Active Jobs at Six Senses

Job Description

• A well-established short term insurer is seeking to appoint a Investment Analyst
• The Investment Analysts will assist the Senior Investment Manager in the implementation of the investment policy and investment strategy.
• Prepare investment performance monitoring and reporting.
• Prepare quarterly investment packs for Investment Steering Committee and Investment Committee.
• Assist with asset manager selection, appointment and monitoring.
• Conduct asset manager due diligence exercises and reporting.
• Daily Compilation of Asset managers data and calculation of Assets Under Management (AUM).
• Monthly and Quarterly investment reconciliations.
• Month end Investment journals.
• Monthly invoices
• Compliance and Variance/Cash report

Qualifications:

• Relevant B degree qualification (B Com/ BAcc)
• Advantageous if the qualification is relevant to investments

Experience:

• Minimum 2 years in an investment environment.

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Job Description

• A financial services business is seeking to appoint a Consultant Medical Management - 3 Year Contract.
• The Consultant: Medical Management is responsible to implement the medical management activities, medical exception handling and providing administration support in claims processing.

Qualifications:

• Bachelor’s Degree/Advanced Diploma in Health Sciences /Medical related qualification.
• Registration with HPCSA/SANCA
• Medical management
• Conduct medical assessment and compile injury assessment reports.
• Conduct assessments and bill reviews on submitted claims, focusing on the appropriate level of care, the length of stay, and quality of care.
• Incorporate tariffs, cost savings initiative recording, and treatment protocol to ensure that all service providers adhere to the rules, and the tariff as guided by the RAF and / or any that is considered reasonable.
• Pre-authorise submitted claims
• Escalation of complex cases for multi-disciplinary review and adjudication.
• Participate in the consultations process on the implementation of medical claims processes.

Experience:

• Relevant 3 years’ experience in a Medical related environment
• Claims management process/ processes and systems.
• Medical product management
• Medical bill reviewing
• Medical case management
• Complex problem identification, solving and decision making
• Customer value proposition
• Strong clinical analytical capabilities
• Knowledge of motor vehicle accident legislation
• Planning, Organising and Coordinating.
• Personal Mastery.
• Judgement and Decision Making.
• Ethics and Values.
• Client Service Orientation.