Healthcare Administrator | Worcester, Western Cape | Permanent at PSG Konsult Ltd

Job description:

• The Healthcare Administrator will provide administrative support to the Healthcare Account Executive in managing employer group healthcare portfolios. The role ensures smooth operations, accurate data management, and effective communication with employer groups and their employees regarding healthcare benefits.                                       

Responsibilities:
Administrative Support:

• Assist the Healthcare Account Executive with day-to-day administrative tasks related to employer groups.
• Maintain and update client records, ensuring accuracy and compliance with regulatory requirements.

Client Relationship Management:

• Act as the first point of contact for employer groups and employees, addressing queries related to healthcare benefits.
• Schedule meetings, wellness events, and presentations with employer groups.
• Ensure timely responses to client inquiries, escalating complex issues to the Account Executive as needed.

Policy and Claims Management:

• Assist with onboarding new employees onto healthcare plans, including plan selection and member registration.
• Track and follow up on claims, amendments, and changes to group healthcare plans.
• Monitor new applications, additions, or changes in healthcare coverage and ensure timely processing.

Reporting and Data Management:

• Maintain a secure and organised database of client information, adhering to confidentiality and data protection protocols.

Collaboration and Coordination:

• Liaise with insurers, healthcare providers, and other third-party service providers to resolve issues and maintain effective working relationships.
• Support the Account Executive in developing and implementing client-specific healthcare strategies and solutions

Minimum requirements:

• Grade 12
• A certificate or diploma in Office Administration (advantageous). 
• 2 – 3 years relevant healthcare work experience within a medical practice or in an adviser environment in the financial services industry.
• Relevant experience with gap claims and authorisations.
• Proficient in both spoken and written English and at least one other of the official South African languages
• Computer literacy (MS Office)

Competencies required:

• Strong organisational and multitasking abilities
• Excellent communication and interpersonal skills
• Proficiency in MS Office Suite (Word, Excel, Outlook, PowerPoint)
• Attention to detail and ability to handle sensitive information with discretion
• Knowledge of healthcare benefits and medical schemes (advantageous)

Deadline:4th January,2026