Experience

MEDSCHEME HOLDINGS

• South Africa
• Financial Services
• 400 - 500 Employee

• Additional to Client Information, ambulatory PMB Clinical Support

  • Oct 2021 - Present

  Data capturing and the evaluation of ambulatory PMB applications Telephonic registrations accurately and timously within turnaround time in line with reimbursement guidelines Assessing claims and provide payment instructions Data capturing and the evaluation of ambulatory PMB applications Telephonic registrations accurately and timously within turnaround time in line with reimbursement guidelines Assessing claims and provide payment instructions



Medscheme (Mtius) Limited

• Client Information

  • 2015 - Present

  Duties and ResponsibilitiesPosition Purpose:Primary role – attend to GEMS e-mail queries, complaints and escalations within the agreed turnaround timesTo ensure prompt email and telephonic replies to GEMS queries/complaints regarding chronic medicineTo investigate complaints and queries and formulate professional e-mail responsesAccountabilities:Client service delivery and quality:Follow procedures and cooperate with peers and leader for best possible service deliveryCompliance and Risk Management:Defined legal, statutory and regulatory compliance is maintained at the required standardsOperational risk and governance structures, measures and frameworks are complied with and necessary action is taken to address issues, when necessaryFinancial Management:Contribute to cost savings within the department to assist with financial goals and targetsOperational Leadership:Deliver personal performance to ensure delivery to agreed standards and objectivesEngage in development, coaching and mentoring Show less

• Chronic Medicine Management Call centre agent

  • Aug 2012 - Sep 2015

  Duties and Responsibilities:Position Purpose:To engage service related calls and queries from internal and external stakeholders providing relevant business information and solutions with a view to resolve enquiries on first contact and note in details all interaction with the client.Job outputs:Client service delivery and quality:Maintain client confidentialityProfessionally handle all client communicationsE-mail correspondence comply with standardsWork planning:Professionally handle automated authorizationsAccurately capture data:Correctly scan and sort all claimsCorrectly route all callsHandle escalations of complex calls appropriately and timelyReconcile all client accountsLevel of Work outputs:Client service delivery and quality:Identify client service delivery constraints and escalate where requiredMaintain client service quality standardsWork planning:Co-operates and works well with others in the pursuit of team goalsDisplay understanding of governance and/or legislation in work areaMeet targets, minimum standards and SLA’sQuery / event resolution:Make suggestions towards improvement/s to query resolution procedure/sClose all queries:Resolve queries according to procedural requirement and escalate where requiredResolve all queries on time Show less



TFG (The Foschini Group)

• South Africa
• Retail
• 700 & Above Employee

• Debt Collector

  • Aug 2009 - Jul 2012

  Duties and Responsibilities In- and outbound calls to customers regarding their arrear accounts To assist and educate the customer in order to rehabilitate their account and to put them back into a buying position Apply effective listening skills as well as effective probing in order to reach a relevant solution for both parties Display accurate knowledge of customers account while on line to deliver excellent and professional service to the customers that suites both the company as well as the client To achieve benchmark on QA To achieve target set out by the department as well as be a productive and supportive team member To achieve and maintain the required productivity level required To adhere to the National debtors act for debt collectors Demonstrate personal leadership and at all times comply with policies, procedures as well as the company’s mission and values Use every opportunity to gain knowledge in order to improve my standard of work Show less