Position: Specialist Authorisation Agent Location: Centurion, Gauteng Position Purpose: To ensure the accurate issuing of appropriate pre-authorisations that meet the requirements of clinical appropriateness, medical necessity and clinical risk management. Experience: 2 to 5 years’ solid experience within a medical aid administration environment. Qualifications: Grade 12 and relevant tertiary qualification. KEY PERFORMANCE AREAS Handle inbound and outbound calls relating to pre-authorisation requests. Capture, validate, and process benefit authorisations accurately. Liaise with members, healthcare providers, and internal stakeholders to ensure efficient service delivery. Provide clear and professional communication regarding benefit limits, exclusions, and scheme rules. Escalate complex queries to the clinical team where required. Maintain accurate records and adhere to company policies, procedures, and service level agreements. KEY COMPETENCIES Skills and Abilities Attention to Detail – ensures accuracy in capturing and processing data. Customer Service Orientation – professional, empathetic, and solution-driven approach. Problem-Solving – able to resolve queries effectively within policy guidelines. Time Management – manages workload efficiently and meets deadlines. Teamwork & Collaboration – works well with colleagues and supports a positive team culture. Adaptability – remains resilient and focused in a fast-paced environment Knowledge Knowledge of medical aid rules, ICD-10 codes. Strong computer literacy and data-capturing skills. Excellent communication skills (verbal and written). Ability to work in a structured, high-volume call centre environment Knowledge and application of relevant legislation Knowledge and application of scheme rules Note: Company reserves the right to close the advert before specified closing date. PHA has its head office in Westville, KwaZulu-Natal. It operates country-wide with a nationally linked network and uses a robust, flexible, as well as integrated system to ensure efficient and effective administration of membership and benefits. #J-18808-Ljbffr