Job Description

Closing Date 2026/03/31
Reference Number MMH260127-35
Job Title Talent Pool: Operational Coach Claims
Position Type Permanent
Cluster Momentum Health
Remote Opportunity Some of the time
Location - Country South Africa
Location - Province Gauteng
Location - Town / City Sandton
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.
Role Purpose
Accountable for clinical risk management technical training, mentoring and skills development in line with departmental and individual objectives and ensuring that the business processes and system capabilities are aligned to service delivery.
Requirements
QUALIFICATION

• Matric (Essential)
• Relevant degree/diploma post matric qualification (Desirable)

EXPERIENCE

• 1 - 2 years operational coaching or training experience.
• 3 - 5 years of experience in customer service, sales or health risk management.
• Relevant industry experience would be advantageous.
• Experience interacting at a senior level with / in companies would be advantageous.

KNOWLEDGE

• Understanding of health risk management as an integrated capability function.
• Knowledge of the correct interpretation and application of scheme rules.
• Multi-skilled in all areas of claims.
• Knowledge of relevant industry, legislation and regulations.
• Knowledge of coaching principles and practices.
• Knowledge of the NHRPL- National Health Reference Price List (Previously known as BHF) and SAMA tariffs would be advantageous.
• Knowledge and understanding of the Momentum/business area-specific product, including add-on products, would be advantageous.
• Knowledge of business area specific procedures, operating systems would be advantageous.

Duties & Responsibilities
PROCESS

• Instruct/ Train/Coach team members/service managers on Products, Systems and Processes.
• Regular feedback to service managers in monthly one on one sessions.
• Identify training needs of team members and draw up training plans in collaboration and support to business team and conduct development programme. Feedback to team members and managers throughout the process.
• Responsible for development , implementation and follow up of training plans.
• Responsible for up to date, accurate training material that will help employees understand the subject matter.
• Assessing of employees in terms of knowledge gained.
• Liaise with trainers to ensure that their training material is accurate and continuously updated.
• Networks with other areas.
• Provide authoritative, expertise and advice to clients and stakeholders.
• Build and maintain relationships with clients and internal and external stakeholders.
• Deliver on service level agreements made with clients and internal and external stakeholders in order to ensure that client expectations are managed.
• Make recommendations to improve client service and fair treatment of clients within area of responsibility.
• Participate and contribute to a culture which builds rewarding relationships, facilitates feedback and provides exceptional client service.
• Develop and maintain productive and collaborative working relationships with peers and stakeholders.
• Positively influence and participate in change initiatives.
• Continuously develop own expertise in terms of professional, industry and legislation knowledge.
• Contribute to continuous innovation through the development, sharing and implementation of new ideas.
• Take ownership for driving career development.
• Continuously self- develop themselves and keep up with the changing claims trends.
• Process orientated (monitor, analyse and feedback to service managers).
• Have an organised approach.
• Be consistent, committed, flexible, realistic patient and tolerant.
• Contribute to the financial planning process within area.
• Identify opportunities to enhance cost effectiveness and increase operational efficiency.
• Manage financial and other company resources under your control with due respect.
• Provide input into the risk identification processes and communicate recommendations in the appropriate forum.

CLIENT

• Provide authoritative, expertise and advice to clients and stakeholders.
• Build and maintain relationships with clients and internal and external stakeholders.
• Deliver on service level agreements made with clients and internal and external stakeholders in order to ensure that client expectations are managed.
• Make recommendations to improve client service and fair treatment of clients within area of responsibility.
• Participate and contribute to a culture which builds rewarding relationships, facilitates feedback and provides exceptional client service.

PEOPLE

• Develop and maintain productive and collaborative working relationships with peers and stakeholders.
• Positively influence and participate in change initiatives.
• Continuously develop own expertise in terms of professional, industry and legislation knowledge.
• Contribute to continuous innovation through the development, sharing and implementation of new ideas.
• Process orientated (monitor, analyse and feedback to service managers).
• Have an organised approach.

FINANCE

• Identify opportunities to enhance cost effectiveness and increase operational efficiency.
• Provide input into the risk identification processes and communicate recommendations in the appropriate forum.

Competencies
Interacting with People Is lively and projects enthusiasm; is talkative in making contact; is focused on interacting and networking with people.
Team Working Works participatively with others; is democratic and encourages team contributions; collaboratively involves others in decision-making.
Understanding People Shows empathy and compassion; attends and listens to people; is attentive and understands the motivation in others.
Articulating Information Is articulate in giving presentations; is eloquent and explains things well; projects social confidence when articulating information.
Empowering Individuals Motivates individuals by empowering them; seeks to inspire people and groups; gives encouragement to others.
Examining Information Analyses and processes information; asks probing questions; strives to find solutions to problems.
Providing Insights Is focused on continuously improving things; provides insights by identifying key issues; makes intuitive judgments.
Adopting Practical Approaches Applies practical skills when investigating issues; prefers to learn by doing; is practically minded and applies common sense.
Policy
We are committed to Employment Equity, diversity and inclusion when recruiting internally and externally. All appointments are made in alignment to our Employment Equity goals and we encourage people with disabilities to apply.

Skills Required