Job Description

Introduction

Through our client-facing brands Momentum Group, with Multiply (wellness and rewards programme), and our other specialist brands, including Guardrisk and Eris Property Group, the group enables business and people from all walks of life to achieve their financial goals and life aspirations. We help people grow their savings, protect what matters to them and invest for the future. We help companies and organisations care for and reward their employees and members.

Disclaimer

As an applicant, please verify the legitimacy of this job advert on our company career page.

Role Purpose

Deliver professional service to clients through various servicing channels (inbound calls, emails, walkin interactions etc.), responding to their needs, concerns and complaints within agreed Service Level Agreements and legislative and compliance requirements.

Requirements

Matric
Call centre experience is preferred
Minimum 1 year medical experience (doctor's rooms,radiology,hospitals, x-rays,paramedics,confirmation clerk) is essential
Good understanding of anatomy and physiology
Good telephone etiquette is essential
Independent thinker
Knowledge of healthcare industry is preferred

Duties & Responsibilities

Maintain quality customer service.
Bin management -turn around of 48hours.
Implementation of policies / protocols related to scheme benefits.
Benefits in and out of hospital is appropriately controlled.
Exclusions are correctly and consistently applied.
Positive relationships are built and maintained with hospitals and providers.
Appropriate referral to casemanagement team.

Competencies

Accountability
Takes responsibility for own work
Planning Skills
Customer orientation
Organization and Attention to Detail
Is attentive In Basic,Routine, Repetitious Tasks
Interrelationship skills
Possess good judgment and decision-making skills.
Ability to engage people.
Demonstrates initiative.
Understands the organization
Business Writing Skills
Product Knowledge
Risk knowledge
* Demonstrates knowledge and understanding of risk management methodologies,tools, governance structures and regulatory requirements for good management of risks.