x2 Inhouse Healthcare Consultant : Cape Town and Centurion

at  Sanlam

ABOUT SANLAM CORPORATE:

Our vision is to be the preferred partner to Corporate and Public Sector by providing an awesome client experience and comprehensive solutions that enable the financial resilience and prosperity of those entities and their employees. We tap into over 100 years of expertise to provide cost-effective Employee Benefits and Healthcare Solutions that enable financial confidence for our members. We enable our clients to make better retirement and risk decisions today through determined and passionate thought leadership and best-in-class people, innovative products and proven processes all designed to help people live a better life tomorrow.
We believe in creating and cultivating a positive, energized working environment that gives every individual the opportunity to achieve success, embracing diversity and committed to transformation. We do this through living our values of having the courage to be bold, care, collaboration and an intolerance for mediocrity. We’re all about building strong, lasting relationships with our employees. We know that you have hopes for your future – your career, your personal development and of achieving great things. We pride ourselves in helping our employees to realise their worth.

QUALIFICATION AND EXPERIENCE:

• Regulatory Examination RE5 is required.
• Regulatory Examination RE1 will be advantageous.
• Full Accreditation with the Council for Medical Schemes is required.
• Successful incumbent should no longer be under supervision
• Industry related Degree or Diploma (NQF level 5) is required.
• 2 - 3 years’ experience in a similar healthcare environment is required

KNOWLEDGE AND SKILLS

• Knowledge of industry regulations e.g., POPI and TCF
• Experience in managing customer relationships.
• Experience in handling customer complaints.
• Strong knowledge of medical scheme product and processes.
• Strong knowledge of Internal and external processes including service level commitments.
• Knowledge of relevant escalation channels.
• Knowledge in managing and co-ordinating escalations from HR and other stakeholders.
• Proficiency in Microsoft Office (Word, Excel, Outlook)
• Brokertools experience advantageous.
• Proficient in both English and Afrikaans (verbal and written).

THE OVERALL PURPOSE OF THE ROLE:

The incumbent is responsible for providing excellent client services to a portfolio of clients by efficiently managing human capital queries, advice when required, claims and queries and all other medical scheme, gap cover, primary health insurance, loyalty related queries.

KEY RESPONSIBILITIES:

• Assisting clients with new and existing quotes and advice or comparisons where required
• Provide an effective and efficient administrative channel between clients and service providers.
• Must demonstrate a good understanding of all medical scheme options and benefits, primary care insurance, gap cover and loyalty programs.
• Must provide, multiple query resolutions, ability to communicate in both written and a verbal professional manner.
• Manage escalated admin and other requirements from service providers for clients.
• Assists the Centralised Service Centre with in-bound and out-bound client calls.
• Provide timeous feedback and resolution.
• Assisting with communication via the CRM system to clients
• Keep ongoing records on internal CRM systems.
• Assist clients with the application process, requirements and queries telephonically and/or via e-mail up to resolution.
• Frequent follow up with clients.