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Client Care Consultant
Closing Date
2026/07/07
Reference Number
MMH260630-2
Job Title Client Care Consultant
Position Type Permanent
Role Family Client Services
Cluster Momentum Corporate
Remote Opportunity Some of the time
Location – Country South Africa
Location – Province Gauteng
Location – Town / City Braamfontein
Introduction
Through our client-facing brands Metropolitan and Momentum, 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. Through our own network of advisers or via independent brokers and utilising new platforms Momentum Group provides practical financial solutions for people, communities and businesses. Visit us at www.momentumgroupltd.co.za
Disclaimer As an applicant, please verify the legitimacy of this job advert on our company career page.
Role Purpose
Deliver professional service to clients through various servicing channels (inbound calls, emails, walk-in interactions etc.), responding to their needs, concerns and complaints within agreed Service Level Agreements and legislative and compliance requirements.
Requirements
Matric or equivalent
1 to 2 years’ experience in the retirement industry environment Verbal and written communication
Proficient in English, Sesotho, Zulu, and/or Sepedi languages.
MS Office Suite (Word, Excel)
Duties & Responsibilities
Internal Process
Engage and liaise with Employers, beneficiaries, and relevant stakeholders (friends, colleagues, neighbours, etc. of the deceased) to clarify details regarding the deceased on death claims allocated for investigation.
Conduct both telephonic engagements and physical visits to families to investigate and verify information provided by claimants.
Assist and ensure that claimants have filled in all documentation and provided all necessary supporting documentation.
Assist and follow up with beneficiaries and relevant stakeholders (friends, colleagues, neighbours, etc. of the deceased) on outstanding information required for the investigation of death claims.
Detailed update of the death claims control and system notes’ weekly to advise on the status of all death case investigations allocated.
Conduct quality assessment on claim documentation to ensure that they are complete, accurate and in compliance with the Fund Rules and applicable and relevant processes.
Complete death case file, once approved at the Disposal of Death Benefit Committee (or Board of Trustees/Fund) must be consolidated and uploaded to the Benchmark system in accordance with the applicable business processes (e.g., signed resolution, certified death certificate, etc.).
Complete and package all beneficiary details individually in accordance with the applicable checklists and disburse in accordance with business processes to the Benchmark system.
Liaise with internal departments for documentation related to a death in service (e.g., benefit claim form, death claim form.) to ensure that the claim is investigated within agreed service levels.
Prepare detailed summary report per death case for presentation at the Disposal of Death Benefit Committee (or Board of Trustees/Fund) monthly.
Prepare, distribute, explain, and follow up with beneficiaries on allocation letters and payment instructions from beneficiaries to whom benefits were allocated in line with Fund specific monetary guidelines and timeliness stipulated in the allocation letter.
Maintain consistent service delivery in accordance with client Service Level Agreements to ensure client retention, satisfaction and to maximise client experience and influence positively by dealing with client requests in a competent, efficient, and professional manner.
Provide relevant & accurate information to all members of funds under administration of MRA in Regional Office centres (both walk-in and telephone enquiries).
Provide first time resolutions on client queries (members’, beneficiaries, employers, etc.), or if not, investigate client queries and providing feedback within agreed time frames. If you cannot resolve, escalate to senior prior to agreed response timeframe or manage response expectation to client.
Taking ownership of queries and ensuring they are resolved timeously and effectively.
Maintain a register of queries received, the type of queries, Fund related to and the details of the enquirer on the platform and format provided and communicate this weekly to management.
Maintain Fund- and broad product knowledge to respond to customer queries effectively and accurately as well as for considerations with death case investigations (e.g., GLA multiple/s, etc) and for member education sessions.
Conduct member education sessions (e.g., Inductions, Employer Wellness Days, pre-retirement presentations etc.) to create awareness of the various features and processes associated with the Fund.
Keeping abreast with all requirements of the retirement industry as set out by the FSCA and the relevant legislation. Maintain Fund- and broad product knowledge to respond to customer queries effectively and accurately as well as for considerations with death case investigations (e.g., GLA multiple/s, etc) and for member education sessions.
Conduct member education sessions (e.g., inductions, Employer Wellness Days, pre-retirement presentations etc.) to create awareness of the various features and processes associated with the fund.
Manage the office/s under jurisdiction by ensuring that networks and telephony are working, consumables are replenished, and that the office/s are operational.
Keeping abreast with all requirements of the retirement industry as set out by the FSCA and the relevant legislation.
Client
Provide authoritative expertise and factual information to clients and stakeholders.
Build and maintain relationships with clients and internal and external stakeholders.
Deliver on service level agreements made with clients and internal and external stakeholders to ensure that client expectations are managed.
Make recommendations to improve client service and fair treatment of clients within area of responsibility.
