Network Administrator at Momentum Metropolitan Holdings Limited

Role Purpose    

• To provide an office based administrative support to providers and to the provider team in order to ensure an effective and efficient escalation process as well as corresponding system support.

Requirements    

Qualification:

• Matric / Grade 12

Experience: 

• At least 2 - 3 years’ experience, preferably in medical scheme industry.
• At least 2 - 3 years' Client services or call centre experience.
• Proficient in MS Office (Excel, Word, Outlook)

Duties & Responsibilities    

• Deliver on service level agreements made with clients and internal and external stakeholders in order to ensure that client expectations are managed
• Communicate verbally and in writing with dental providers and pharmacies to resolve enquiries and queries received in all platforms.
• Investigate and resolve claims queries.
• Handle incoming telephonic queries from call centre for network providers.
• Educating and supporting the healthcare providers on the dental and pharmacy network to remain compliant.
• Assist external stakeholders with network related enquiries.
• Support to ensure adequate network coverage for members.
• Building and maintaining positive relationships with dental and pharmacy providers. 

Competencies    

• Strong attention to detail and accuracy.
• Good organizational and time management skills.
• Ability to navigate and utilize multiple digital platforms.    
• Clear and professional communication skills.
• Sound understanding of clinical protocols and scheme rules.    
• Analytical mindset to identify trends and risks.

Closing Date    

• 2026/08/11