Daleen Nel

Professional and results-driven Clinical Client Relationship Manager and Administrator with extensive experience in healthcare administration, clinical risk management, client relations, and office administration. Proven ability to manage confidential clinical records, coordinate stakeholder communication, handle escalated client queries, and maintain efficient administrative systems. Strong background in medical scheme operations, preauthorisation processes, data capturing, and compliance with healthcare protocols and POPIA requirements.

Office Administrator - JDNEL Trading - Boksburg

(2025-01)

• Manage daily office administration and operational activities
• Oversee booking systems and maintain accurate database records
• Coordinate client communication and provide professional customer support
• Maintain organised filing systems and administrative documentation
• Support business operations through effective office coordination and scheduling
• Quote and invoicing using Sage accounting

Clinical Client Relationship Manager - Discovery Health Medical Scheme - Sandton

(2011-01 - 2025-01)

• Managed clinical and administrative processes relating to hospital admissions and healthcare funding
• Assessed and mitigated risks associated with in-hospital admissions using clinical knowledge and scheme protocols
• Reviewed complex medical and procedural queries in accordance with medical scheme policies
• Conducted claim investigations and resolved escalated client matters efficiently
• Maintained confidential clinical and administrative records on internal systems
• Liaised with healthcare providers, stakeholders, and members regarding funding decisions and escalations
• Applied Prescribed Minimum Benefit (PMB) legislation and underwriting principles when resolving cases
• Delivered professional client service while ensuring compliance with healthcare regulations and company standards

Preauthorisation Consultant - Discovery Health Medical Scheme - Centurion

(2009-01 - 2011-01)

• Managed hospital preauthorisation requests using clinical guidelines and funding criteria
• Evaluated admission requests and communicated funding outcomes to stakeholders
• Assisted members and healthcare professionals with clinical and administrative queries
• Ensured accurate capturing and maintenance of medical records and authorisation information
• Delivered professional service while maintaining confidentiality and compliance with healthcare procedures

Grade 12 - Hoërskool Voortrekker (1998-01)

Basic Life Support - Global Emergency Technologies, Pretoria (2001-01)