SPECIALIST ADVISOR: MEDICAL AIDS/INSURANCE AND GAP COVER

Recruiter:

HR Genie

Job Ref:

3225 EH MEDAD

Date posted:

Wednesday, May 21, 2025

Location:

Pretoria, South Africa

Salary:

Market related

SUMMARY:
Promote the Healthcare Consulting value offering to financial advisors.

POSITION INFO:

Our client is looking for a Specialist Healthcare Advisor that's fluent in English and Afrikaans (read, write, understand). It's a nationwide position. Your:

Formal Education:

Matric
RE5
Bachelor of Commerce or related degree will be advantageous
Annual CPD points up to date
CMS accreditation

Experience:

Minimum 5 years relevant advice/consultation experience in the health insurance industry for both Individual and group business.
Experience in dealing with Financial Service advisors and product providers
Proven track record of team management

Knowledge:

Product Knowledge: Medical Aid, Medical Insurance and Gap Cover product knowledge
Legislative knowledge – Medical Schemes Act a must
Systems knowledge – Quotation application of product providers
Technical Knowledge – Commercial and Legal (Compliance)
Technological: MS Office, Zoom and other electronic platform tools of engagement

will enable you to do the following duties:

Sales:

Provide inputs for annual sales target as and when required
Grow and maintain relationships to promote leads from advisors, to ensure sales targets are reached
Participate in monthly meetings with Executive to assess progress
Assist the Executive with contingency planning in the event of shortfalls
Identify opportunities and discuss with Executive
Present industry and client specific solutions to groups on split risk: Health Insurance, Primary Health Care, Medical schemes and EAP’s

Clients:

Consult with prospective clients to assess needs and collect the required information to make the most suitable and cost-effective healthcare product recommendation
Consult with existing clients annually to review previous recommendations and ensure the clients’ needs are still appropriately covered. Recommend and implement changes on policies/memberships where required
Ensure that medical aid quotations, product comparisons and other information provided are correctly compiled, include all quotations and advice provided is correct Provide accurate quotations and advice on medical schemes, Gap cover and Health insurance
Retain existing clients
Maintain existing and build new relationships with Efficient Wealth financial advisors to provide healthcare services to their clients.
Assist with and participate in client education activities and campaigns

People:

Manage the day-to-day workflow of the support team to ensure turnaround times are achievable
Communicate capacity constraints to Executive
Provide guidance and assistance with escalated requests
Establish clear performance expectations
Identify and report training gaps to Executive
Implement the division’s personnel development plan
Supervise junior health advisors

Systems and Processes:

Internal processes and systems
- Apply internal and external systems to log all interactions with clients
- Notify referral advisors continuously of progress
- Ensure quality of data on the internal CRM (own and the team’s)
- Review and assess call logs to measure the efficiency of the support team service delivery and processes on an ongoing basis and report to Executive
Product Provider interactions
- Understand and correctly use product provider documents for quotations
- Ensure the quality of data between parties is correct to manage risks
- Handle and resolve escalated requests
- Stay abreast of product changes and updates
Compliance
- Remain up to date with product specific training
- Meet annual CPD points requirement
- Stay abreast of industry developments
- Ensure that compliance processes and legislative requirements are always adhered to
- Deal with complaints in cooperation with the Executive
Administration
- Ensure accurate record keeping on system
- Resolve escalations timeously
- Guide and assist claims assistants and clients
- Ensure that all paperwork is obtained from clients to enable administrative personnel to do their work
- Manage the client healthcare provider onboarding administration process
- Assist with client queries

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