Job Openings at Guardrisk

Role Pupose:

• Service business partners and clients coming into the Admed front office, primarily through the inbound and outbound call centre. Additionally, provide support in mailbox coordination and data capturing areas when capacity constraints require.

Requirements    

• At a minimum, a certificate in customer servicing training or call centre skills AND administration skills
• Computer literate - basic computer skills knowledge and experience, specifically in MS Office
• At least 2-year inbound call centre experience
• At least 1-year administration experience
• Previous gap cover or medical scheme servicing or administration experience would be advantageous

Duties & Responsibilities    

• Receive incoming calls into the Admed call centre during office hours in a professional and friendly manner.
• Handle telephonic membership, premium, and claims queries by accessing the Admed administration system.
• Manage difficult and/or irate callers courteously, politely, and calmly.
• Route queries that cannot be handled from the call centre to the relevant back office team members, ensuring timely resolution.
• Take and distribute messages to relevant team members promptly when necessary.
• Make outbound calls from the Admed call centre as needed and instructed.
• Ensure a high level of customer service when liaising with individual and corporate customers, intermediaries, binder holders, and colleagues.
• Support the mailbox team with overflow inbound emails when high email volumes necessitate.
• Efficiently manage complaints, ensuring every complaint is dealt with professionally.
• Assist with general and reasonable ad hoc administration requests as necessary across the Admed Division.
• Deliver the principles of Treating Customers Fairly (TCF) across all functions, with a specific focus on achieving TCF Outcome 6 (ensuring customers do not face unreasonable post-sale barriers to change product, switch provider, submit a claim, or make a complaint).

Competencies    

• Excellent verbal, written and interpersonal communication skills
• Fully bilingual - ability to speak English and Afrikaans fluently
• Ability to professionally manage angry customers, listen to customers’ needs and communicate clearly with customers telephonically
• Results and solutions driven with a strong sense of responsibility and ownership
• Discipline, reliable and good time management skills
• Strong customer service orientation
• Strong administration skills – attention to detail and accurate
• Self-driven with an ability to work independently as well as to function effectively within a team
• The ability to remain interested and focused when repeating information
• Resilience and ability to work under pressure
• Willing to go beyond the normal working day to achieve target service levels
• Quick to learn

Deadline:10tth June,2025

go to method of application »

Role Purpose    

• To process medical expense shortfall (gap cover) claims in accordance with stipulated service levels and the terms and conditions of cover as defined in the policy wording.

Requirements    

• Matric /Grade 12
• Basic medical qualification an advantage (e.g. nursing or similar qualification)
• FAIS Fit and Proper including RE5
• At least 2 years medical aid or gap cover claims processing and assessing experience
• At least 1 year insurance experience
• Basic knowledge of the local health and medical schemes industry, as well as an awareness of demarcation and legislation governing the local health industry.

Duties & Responsibilities    

• Receive new claims via email and accurately pre-capture them, including updating members’ personal details, onto the claims administration system (OWLS) on the same day or within 24 hours of receipt.
• Receive new Seamless claims via Secured sites, importing them into the system – including the updating of members’ personal details – onto the claims administration system (OWLS) on the same day or within 24 hours of receipt.
• Ensure claims data is successfully received from all contracted medical schemes in the correct electronic format and in accordance with agreed SLA’s.
• Interact with customers telephonically or via email regarding outstanding information or claims documentation on the same day or within 24 hours of receiving or capturing the claim.
• Accurately capture the clinical details of a claim on the claims administration system (OWLS) on the same day or within 2 working days of receipt.
• Prioritise claims where outstanding documentation has been received, ensuring these documents are captured within 48 hours of receipt.
• Assess claims in accordance with practice guidelines, policy wording, and protocols.
• Finalize and forward claims to the quality assurance team for approval or rejection.
• Ensure prompt handling and feedback on claims.
• Respond to capture queries within 48 hours of receipt.
• Detect and act on potential fraudulent claims.
• Maintain a high level of service when liaising with individual and corporate customers, intermediaries, binder holders, and colleagues.
• Provide support to the front-line team for inbound call overflows, query handling, complaints handling, and mailbox coordination when requested.
• Ensure the principles of Treating Customers Fairly (TCF) are delivered across all functions, with a specific focus on achieving TCF Outcome 6 (ensuring customers do not face unreasonable post-sale barriers to change product, switch provider, submit a claim, or make a complaint).

Competencies    

• Results and solutions driven.
• Strong focus on client centricity and service excellence.
• Strong problem-solving and decision-making capabilities.
• Organized and focused.
• Analytical skills with attention to detail.
• Resilient and able to work under pressure.
• Adaptable and self-disciplined.
• Good communication skills and the ability to professionally manage customers.
• Disciplined and reliable.
• A team player.
• Computer Literacy (MS Word, Outlook and Excel).
• Willing to go beyond the normal working day to achieve target service levels

Deadline:10th June,2025

go to method of application »

Role Purpose    

• Maintaining the integrity of Admed’s membership and business partner data through ongoing updating of the OWLS database.

Requirements    

• At least a matric qualification
• Basic computer skills (MS Office suite) 
• At least 6 months’ data capturing experience

Duties & Responsibilities    

• Accurately and timeously updating and correcting all (including membership, client, broker, service provider, etc) data on OWLS as-and-when received from employer groups, brokers or internal divisions including the mailbox, marketing, front office and/or premiums team.
• Daily review of the Admed.donotreply mailbox and subsequent contacting members telephonically for updated contact information, where emails sent to their email address bounced or where their email address was incorrect.
• Where necessary, interacting with customers telephonically or via e-mail in respect of incomplete/incorrect personal details on system.
• Providing support with capturing of overflow new member applications.
• Ensuring a professional level of engagement when liaising with 3rd parties and colleagues.
• Ensuring that the principles of TCF are delivered across every function performed, with a specific focus on the achievement of TCF Outcome 6 (Customers do not face unreasonable post-sale barriers to change product, switch provider, submit a claim or make a complaint).

