Short term Insurance Customer Service Consultant at M&M Consulting
Weiss Associates
Sandton
ZAR 200 000 - 300 000
Job description
Purpose of the Job
Responsible for resolution of queries in accordance with the medical aid scheme rules and legislation. Professional customer services work at an advanced level involving answering phone calls and resolving queries, complaints and providing information and educating the members.
Responsibilities
Telephonic liaison and written response to members and suppliers
Search files and records for information related to complaints/queries and determine solutions to the problems according to the company's policy and procedures (telephonically or in written format)
Liaison with members, providers, internal departments and Healthcare partners
Complete all related administration work.
Provide feedback to members, Healthcare suppliers on the enquiry/complaint
Work out quotes on dental-, optometry etc. benefits and quote the member/provider correctly.
Utilise and record information using the elected systems
Checking accounts for amendments and resubmissions.