Member Consultant

Position Name Member Consultant
 Reports to Consulting Manager
 Division Health Care – Durban
 Purpose of the Job:
The Member Specialist assumes responsibility for the day-to-day management of a portfolio of health care clients under the supervision of the Consulting Manager. The primary focus is the servicing of clients’ HR and members face to face regarding medical scheme queries, plan advice, billings etc. The Member Specialist is also responsible for induction training and member training. The secondary focus is to assume the responsibility of an Administration Consultant when in the office or as required.
Key Performance Objectives

Client responsibilities

Tasks

  • Identification of ICU clients
  • Identifying common trends within the client and providing solutions
  • Face to face query resolution with members/HR/payroll
  • Back office query resolution
  • Member plan advice
  • Member queries via email, fax or telephonic
  • HR training on processes and procedures
  • HR queries relating to their monthly billing
  • HR queries relating to the medical scheme benefits
  • Constant follow up and feedback to relevant parties
  • Building of relationships with HR/payroll
  • Member renewals training presentations and one on one sessions as required
  • Facilitate the relationship between the client and respective medical scheme/s
  • Compilation and delivery of presentations to clients
  • Rolling out and implementation of healthcare Projects

 General responsibilities

  • Compliance with the NMG Style guide
  • Keeping written records of all client communication and interaction within the stipulated time period
  • All client correspondence is to be signed off and saved in the correct folder according to the style guide
  • Capturing daily stats for queries received via email, fax or telephone
  • General assistance to the Senior Team
  • Identifying and pursuing new business and cross selling opportunities
  • Have a good understanding of legislation and regulations that govern the health care environment
  • Attend internal meetings and training as and when required
  • Back-up to other Member Specialists and/or Administration Consultants if required (buddy system)
Minimum Qualification

  • Matric certificate
  • The Member Consultant will be expected to be compliant with the legislative requirements of the industry (including FAIS and RE) on application.
 Experience

  • 2-5 years Administration and Health Care Experience.

Other

  • Own vehicle  and Valid Drivers License
  • Ability to converse in several languages (isiZulu is essential)
Competencies (skills required). 

  • Administrative Skills
  • Interpersonal Skills
  • Co-ordination Skills
  • Time Management
  • Problem Solving Skills
  • Communication Skills