Palesa Plaatjies

• Maintain detailed records of customer interactions and transactions
• Accurately update member/provider information on Nexus or relevant
• Indexing of new or outstanding documents
• Provide expert medical advice to clients regarding their health insurance queries and claims.
• Conduct thorough analysis of medical information to support claims processing and decision-making.
• Identify and escalate complex medical cases to the appropriate department for further review.
• Collaborate with healthcare providers to resolve client issues and improve service delivery.
• Maintain detailed records of customer interactions and transactions to ensure accurate and efficient claim processing.

•Book engineer visits for customers.

• Remained calm and professional in stressful circumstances and effectively diffused tense situations.

•Offer customer service for home care products and services such as boilers and geysers.

•Advertise products through sales techniques.

•Perform boiler troubleshooting.

•Take payments for home care products.

• Maintained detailed records of customer interactions, transactions and comments for future reference.

• Answering customer queries regarding customer utility bills namely gas and electricity
• Explaining any questions they had regarding their bills being high or low
• Advising customers about cost saving methods, the summary of their bills
• Escalating bill errors, fixing, and taking responsibility for any bill's errors
• Looking out for any vulnerabilities, financial issues, showing empathy and compassion

• Answer incoming customer calls regarding customer queries about their service provider
• Assist customers with questions about their bill's statements
• Advise customers about different deals they can take within this network provider
• Upselling, escalating issues, taking in payments, and doing outbound sale calls