Provider Network Administrator - Inbound

Company Description

About Kaelo

Kaelo provides essential healthcare solutions ensuring the physical and psychosocial wellbeing of all South Africans towards lasting social change. Kaelo meets the Healthcare needs of Corporate and Retail clients across South Africa – products offerings include Medical Insurance, Medical Aid, Gap Insurance, Kaelo Money and employee assistance programmes.

Job Description

We are seeking a detail-oriented and customer-focused Provider Network Administrator - Inbound to join our Networks Department. The successful candidate will be responsible for managing inbound provider-related queries, maintaining accurate provider information, supporting network administration processes, and ensuring excellent service delivery to healthcare providers and internal stakeholders.

This role is ideal for an individual who thrives in a fast-paced environment, has strong administrative capabilities, and is passionate about delivering high-quality customer service.

Key Responsibilities

• Manage and resolve inbound provider queries via telephone, email, and other communication channels.
• Capture, update, and maintain provider information accurately within relevant systems.
• Process provider applications, amendments, and network-related requests in accordance with established procedures.
• Ensure provider records remain accurate, complete, and up to date.
• Maintain high levels of data integrity and compliance with company policies and procedures.
• Generate and distribute reports as required.
• Provide administrative support to the broader Networks Department.

Qualifications

Minimum Requirements

• Grade 12 / Matric.
• Relevant certificate or diploma in Administration, Business Management, Healthcare Administration, or a related field will be advantageous.
• Previous administrative or customer service experience.
• Experience within the healthcare, medical scheme, insurance, or managed healthcare environment will be advantageous.
• Proficient in Microsoft Office Suite, particularly Excel, Word, and Outlook.
• Strong data capturing and administrative skills.

Additional Information

Competencies and Skills

• Excellent verbal and written communication skills.
• Strong attention to detail and accuracy.
• Effective problem-solving and analytical skills.
• Ability to manage multiple tasks and priorities.
• Customer-centric approach.
• Strong organisational and time-management skills.
• Ability to work independently and as part of a team.
• Professionalism and ability to maintain confidentiality.

If you are passionate about administration, service excellence, and working in a dynamic healthcare environment, we encourage you to apply.

Start Date: 01 December 2026