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PSG Konsult Ltd
Healthcare AdministratorPSG Konsult Ltd • ZA
Healthcare Administrator

Healthcare Administrator

PSG Konsult Ltd • ZA
30+ days ago
Job description

Job description:

  • The Healthcare Administrator is primarily responsible for the day-to-day administration of healthcare clients. This encompasses managing member queries, providing members with factual benefit and claims information and assistance, processing new business applications (including tracking and activation).
  • The role ensures smooth operations, accurate data management, and effective communication with employer groups and their employees regarding healthcare benefits.

Responsibilities:

Administrative Support

  • Assist with all day-to-day administration for allocated clients/employer groups, ensuring completion within stated Service Level Agreements (SLAs).
  • Ensure timely responses to client enquiries, escalating complex issues as required.
  • Assist with onboarding new employees onto healthcare plans, including providing factual plan information, processing applications, and facilitating member registration.
  • Track and follow up on all queries, claims, amendments, and changes to group healthcare plans.
  • Monitor new applications, additions, or changes in healthcare coverage and ensure timely processing.
  • Attend client meetings as and when required.
  • Facilitate the distribution of membership packs to clients as required.
  • Assist HR with billing reconciliations.

Client Relationship Management

  • Act as the primary point of contact for employer groups and employees, addressing queries related to healthcare benefits.
  • Liaise effectively with insurers, healthcare providers, and other third-party service providers to resolve issues and maintain strong working relationships.

Compliance

  • Maintain and update accurate client records, ensuring full compliance with regulatory requirements.
  • Ensure that consultants remain "fit and proper" and that all product specific accreditation is completed in a timely manner.
  • Demonstrate a sound understanding of the Medical Schemes Act and related legislation.
  • Attend internal training sessions to ensure product knowledge remains relevant and up to date.
  • Ensure that the administration system is always utilised, for all queries and calls, and that client interactions are accurately saved and maintained.

Reporting and Data Management

  • Maintain and update client records, ensuring accuracy and compliance with regulatory requirements.
  • Maintain a secure and organised database of client information, strictly adhering to confidentiality and data protection protocols.

Minimum Requirements:

  • Grade 12 certificate
  • 2+ years of relevant healthcare work experience within the financial services industry.
  • Proficient in spoken and written English and at least one other official South African language
  • Computer literacy (MS Office)

Competencies required:

  • Strong administration skills
  • Strong organisational and multitasking abilities.
  • Excellent communication and interpersonal skills.
  • Attention to detail and the ability to handle sensitive information with discretion.
  • Knowledge of healthcare benefits and medical schemes.

Closing date: 31-May-2026

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Healthcare Administrator • ZA

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