Medical Contact Centre Assistant (1 Year Fixed-Term Contract)

Job Purpose The role holder will be responsible for answering calls in a professional and informative manner and CRM case logging as necessary. Provide timely and appropriate responses to clients and/or assign tickets to the right person or department. Key Responsibilities Handling customer queries, complaints, instructions received through call and email communication.
Interact with clients, intermediaries and service providers to ensure that the care is given within policy guidelines.
Set the appropriate parameters for admission cases i.e. claim reserve, initial authorized cost, cover benefits and duration.
Respond to queries from clients, intermediaries and service providers through answering telephone calls, interviewing clients and verifying information. Liaise with underwriters on scope of cover for the various schemes benefits.
Ensure that medical scheme members are attended to round the clock.
Prepare periodic care reports for management on medical matters/ issue...