A Talent Pool is a database of pre-qualified candidates who have successfully met the required criteria for specific roles. Candidates in the pool are considered for available opportunities as soon as vacancies arise, following completion of assessments, role plays, and interviews. Successful candidates remain active in the system and receive regular updates on their application status.

Key Purpose
The Talent Pool – Pre Auth Service Consultant is responsible for delivering exceptional service to members, healthcare providers, employer groups, hospitals, and brokers. The role focuses on resolving queries efficiently across multiple service channels, primarily telephonically, while managing the risks associated with hospital admissions through clinical expertise and accurate benefit interpretation.

Key Responsibilities

• Confirm benefits in line with established protocols and funding rules
• Accurately capture and verify information to ensure correct funding decisions
• Handle and resolve queries from all stakeholders through various service channels
• Deliver customer-focused service aligned with organizational service standards
• Stay updated on product changes and benefit structures to ensure accurate communication
• Utilize and maintain knowledge of digital servicing tools within the organization
• Meet and exceed performance targets related to service delivery
• Manage multiple interactions efficiently while maintaining service quality
• Continuously adapt to process improvements and system updates

Core Competencies

• Ability to follow procedures and demonstrate commitment to self-development
• Strong analytical and problem-solving skills
• Continuous learning mindset with strong research capabilities
• Effective communication and presentation skills
• Customer-focused approach with a commitment to service excellence
• Strong decision-making and initiative-taking abilities
• Ability to collaborate effectively within teams
• Proficient in written communication and reporting

Knowledge and Skills

• Basic understanding of Anatomy and Physiology
• Strong time management and organizational skills
• Excellent verbal and written communication abilities
• Ability to work effectively under pressure

Personal Attributes

• Customer-centric mindset with a strong service orientation

Education and Experience

• Matric certificate
• Accredited clinical qualification
• Minimum of 6 months’ experience in a customer service or clinical environment

Employment Equity
The company’s Employment Equity Plan and targets will be considered during the recruitment process. As an equal opportunities employer, applications from individuals with disabilities are encouraged.