|Location||Johannesburg, South Africa|
|Date Posted||Jul 28, 2021|
-Liaise with and follow up on outstanding applicant documentation to ensure that beneficiaries are successfully registered, to assist in minimising Scheme risk and exposure due to incomplete and/or inaccurate information.
-Investigate, record and resolve customer queries effectively and efficiently in accordance with Standard Operating Procedures within agreed Service levels.
-Investigate, prepare, submit special cases for review and provide feedback on the outcome of the review to the query requester.
-Ensure the accurate application of Scheme rules and Standard Operating Procedures in membership data capturing.
-Seek continuous in-depth understanding and knowledge of Scheme rules and updates in order to provide accurate advocacy to members when required.
-Maintain the annual option change process, annual student review, special cases and the year-end take-on process.
-Assist in identifying and adhering to fraud controls, risk prevention principles, sound governance and compliance processes, and tools to identify and manage risks.
-Support and provide evidence to all internal, external and ISO audit requirements.
-Maintain quality risk management standards in line with the requirements from ISO9001:2015.
-Maintain and enforce all membership related Service Level Agreements to minimise business risk and ensure business continuity.
-Identify and recommend improvements to membership related Standard Operating Procedures and guidelines in consultation with the Supervisor and Manager: Credit Control to ensure business optimisations.
-Adhere to all relevant laws, policies and Standard Operating Procedures throughout the organisation.
-Build and maintain effective internal and external stakeholder relationships for the purpose of expectations management, knowledge sharing and integration.
-Liaise with members, brokers and 3rd parties in delivering exceptional customer service
-A minimum of 1 year in a similar role
-Regulatory framework (CMS, MSA)
-Risk Management practices and principles
-Technical problem solving
-Medical aid / Insurance
-Nexus Membership experience is a definite advantage
-Oral and written communication
-Planning and Organizing
-Work under pressure
-Speed and Accuracy