Cornelia Joubert
@corneliajoubert
Senior medical claims consultant specializing in medical aid administration, PMB compliance, and high-volume client support.
What I'm looking for
I’m a highly experienced healthcare insurance and medical claims specialist with 10+ years supporting medical schemes, gap cover administration, broker operations, and healthcare funding. I manage complex medical aid and gap cover claims end-to-end—from submission through to final resolution—while delivering exceptional client service in high-volume environments.
In my current role as a Senior Medical Claims Consultant, I liaise directly with medical schemes for funding approvals, claims disputes, and benefit allocations. I support members with PMB applications, chronic condition registrations, hospital and procedure authorisations, and related healthcare funding processes, while coordinating remote client support through Outlook and broker platforms.
I’m known for maintaining accurate digital records and ensuring healthcare compliance, including POPIA. I also provide full medical scheme book administration for large client portfolios, handling member servicing and retention-focused query resolution with professionalism under pressure.
Experience
Work history, roles, and key accomplishments
Senior Medical Claims Consultant
Smith & Bormann Brokerage
Oct 2018 - Present (7 years 7 months)
Managed complex medical aid and gap cover claims from submission to final resolution, liaising with medical schemes on funding approvals, disputes, and benefit allocations. Supported members with PMB applications, chronic condition registrations, hospital/procedure authorisations, policy amendments, and compliance requirements including POPIA.
Receptionist / Healthcare Administrator
Dr. Lilley Medical Practice
Jun 2014 - Jan 2018 (3 years 7 months)
Handled front-desk operations and patient administration, including appointment coordination, switchboard support, and confidential file management. Processed medical billing and invoicing, managed electronic healthcare records, supported patients with procedure and payment explanations, and handled customer queries and complaints.
Education
Degrees, certifications, and relevant coursework
Christian Counselling Institute of Christian Psychology
Christian counselling and psychology
Completed Christian counselling/psychology training in 2015 at the Christian Counselling Institute of Christian Psychology.
Hatfield Business College
Microsoft Office Certification, Microsoft Office
Earned a Microsoft Office certification at Hatfield Business College in 2001.
Hatfield Business College
Personal Assistant Qualification, Personal Assistance
Completed a Personal Assistant qualification at Hatfield Business College in 2001.
Pretoria Technical College
Senior Certificate, Secondary Education
Completed a Senior Certificate at Pretoria Technical College in 1999.
Availability
Location
Authorized to work in
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Skills
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