ROLE PURPOSE

 

To provide advanced technical expertise in contribution collection and credit control by proactively managing outstanding accounts, resolving complex account issues, reconciling discrepancies, and ensuring compliance with Scheme rules, policies and SOPs. The role safeguards financial sustainability through accurate administration, risk-aligned decision-making and continuous process improvement.

 

Key Responsibilities


Credit Control & Account Management

  • Monitor, manage and follow up on outstanding member and group accounts.
  • Resolve complex account discrepancies, billing issues and payment allocations.
  • Process contribution raisings, adjustments, reversals and refunds accurately.
  • Prepare and submit overdue account reports, bad debt provisions and write-off recommendations.
  • Action daily deadlines, workflow instructions and business initiatives.
  • Maintain accurate records, audit trails and collection activities.
  • Provide technical support to stakeholders on contributions, rules and account queries.
  • Support operational efficiency and continuous improvement across the division.

Risk Management & Compliance

  • Apply fraud control, governance and risk-prevention principles to all credit control activities.
  • Ensure compliance with Scheme rules, policies and Standard Operating Procedures.
  • Support internal and external audit requirements with precise documentation.
  • Maintain ISO-aligned quality risk management standards.
  • Enforce SLA adherence to support business continuity and service reliability.

Stakeholder Engagement

  • Build and maintain strong relationships with members, brokers, employers and internal teams.
  • Provide clear, accurate and professional communication on account matters.
  • Support cross-functional integration to improve overall service and collection performance.

 

EXPERIENCE

QUALIFICATION

  • 5 Years Medical Scheme Industry
  • 5 Years of relevant Credit Control experience within a Medical Scheme / Administrator
  • Nexus system experience (Advantage)
  • National Diploma or equivalent qualification in relevant field such as finance, credit management, accounting, or related discipline (NQF Level 6)

Knowledge

Skills

Attributes

  • Relevant legislation and regulatory frameworks
  • Risk Management practices and principles
  • Annexures and Scheme rules
  • Technical problem solving
  • Medical Insurance Policies
  • Insurance Risk protocols
  • Verbal and Written Communication
  • Negotiation
  •  Stakeholder management
  • Conflict management
  • Resilience
  • Detail Orientation
  • Innovative Thinking
  • Customer Centric
  • Results Focused
  • Quality Focused
  • Assertiveness
  • Compliance Driven
  • Emotional Maturity
  • Analytical Thinking
  • Problem Solving
  • Logical Reasoning

 

 

 
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