Client Liaison Officer wanted Asap: APPLY HERE
Bellville, Western Cape
Metropolitan is one of the oldest financial services brands in South Africa. With a 116 year legacy of serving the communities in which it operates, Metropolitan represents true empowerment in serving Africa’s people through affordable financial solutions that create financial growth and security.
Metropolitan operates in South Africa, but the brand is also present in 12 African countries including, Namibia, Botswana, Kenya, Ghana, Nigeria, Lesotho, and Swaziland.
Metropolitan provides financial wellness solutions that meet the needs of low income clients, including funeral insurance, health, savings, hospital cash-back cover, retirement solutions and life insurance.
Matric with +3 years’ experience preferably in a similar position within the medical aid industry.
Relevant degree or diploma in a clinical field (advantageous).
Thorough knowledge of claims processing.
Ability to maintain co-operative working relationships.
Intermediate computer skills, Microsoft Office.
Comprehensive knowledge of the interpretation and application of the various industry bodies, i.e. BHF, OTASA, CMS, etc.
Strong knowledge of hospital operations advantageous (case management, billing, etc.).
THE WORK YOU NEED TO DELIVER
To efficiently manage and co-ordinate existing and potential relationships between Scheme, Service Providers and MH.
To provide accurate and efficient service to MH, Scheme, Members and Service Providers.
To ensure that exemplary services are rendered at all times to GEMS Scheme Management, Service Providers and existing members of the Scheme.
To ensure that MH renders all services to the Scheme in accordance with the Service Levels and Standards as set out in the service agreements.
To identify enhancements to the service delivery and administration, and to promote these enhancements to the MH Management Team and Service Providers.
To provide an appropriate level of technical advice and support regarding Scheme issues.
To assist the Scheme, Service Providers and MH with high level queries and complaints.
Classification of complaints( General , Media , Principal officer(PO), Council (CMS) , GEMS staff ).
Detailed Investigation of complaints.
Routing of complaints to various SPN.
Drafting final written responses to Complainant and Scheme.
Perform root cause analysis (RCA) and identify mitigation.
Identify trends and training needs emanating from RCA.
Assist Managers to efficiently manage and control the supporting system and Scheme Rules.
Manage workflow and production (Service Level) for complaints.
Liaising between MH/Scheme/Service Providers and Members.
Attention to Detail
Problem Solving and Analysis
Communication Skills (Written and verbal)
Excellent presentation skills
Shortlisted candidates will be subjected to the following statutory checks:
Only on-line applications submitted via our careers page will be considered.
Internal applicants must inform their manager of their application. Your manager must be aware of and support your application.
If you have not been contacted in 2 weeks after the closing date, please consider your application unsuccessful.
Please submit your application via our Careers page on www.mmiholdings.co.za
To apply, please follow the official system application process and get in touch with the PeopleSoft Helpdesk (021 940 5169) if you need further assistance.
19 July 2019
[email protected] (The purpose for this email address is solely for queries regarding the advertised position and no emailed CV’s will be accepted. Only online applications submitted via our Careers page will be considered.)
All positions will be filled in accordance with our Employment Equity plan.
We also encourage people with disabilities to apply.