Network Administrator

Introduction Through our client-facing brands Momentum Group, with Multiply (wellness and rewards programme), and our other specialist brands, including Guardrisk and Eris Property Group, the group enables business and people from all walks of life to achieve their financial goals and life aspirations. We help people grow their savings, protect what matters to them and invest for the future. We help companies and organisations care for and reward their employees and members.

Disclaimer As an applicant, please verify the legitimacy of this job advert on our company career page.

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.