Jobs at Six Senses

• A well-established short term insurer is seeking to appoint an Head: Portfolio Management
• The incumbent will lead the formulation and execution of integrated portfolio strategies, drive stakeholder-centric growth, manage profitability across agent portfolios, and spearhead the establishment and nurturing of high-impact strategic partnerships (e.g., Government Security Cluster, SAIA, FIA, and other related partners)

Qualifications:

• Bachelor ’s degree in commerce, Law, Risk Management, or related field
• Beneficial: AIISA or equivalent insurance qualification
• Preferred: Postgraduate qualification in Insurance, Strategy, Public Policy or equivalent

Experience:

• Minimum 7–10 years in short-term insurance or financial services, with at least 5 years in middle management roles
• Demonstrated experience in managing strategic partnerships and public sector engagements
• Proven track record of managing diverse distribution channels and leading high-performing teams
• Financial and operational oversight experience essential

CLOSING: 2025-08-18

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• A financial services business is seeking to appoint a Consultant Medical Management - 1 Year Contract.
• The Consultant: Medical Management is responsible to implement the medical management activities, medical exception handling and providing administration support in claims processing. Strong claims management experience is essential

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. - must be very strong on Claims Management 
• 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.

CLOSING: 2025-08-22