Health Solutions is looking for Membership Clerk

This position will verify and accurately process membership applications and member record updates in accordance with business rules, policies, and procedures.

Closing date: 12 June 2024

Location: Cape Town


  • Matric or an equivalent qualification.
  • 1 – 2 years Administration experience essential

  • 1 – 2 years Medical Aid administrative experience (would be an advantageous)
  • Computer Literate is essential.
  • Business writing skills would be advantageous.
  • Experience in client service environment would be advantageous.
  • Microsoft Office proficiency would be advantageous.

Duties & Responsibilities
Internal Processes

  • To apply the membership rules and mandates of the scheme (e.g., eligibility and underwriting).
  • Effective individual contribution towards Service Level Agreement (SLA) compliance by ensuring adherence to Schedule or occupancy, quality service and production (internal and external).

  • Accurately maintaining and updating membership details on the system in alignment with departmental standards.
  • Ensuring the scheme is not unnecessarily exposed to financial risk due to incorrect confirmation of membership information.

  • Client retention and goodwill by effectively resolving queries from members, employer groups, service providers and the Scheme.
  • Have an in depth understanding of varied aspects pertaining to the Scheme and associated administration processes, including investigations.
  • Follow-up on incomplete beneficiaries registrations to obtain outstanding information required to complete the application, via telephone, SMS’s, e-mail and letter.

  • Ensure that supporting documentation for all membership transactions are recorded on the member’s account at 99.5% quality and 100% production.
  • Capture accurate notes for enquiry and audit purposes on membership records advising of reason for and action performed.

  • Take cognisance of membership changes (registration and updates) and interact with internal and external stakeholders where necessary.
  • Assist with internal and external queries in an efficient and professional manner.
  • Assist with adhoc departmental and business unit projects and initiatives.

Client Services

  • Build and maintain relationships with clients and internal and external stakeholders.
  • Deliver on service level agreements applicable to clients and internal and external stakeholders in order 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.
  • Continuously monitor turnaround times and quality standards and resolve issues speedily to enhance client service delivery.

  • Drive client service delivery goal achievement in line with predefined standards in order to ensure that clients receive appropriate advice and after sales service.
  • Manage client query processes and ensure that queries are tracked, accurately resolved, and used as a mechanism to improve client service and business processes.


  • Build strong relationships through providing specialist know-how and leadership to others, expressing positive expectations.
  • Continuously develop own expertise in terms of industry and subject matter development and application thereof in an area of specialisation.
  • Positively influence and manage change and offer specialist support where required.

  • Contribute to continuous innovation through the development, sharing and implementation of new ideas and involvement of colleagues and staff.
  • Participate and contribute to a culture of work centric thinking, productivity, service delivery and quality management.
  • Take ownership for driving career development.


  • Contribute to the development of area specific budgets to minimise expenditure, in alignment with operational plans.
  • Identify solutions to enhance cost effectiveness and increase operational efficiency.

  • Implement and provide input into governance processes, systems, and legislation within area of specialisation.
  • Escalate unresolved policy and governance compliance issues via appropriate channels for investigation and resolution purposes.
  • Provide input into the risk identification processes development and communicate recommendations in the appropriate forum.


  • Data Capturing
  • Customer focus
  • Ability to learn and apply new skills
  • Attention to detail and quality excellence
  • Flair for decision-making and problem solving

Related Articles

Leave a Reply

Your email address will not be published. Required fields are marked *

Back to top button