responsibilities

• Effective and accurate recording and resolution of all enquiries.
• Maintain and ensure adherence to Service Levels Agreements.
• Facilitating corrections and providing feedback on resolution.
• Management of all priority and stale claim requests on behalf of members.
• Effective monitoring of Member’s accounts to ensure correct payments in accordance with Nappi, Reason and Agreed Tariff Codes.