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  • Posted: Oct 28, 2024
    Deadline: Not specified
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  • Imagine a world where people live healthier, more enhanced and protected lives… A world in which each organisation is a powerful influencer and responsible corporate citizen, committed to being a force for social good. As a leading innovator in healthcare, wellness, insurance, investments, financial and life planning, Discovery works ceaselessly to...

     

    Pre-Auth Service Consultant � Vitality Health Servicing - Talent Pool

    Key Purpose

    • To deliver world class service to all Discovery Health Members, Providers, Employer groups, Hospitals, and Brokers by supporting and fully resolving their queries through various servicing channels, primarily over the telephone.
    • To effectively manage the risk of in-hospital admissions by using your clinical knowledge and integrating this with your understanding of the benefits of the scheme and ensuring accurate information regarding funding

    Key outputs

    The successful applicant will be responsible for but not limited to the following job functions:

    • Confirming benefits according to set protocols and funding rules
    • Accurately obtaining and capturing information to confirm correct funding
    • Servicing all key stakeholders telephonically and via other servicing channels until the query has been resolved
    • Servicing key stakeholders in a customer centric way to ensure that we live by our service principles
    • Keeping up to date with product changes and benefits to ensure that all key stakeholders are accurately serviced
    • Continuously staying abreast of all digital servicing tools within the business and ensuring that the functionality is fully understood
    • Achieving and exceeding key performance metrics relating to service delivery
    • Keeping abreast of continuous process, product updates and digital tools
    • Dealing with multiple interactions
    • Consistently utilizing all servicing tools available

    Competencies and Skills

    Behavioural Competencies

    • Following instruction and procedures (Self-development)
    • Analysing  (Managing Complexity)
    • Learning and Researching (Nimble Learning)
    • Presenting and communicating information (Communicating effectively)
    • Delivering results and meeting customer expectations (Customer focus)
    • Deciding and initiating action (Decision Quality)
    • Working with people (Collaborating)
    • Writing and reporting (Communicating effectively)

    Knowledge

    • Anatomy and Physiology

    Skills

    Time Management

    • Verbal and written communication
    • Working under pressure

    Personal Attribute and Skills:

    • Customer Centric
    • Able to work during international business hours (UK Time zone)

    Education and Experience

    Education:

    • Matric
    • South African  accredited Clinical Qualification

    Experience

    • At least 6 months working experience in a customer services or clinical environment
       

    go to method of application »

    Accountant

    Key purpose

    • Discovery is a high-performance organisation that attracts exceptional individuals. Our fast-paced environment is always buzzing with energy as smart, motivated people challenge themselves and each other to be more than they ever imagined they could be. The role is available in Health Finance.

    Upon employment the employee will acquire:

    • Understanding of Discovery’s culture, values and history
    • Basic understanding of business context
    • Sound knowledge of the business and operational reporting structure

    Role/ responsibilities

    • Collating and compiling various documents and information in order to process monthly journals
    • Preparing and capturing monthly journals
    • Preparing monthly reconciliations and investigating and resolving variances
    • Compiling additional reports as required
    • Liaising with various internal and external parties
    • Capturing quarterly and yearly statutory returns
    • Assisting auditors with queries
    • Preparing, recording and monitoring of payment requisitions
    • Ensuring the daily, weekly, monthly filing of all documentation are kept up to date

    Competencies

    • Strong attention to detail
    • Analytical thinking and problem solving ability
    • Good interpersonal skills
    • Good communication skills
    • Ability to interact with various internal and external parties on various levels
    • Able to take ownership and responsibility for the function
    • Team player
    • Personal insight and a natural capacity to self-reflect, learn and develop
    • Ability to work in pressurized environment and meet deadlines
    • Essential computer skills: Microsoft Word, Excel, Email (Advantageous: SAGE)
    • Ability to adapt to constant change
    • Perform any other functions as may be required

    Experience and Qualifications

    • Matric
    • Studying towards or completed a relevant accounting qualification
    • 3 years’ experience in financial reporting especially with journals and reconciliations
    • Good understanding of accounting principles and application thereof
    • MS Outlook and MS Excel

    Advantageous

    • Any Automation experience 
    • Any Sage Accounting experience

    go to method of application »

    Vitality Health International Service Consultant (Portuguese Speaking) - Talent Pool

    Key Purpose

    • To take inbound calls, assist Africa Health Insurance members with queries and ensure first time resolutions or refer them to the appropriate area for resolution.

    Key Outputs

    • Dealing with multiple telephonic queries from Africa Health Insurance members, brokers, franchises, the public and internal parties
    • Dealing with all queries through to resolution
    • Keeping client up to date with their queries
    • Ensuring excellent quality service to all members
    • Completing administrative and repetitive tasks
    • Keeping accurate detailed stats of all queries/correspondence and reporting on it on a weekly basis
    • Logging of all queries and routing all enquiries to correct departments
    • Working on Africa Health Insurance systems
    • Keep up to date with policy and product changes
    • Assisting with written correspondence where necessary
    • Driving the values of first time resolution on all interactions
    • Applying logic in all circumstances

    Competencies

    Behavioral Competencies

    • Presenting and communicating information
    • Delivering results and meeting customer expectations
    • Deciding and initiating action
    • Following instructions and procedures
    • Adhering to principles and values
    • Persuading and influencing
    • Analyzing
    • Coping with pressure and setbacks
    • Able to work between shifts allocated

    Knowledge

    • All Africa Health Insurance product and benefit knowledge
    • Africa Health Insurance Systems

    Skills

    • Time Management
    • Verbal and written communication

    Qualifications & Experience

    Essential

    • Matric
    • Basic MS Office Knowledge
    • Minimum of 6 months customer service experience
    • Ability to speak Portuguese

    Method of Application

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