Competencies    

• Deadline and customer service driven
• Ability to capture data with speed and accuracy
• Computer literate with strong typing capability
• Good verbal and communication skills and ability to engage professionally with customers and colleagues
• Strong sense of responsibility and ownership
• Disciplined and reliable
• Resilience and ability to work under pressure
• Organized and focused
• Strong sense of teamwork and willing to go the extra mile when work pressure and volumes necessitate this additional input
• Honest and must have integrity

Deadline:10th  June,2025

go to method of application »

Role Purpose    

• To assist with maintaining and growing an existing portfolio of clients through relationship management and product development. Management of Risk by following agreed sound underwriting principles. Assist in setting team strategy and goals. 

Requirements    

• Relevant completed tertiary qualification (commerce, e law)
• FAIS representative
• Minimum 2 years’ experience in risk finance operations within an Insurance services environment or in a brokering environment
• Knowledge of the risk finance business will be beneficial

Duties & Responsibilities    

• Assisting PM’s with the retention and growth of the CRS portfolio
• Assisting PM’s with the introduction and implementation of new CRS products
• Assisting PM’s with the implementation of Underwriting standards within CRS
• Assisting PM’s with the managment of the Underwriting Methodology
• Assisting PM’s with the with the CRS Claims, claims mitigation, salvage and recovery process
• Assisting PM’s with the setting of the budget and review the performance versus forecast from time to time
• Assisting PM’s with the Assessment of existing and potential clients’ financial statements
• Assisting PM’s with to perform reference and credit checks for existing and potential clients
• Assisting PM’s with the liaising between brokers, re-insurers and other stakeholders
• Assisting PM’s with the overseeing of the general upkeep of clients’ facilities
• Assisting PM’s with the overseeing the clients’ facility renewal process
• Assisting PM’s who pro-actively and responsibly pursue relevant growth opportunities that would allow the group to achieve its strategic targets and objectives
• Assisting PM’s to ensure that existing relationships with brokers and other role players are strengthened and built on a continuous basis and that new relationships are established to support the growth plans of the company
• Assisting PM’s to build, maintain, repair and continuously strengthen all relationships with the group’s product, reinsurance as well as broker partners
• Assisting PM’s to ensure that all regular interactions with any of the group’s reinsurance, broker or product partners are done at the highest possible level of professionalism
• Assisting PM’s to stay abreast of developments in the markets and pro-actively identify new product, market, broker or other growth opportunities
• Assisting PM’s to ensure that at all times the company’s brand, positioning and marketing profile is optimised and that the company’s reputation is in so doing continuously enhanced
• Assisting PM’s to stay abreast of developments in the global alternative risk finance & related insurance markets
• Assisting PM’s to stay abreast of any regulatory developments affecting the industry
• Assisting PM’s to faithfully and conscientiously serve the interests of the group and pay attention to the performance of their duties
• Assisting PM’s to use their best endeavours, skill and knowledge to promote the welfare of the group, assist to meet the group’s objectives and adhere to the group’s policies
• To devote the whole of their time and attention during normal business hours in performing their duties under this agreement
• Maintain a professional relationship with all customers, suppliers and trade connections of the group with a view to maintaining and improving the group’s reputation and goodwill
• Shall at all times act in the best interests of the group
• Faithfully and diligently perform such duties and exercise such powers as may from time to time be assigned to them by the Head , even though such may not ordinarily fall within the scope of the duties relevant to the position occupied by the employee
• Following up on unresolved payments, extension invoices and general debtor management
• Reconciliations in the form of bordereaux payments as well as month end
• Compiling information in order to renew and update clients’ facilities
• Confirming that payments of premium are up to date

Competencies    

• Business Acumen
• Client/ Stakeholder Commitment
• Collaboration
• Impact and Influence
• Drive for Results
• Self-Awareness and Insight
• Leads Change and Innovation
• Diversity and Inclusiveness

Deadline:13th June,2025

go to method of application »

Role Purpose    

• As a .NET Developer, you’ll be instrumental inbuilding, maintaining, and enhancing software applications using the .NET framework.
• Your work will directly influence how the business runs — delivering top-tier solutions aligned with business needs and industry best practices.

Requirements    
Qualification and Experience

• Full Qualification
• 5+ years’ experience
• Experience working with C#
• Experience with ASP.Net
• Experience with SQL and RDBMS database concepts and design
• Exposure to or good understanding of .Net Core
• Exposure to or good understanding of Entity Framework

Duties & Responsibilities    
The main functions:

• Support of existing development code base, including patches and enhancements
• Documenting current code base including ensuring proper code management and version control
• Developing new solutions based on Business requirements
• Understand Business processors and align these requirements within a development environment
• Assisting senior developers with any overflow workload
• Implementing development best practices
• Ensuring that code development aligns to the IT infrastructure roadmap, including cloud development
• Investigate current development trends and proposing potential new practices to the team.
• Fulfil a database administrative role, including database support, analytics, and reporting. 

Competencies    

• Exceptional communication skills — clear, confident, and collaborative
• Self-driven and highly motivated to deliver outstanding solutions
• Organized and efficient, with a strong attention to detail
• A natural problem solver with a passion for optimizing performance and meeting evolving business needs
• Always eager to learn new technologies and grow your skill set

Deadline:11th June,2025