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MEDICAL ADVISOR - 312617
Healthcare/ Pharmacies / Hospitals / Medical / Emergency Services
Wage / Salary:
R - Market Related - P/M (Per Month)
Cape Town, Western Cape
At least M.B.Ch.B. & Registered with HPCSA
Any post-graduate qualification in Occupational Health, Epidemiology, Impairment rating or Family Health will be an asset
At least 5 years of recent experience in the medical field.
Experience in the Insurance Medicine in the long term insurance industry would be beneficial
Experience in the Health Insurance or Medical Aid industry will be an advantage
This role focuses on optimizing risk profits from risk products for all business entities in the company
This necessitates continued research and development, establishing underwriting and claims assessment policies, assisting with product design, development and pricing, as well as doing quality control of risk ratings by the underwriting and claims teams
Manage and update evidence-based in-house underwriting philosophy
Manage claims policy
Assist underwriting team with the prognosis and risk classification of medical conditions.
Quality control of risk ratings by the Underwriting and Claims teams
Interpretation of effort ECG’s, lung functions tests and special investigations
Assess disability claims and other claims like hospital plans, dread disease, etc.
Assist product development and pricing with medico-legal definitions, and disease incidence and prevalence stats
Training of underwriters and claims personnel
Liaison with reinsurers
Interpretation of effort ECG’s, lung function tests and special investigations
Building and maintaining relationships
Excellent Communication skills (verbal & written)
Must be willing to travel nationally
Computer literacy is required