Due to growth in the Insuremed Administrators business unit, the need exists to expand the team with a Member Service Consultant.
This role will form part of the Administration team, and report to Operations.

Role description:

Primarily an Administration function, the role will be responsible for the following:

  •  Effective coordination of member service transactions o i.e. Activations, Amendments, Cancellations, Option changes, General Queries
  • Ownership of product provider conservation and retention activities
  • Dependent registration and maintenance
  • Financial Controls i.e. Change of D/O’s, Billings, Recons/Refunds
  • Age Analysis of D/O’s
  • Liaison with Distribution channels i.e. Optivest Health Services
  • Service delivery and liaison with clients (both telephonically and via email)
  • Assistance with other functions within Administration area if and when required
  • Group administration
  • Claims administration

Generic key result areas:

  • Functions as a subject matter expert in a specific field of administration / product / process
  • Resolves technical and complex problems in support of administrative queries/issues
  • Personal Effectiveness
  • Accountable for client service delivery through own efforts
  • Accountable for managing own time, tasks and output quality
  • Makes increased contributions by broadening individual skills
  • Accepts and lives the company values
  • Effective team player with high level of interpersonal skills
  • Quality Assurance
  • Performs quality checks on own work
  • Adheres to service and quality standards
  • Claim Processing and operational effectiveness

Requirements for the role:

  • Knowledge and experience of the above mentioned functions
  • Minimum 3 years’ experience in Medical Scheme/Health insurance industry
  • Very strong Client service focus
  • Attention to detail
  • Strong analytical skills
  • Relationship management skills
  • Operational efficiency

Desired Work Experience:

  • 3 to 5 years

Desired Educational Level:


  • Grade 12 / Matric

Get in Touch

We ensure efficient new business processing, a clear-cut claims administration process and uncomplicated underwriting. Insuremed delivers customised Gap Cover solutions of the highest quality.

087 820 0627

9 Queen Street, Durbanville, 7550