Join Our Membership Team Job in Plaines Wilhems | Medscheme International Limited

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Full-time

Operations Officer, Membership Cluster - Qualifications & Experience:

Responsibilities:

Processing of new policies along with changes to be brought to existing ones
Evaluating the risk associated with the application forms received by both data capturing information on a dedicated platform and querying-up same with members
To prepare, send and process renewals of policies
Attending queries and handling complaints from both internal and external parties
Any other cognate duties

Service Specialist, Membership Cluster - Qualifications & Experience:

SC/HSC
1.5 years call centre, membership and assessing experience, preferably in the Health Insurance industry
Computer Technology Skills
Task management skills
Communication Skills, Business Writing Skills, Knowledge and application of clinical risk assessment would be an advantage, Customer Focus, Problem solving and decision-making skills

Responsibilities:

Follow procedures and cooperate with peers and leaders for best possible service delivery
Handle telephone and email/web queries within standards and service level agreements
Professionally handle clients’ claim queries
Professionally handle all client communications
Assist in other job functions within the department when the need arises
Meet delivery objectives through working with other team members within and linked to the department / project
Resolve operational problems and escalate unresolved issues to higher levels
Ensure appropriate, active and informative relationships with customers and relevant stakeholders are successfully achieved
Servicing key stakeholders in the moment across all servicing channels as required until the request has been resolved. Managing complex service requests to resolution.
Performing root cause analysis to resolve the escalation and/or complaint providing corrective and preventative actions and improvements.