A vacancy exists for TWO Inbound Client Contact Centre and Correspondence Administrator in our Client Contact Department based in Claremont (Cape Town).

• Applicants must have a thorough understanding of medical aid operations or insurance policy administration and operations.

The contact centre is responsible for the inbound telephonic servicing of the individual policyholder and brokers with the aim of providing a first call resolution experience, while maintaining a high standard of customer service. They also respond to claim related queries and correspondence received.

Job description & duties:

The duties for which you will be responsible in terms of this contract are briefly listed below and will be subject to amendment from time to time as required based on discussions with your manager:

• To be logged onto the Client Services inbound telephone queue and web touchpoint
• Resolve a minimum of 30 telephone calls per day
• To respond to and resolve about 15 general/claim related correspondence queries per day within a 24 hour turnaround time
• Maintain and update your daily workflow queue for management reporting
• To strive to have zero lost calls per day
• To log all telephone calls received on the policy/claim records
• To verify and update if necessary all personal contact information for clients including the Medical Aid details
• To ensure relevant processes is adhered to and the policy option and commencement date is checked before providing information and advice and to ensure the applicable potential claim disclosure is communicated to the client when necessary
• To achieve a minimum QA (quality standard) of 90%
• Interacting with medical aids and medical practitioners regarding medical history and accounts if required, relevant to obtaining information required for assessing the claim.
• Liaising with the Manager regarding the claim decision pertaining to a client query when necessary
• Dealing with client queries professionally, adequately and timeously
• Arranging for priority claim investigations and escalations
• To be proactive and apply the TCF principals in every aspect of your job functions
• Other basic policy administration related functions
• Answering the telephone within 2 rings and resolving the client/broker query/request in a professional and timeous manner
• To always try and retain clients when they call in to cancel their policy

Skills

• Good written and verbal communication skills
• Good negotiation skills and effective in dealing with customers and meeting their expectations
• Ability to apply administration principals and work with detail and with a high level of accuracy
• Intermediary MS Office, especially Excel, Word and Microsoft Outlook skills
• Individual life policy administration knowledge and experience
• Medical Aid understanding and servicing experience
• 2 years proven client service/call centre experience.
• Good time management
• Proactive and creative in resolving queries
• Good use of initiative
• Ability to understand the bigger client or claim picture and the impact your interaction with the client can have on the business
• Planning and organising
• Works well in a team and independently
• Ability to cope with pressure and setbacks
• Ability to work independently

Attitude

• Ability to work well under pressure
• Commitment to meet daily targets
• Self-motivated

Other:

• Applicants must have a thorough understanding of medical aid operations or insurance policy administration and operations.
• Start date: Latest beginning January 2025
• Salary bracket: CTC +/- R15000 – R23000

The interview will be three-fold first successful candidates will be required to do a Wamly video interview, thereafter if successful they will interviewed by a panel and the final stage will be a one and a half hour of role play scenarios and calculations.