Inhouse Healthcare Consultant-Simeka Health (Bellville,CPT)

About Sanlam Corporate

Sanlam Corporate forms part of the Sanlam Group which offers retail and corporate life insurance, health and investment products in South Africa. Our vision is to be the preferred partner to Corporate and Public Sector by providing an awesome client experience and comprehensive solutions that enable the financial resilience and prosperity of those entities and their employees.

We believe in creating and cultivating a positive, energised working environment that gives every individual the opportunity to achieve success by embracing diversity and growing our talent

Purpose of the role

This role is for our Simeka Health division which is a wholly owned subsidiary of Sanlam Life Insurance Limited. Simeka Health provides healthcare advisory and service solutions to a diverse corporate client base in various industry sectors since 2001

As an Inhouse Healthcare Consultant you will be responsible for providing excellent client services to a portfolio of clients by efficiently managing human capital queries, advice when required, claims and queries and all other medical scheme, gap cover, primary health insurance, loyalty related queries. 

Key Responsibilities

• Assisting clients with new and existing quotes and advice or comparisons where required
• Provide an effective and efficient administrative channel between clients and service providers.
• Must demonstrate a good understanding of all medical scheme options and benefits, primary care insurance, gap cover and loyalty programs.
• Must provide, multiple query resolutions, ability to communicate in both written and a verbal professional manner.
• Manage escalated admin and other requirements from service providers for clients.
• Assists the Centralised Service Centre with in-bound and out-bound client calls.
• Provide timeous feedback and resolution.
• Assisting with communication via the CRM system to clients
• Keep ongoing records on internal CRM systems.
• Assist clients with the application process, requirements and queries telephonically and/or via e-mail up to resolution.
• Frequent follow up with clients

Qualification and Experience

• Regulatory Examination RE5 is required.
•  Regulatory Examination RE1 will be advantageous.
•  Full Accreditation with the Council for Medical Schemes is required.
•  Class of Business-Health (no longer under supervision)
•  Class of Business-Short term personal lines (no longer under supervision)
• Industry related Degree or Diploma (NQF level 5) is required.
•  2 - 3 years’ experience in a similar healthcare environment with Advice and Intermediary services is required

Knowledge and Skills

• Knowledge of industry regulations e.g., POPI and TCF
• Experience in managing customer relationships
• Experience in handling customer complaints
• Strong knowledge of medical scheme product and processes
• Strong knowledge of Internal and external processes including service level commitments
• Knowledge of relevant escalation channels
• Knowledge in managing and co-ordinating escalations from HR and other stakeholders
• Experience in managing customer relationships
• Proficiency in Microsoft Office (Word, Excel, Outlook)
• Brokertools experience advantageous
• Proficient in both English and Afrikaans (verbal and written)

Core Competencies

• Cultivates Innovation- By creating new and better ways for the organisation to be successful
• Client Focus- Building strong customer relationships and delivering customer-centric solutions
• Drives Results- Consistently achieving results, even under tough circumstances
• Collaborates- Building partnerships and working collaboratively with others to meet shared objectives
• Resilience- Rebounding from setbacks and adversity when facing difficult situations

Turnaround time

The shortlisting process will only start once the application due date has been reached. The time taken to complete this process will depend on how far you progress and the availability of managers. 

The closing date for this advert is 27th March 2026.

Our commitment to transformation

The Sanlam Group is committed to achieving transformation and embraces diversity. This commitment is whatdrives us to achieve a diverse, inclusive and equitable workplace as we believe that these are key componentsto ensuring a thriving and sustainable business in South Africa. The Group's Employment Equity plan andtargets will be considered as part of the selection process.