Job Description

Department: Customer Services
About the Role
We are seeking a dedicated and customer-focused Customer Services Assistant to join our Medical Aid team. The successful candidate will be responsible for providing professional support to members, healthcare providers, and internal departments, ensuring excellent service delivery and member satisfaction.

Duties and Responsibilities

Key Responsibilities
• Respond to member queries via phone, email, and in person in a professional and timely manner
• Assist members with benefit information, claims processes, and policy details
• Process and follow up on medical aid claims and authorisations
• Resolve complaints efficiently and escalate complex cases when necessary
• Maintain accurate member records and update system information
• Educate members on medical aid products, benefits, and procedures
• Liaise with healthcare providers regarding accounts and claim queries

Qualifications and Experience

Requirements
• Bachelor’s degree in healthcare management, Marketing, Insurance, or related field
• Previous experience in a customer service role (medical aid or healthcare industry preferred)
• Knowledge of medical aid schemes and claims processes
• Strong communication and interpersonal skills
• Excellent problem-solving abilities
• Computer literate (MS Office and medical aid systems)
• Ability to work under pressure and meet deadlines
• Competencies
• Customer-focused and empathetic
• High attention to detail
• Professional and ethical conduct
• Team player with a positive attitude

How to Apply

Qualified and interested candidates should send their CVs to [email protected]
Deadline: 18 February 2026

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