Healthcare Administrator Job at PSG Konsult Ltd

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