Kaelo provides innovative, essential, healthcare solutions enabling the physical and psychological well-being of all South Africans.
Our one goal is to provide more South Africans with access to quality healthcare. We are progressive in our design, simple in our approach and sincere in the way we... read more engage, changing the way healthcare is delivered to meet the needs of our people.
Purpose
The Client Relations Consultant manages the relationships with our clients, building long sustainable business relationships. Focusing on growth through opportunities and key relationshi
KEY OUTCOMES (not limited to) Level 4 and 5 process elements
Health promotion and Patient Carer:
Treatment and care of people, involving interdisciplinary teams
Illness prevention
Chronic
Key Outcomes
Responsibilities include:
Ensuring service level agreements are met.
Answering calls routed through for casualty or hospital treatment and admission.
Identify exc
KEY OUTCOMES (not limited to) Level 4 and 5 process elements
Manage incoming queries and outbound responses with:
Members
Service Providers
Intermediaries
Provide product spe
KEY OUTCOMES
Determines service centre operational strategies by conducting:
Assessments
Performance Review
Capacity Planning
Productivity Quality
Customer service s
Job Description
The Clinical Consultant is a specialised clinical specialist who is responsible for managing clinical support and providing counselling services. Establishing suitable clinically so
Job Description
The role is responsible for the authorising casualty cases with benefits telephonically or per email.
Load all hospital related cases for casualty treatment and admission
Job Description
The purpose of this role is to support and empower members and their dependents reaching out for specialised coaching services.
KEY OUTCOMES
Assessment of coaching need
P
Job Description
The Kaelo Health Core Servicing Consultant is responsible for responding to queries, managing complaints, troubleshooting service problems and providing general information regardin
JOB DESCRIPTION:
Business requirement documentation
Functional requirements documentation
Project management of technical delivery cycle
Testing tasks in test environment
Documentation o
KEY OUTCOMES:
1. Building and maintaining relationships with clients and key personnel within your portfolio
2. Use utilisation reporting to ensure clie
KEY OUTCOMES
Facilitation
Implement training on various Product Benefits within the Kaelo Group.
Responsible for maintaining and providing records and gathering feedback from the various Tr
KEY OUTCOMES (not limited to) Level 4 and 5 process elements
The accurate and efficient capturing of claims received
Assist Kaelo clients with queries and provide suitable query resolution
A
Job Description
The Membership Administrator is responsible for ensuring the seamless onboarding of new members across all Kaelo products. This involves the accurate capturing of the membership and
Network Management:
Drive the strategic objectives of the company by ensuring network growth and stability, an informed provider who is a partner in the delivery of appropriate and cost-effectiv
KEY OUTCOMES:
Communication:
You will be required to respond to emails received in response to external mailer campaigns, timeously and in a courteous manner.
You will also be required to r
Brand management:
Ensure content is aligned to our Marketing Strategy and Communication Guidelines.
Support customer service team by relaying notices and updates of technical issues.
Oversee
Job Description
The Billing Specialist is required to provide support in respect of end-to-end billing processes. They are responsible for the reconciliation and maintenance all Debtor accounts, en
