Job Description

Job Summary Experience required The candidate must have previous track record of providing independent medical scheme consulting services and healthcare solutions to client management and members. He/she must be able to guide, protect and educate clients on best practice and solution for their healthcare needs Essential functions New and existing member consultations. Induction sessions. Employer communication. Co-ordinate and implementation of wellness events Report writing on product benchmarking, year-end feedback, policy review implementation of service plan. Report data, confirm reporting data requirement with the Analyst and obtain data from schemes to send to the Analyst. Implementation of special projects (Year-end revision/spouses audit or other). Regular meetings with main stakeholders and staff. Year-end revision planning which includes the following but not limited to, preparation of year-end newsletters, Executive training sessions, training schedules, presentations, and advice etc. Provide independent advice. Adhere to compliance requirements (saving of communication, reports, advice records etc.) Provider meetings and negotiations. Ensure accurate and professional feedback to the different stakeholders. Keep updated and informed of Companys Employee Benefits and Intermediaries product range, documentation, policies and procedures. Implementation/revision of healthcare policies and SLAs. Escalated claims queries. Work environment Client facing via teams or on-site based. Open plan office space available. Qualification Essential Competency Financial industry and FAIS (NQF Level 5 and RE) Computer literacy Microsoft Office Outlook, Word, Excel, PowerPoint Qualification preferred education and experience Minimum of 5 years experience in the healthcare industry and consulting Claims experience Proficient in English, verbal and written. An additional language will be favourable Ability to multitask and prioritise daily workload Must be able to work independently Report writing Performance driven Self-motivated Able to work under pressure Attention to detail Industry related newsletters In-depth knowledge of the major medical schemes and gap cover products Must be able to negotiate with service providers Employee Benefits and Intermediaries product range, documentation, policies and procedure

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