Participate and contribute to a culture which builds rewarding relationships, facilitates feedback and provides exceptional client service.
People
Develop and maintain productive and collaborative working relationships with peers and stakeholders.
Positively influence and participate in change initiatives.
Continuously develop own expertise in terms of professional, industry and legislation knowledge.
Contribute to continuous innovation through the development, sharing and implementation of new ideas.
Take ownership for driving career development.
Finance
Identify opportunities and provide solutions to enhance cost effectiveness and increase operational efficiency.
Manage financial and other company resources under your control with due respect.
Provide input into the risk identification processes and communicate recommendations in the appropriate forum.
Competencies
Examining Information: Analyses and processes information asks probing questions strives to find solutions to problems.
Documenting Facts: Writes fluently when documenting facts understands arguments logically focuses on finding facts.
Establishing Rapport: Builds rapport and puts people at ease is engaging and welcomes people finds it easy to make friends.
Articulating Information: Is articulate in giving presentations is eloquent and explains things well projects social confidence when articulating information.
Showing Composure: Stays calm and relaxed during events is not worried and tolerates stress levels is composed in dealing with pressure.
Meeting Timescales: Is target focused and meets deadlines is punctual and keeps to schedule is reliable in finishing tasks.
Upholding Standards: Behaves ethically and justly is discreet and maintains confidentiality meets commitments by acting with integrity.
Taking Action: Takes action to make things happen uses initiative to start things up shows drive and invests personal energy.
Click here to apply
Dental Claims Administrator
Closing Date
2026/07/07
Reference Number
MMH260629-7
Job Title Dental Claims Administrator
Position Type Permanent
Role Family Client Services
Cluster Momentum Health
Remote Opportunity Some of the time
Location – Country South Africa
Location – Province Gauteng
Location – Town / City Centurion
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 effectively review, process and manage benefit claims within service level agreements and according to company policies and procedures. A Dental administrator is a Claims and Pre-authorisation consultant, with a primary purpose on accurately and efficiently capturing claims and pre-authorisations on various platforms, ensuring compliance with organizational protocols and regulatory requirements. The role involves meticulous attention to detail, proactive problem-solving, and adherence to productivity targets to facilitate seamless claim processing.
Requirements
National Senior Certificate / Grade 12 Certificate.
1-2 years of experience in claims processing or a similar field.
Experience in assessing relevant insurance or medical aid claims, ideally with proficiency in both paper-based and Electronic Data Interchange (EDI) methods (Desirable).
Knowledge of medical aid tariffs, disciplines, subcategories, modifiers would be an advantage.
A comprehensive understanding of the legal and regulatory frameworks governing claims administration (e.g., knowledge of insurance laws, data privacy regulations, claims handling guidelines, and any other applicable legislation).
Knowledge in both traditional paper-based claims assessment processes and electronic data interchange (EDI) systems.
Knowledge in utilising claims operating systems and tools (i.e., industry-standard claims management software, databases, and other technological tools used in processing and documenting claims).
Familiarity with the specific scheme or product rules governing the claims being processed (e.g., understanding the coverage, exclusions, limitations, and other relevant provisions specific to the insurance product or scheme being administered).
A basic understanding of medical terminology, conditions, and assessments related to the claims being processed.
Duties & Responsibilities
Claim and Pre-authorisation Capture:
Capture claims and pre-authorisations on multiple platforms with precision and accuracy.
Verify patient and provider information, procedure details, and insurance coverage to ensure completeness and accuracy of captured data.
Perform preliminary checks for duplicates before initiating claim capture to prevent errors and streamline processing.
System Issue Reporting:
Report any system issues or discrepancies encountered during claim capture to designated stakeholders for resolution.c
Collaborate with support teams to address technical issues promptly and minimize disruptions to workflow.
Batch Management:
Close off claim and pre-authorisation batches once completed for a specific fund or timeframe.
Log times and batches on the designated dashboard for statistical tracking and reporting purposes.
Platform Proficiency:
Demonstrate proficiency in navigating and utilizing all relevant platforms for claim and pre-authorisation capture.
Stay updated on platform updates, changes, and functionalities to ensure efficient and effective utilisation.
Communication and Documentation:
Provide clear and concise documentation of claim processing activities, including any actions taken or notes added to the claim on different platforms.
Communicate effectively with internal teams and stakeholders regarding claim status, issues, and resolutions.
Productivity Targets:
Maintain productivity by capturing a minimum of 60 claims/pre-authorisations per day to meet established targets and deadlines.
Prioritize tasks and manage time effectively to achieve daily productivity goals while maintaining accuracy and quality standards.
Competencies
Interpreting Data.
Following Procedures.
Managing Tasks.
Meeting Timescales.
Adopting Practical Approaches.
Making Decisions.
Click here to apply
We wish you all the best with your applications
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