Customer Care Consultant

About the position

Company in Johannesburg North seeks a Customer Care Consultant to join their team!
Requirements:

• Matric certificate
• Rrelevant experience in the medical aid or healthcare industry
• 2–4 years’ experience in customer care within a medical aid environment preferred
• Knowledge of medical schemes, claims procedures, PMB, ICD-10 coding, tariffs, and benefit options

Responsibilities

• Respond to and resolve queries, complaints, and requests from members, providers, and internal stakeholders
• Liaise with healthcare partners and departments to provide timely solutions
• Maintain accurate records of interactions, claims, and resolutions using designated systems
• Validate member benefits, accounts, and medical scheme membership
• Identify and escalate complex issues to senior staff
• Prepare quotes for services (e.g., dental, optometry) according to benefits
• Support interdepartmental processes and ensure adherence to protocols
• Perform administrative tasks including record keeping and reporting

Desired Skills:

• Customer Care Consultant
• Customer Support
• Medical Aid