SGR Senior Medical Advisor - Cape Town or Alice Lane

Sanlam; Wes-Kaap; On-site; ZAR 600 000 - 800 000; Full time

Job summary

A leading company in the financial sector seeks a Senior Medical Advisor to optimize risk profits from group risk products. This role involves data analysis, underwriting, and collaboration with teams to enhance employee benefits and insurance assessments. Applicants should have a medical degree and relevant experience in occupational health and insurance medicine.

Qualifications

• At least 5 years of recent experience in the medical field.
• Occupational Health experience required.
• Experience in Insurance Medicine is an advantage.

Responsibilities

• Contribute to claims policy and operations.
• Manage and update evidence-based in-house underwriting philosophy.
• Assist in assessment of claims.

Skills

Organisational Savvy

Analytical thinking

Client Focus

Education

M.B.Ch.B.

Post graduate qualification in Occupational Health

Post-graduate qualification in Epidemiology and statistics

Job description

About Sanlam Corporate:

Our vision is to be the preferred partner to Corporate and Public Sector by providing an awesome client experience and comprehensive solutions that enable the financial resilience and prosperity of those entities and their employees. We believe in creating and cultivating a positive, energised working environment that gives every individual the opportunity to achieve success, embracing diversity and committed to transformation.

We do this through living our values of having the courage to be bold, care, collaboration and an intolerance for mediocrity. We’re all about building strong, lasting relationships with our employees. We know that you have hopes for your future – your career, your personal development and of achieving great things. We pride ourselves in helping our employees to realise their worth.

Overall purpose of the role:

To assist employers in protecting their employees, Sanlam Group Risk offers group risk products – designed to insure employees and protect their families in the event of long-term illness or injury or death while working. Along with retirement savings, group risk benefits such as life insurance, group accident insurance, disability income protection, and group critical illness form the backbone of staff benefit packages.

The Senior Medical Advisor role focuses on optimising risk profits from risk products for all business entities in Sanlam Group Risk. This necessitates continued research and development, data analysis, establishing underwriting and claims assessment policies, assisting with product design, development, and pricing, as well as conducting quality control of risk ratings by the underwriting and claims teams. Collaboration with smaller units and projects within the larger Sanlam Life Insurance framework may be necessary from time to time. The successful candidate must be willing to travel nationally if required.

Key Responsibilities:

• Contribute to claims policy and operations.
• Manage and update evidence-based in-house underwriting philosophy.
• 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 medical tests to improve underwriting risk.
• Explore and work in multidisciplinary teams to use data and other innovative markers to enrich insurance assessments.
• Assist in Assessment of claims
• Assist product development and pricing with medico-legal definitions, disease incidence and prevalence stats.
• Training of underwriters and claims personnel.
• Reinsurer networking
• Liaison and training of Occupational Health professionals.
• Client service employers, funds and employee benefit brokers
• Providing strategic input with regards to pandemic challenges.

Qualification and Experience:

• M.B.Ch.B. and registered with HPCSA.
• Post graduate qualification in Occupational Health
• Any post-graduate qualification in Epidemiology and statistics, Impairment Rating according to AMA guidelines, financial services will be an advantage.
• At least 5 years of recent experience in the medical field.
• Occupational Health experience
• Experience in Insurance Medicine within the Long-term Insurance industry will be an advantage.

Personal Qualities:

• Organisational Savvy – Maneuvering comfortably through complex policy, process and people related organizational dynamics.
• Manages Complexity – Making sense of complex, high quantity and sometimes contradictory information to effectively solve problems.
• Drives Engagement – Creating a climate where people are motivated to do their best to help the organisation achieve its objectives.
• Business Insight – Applying knowledge of the business and marketplace to advance the organisation’s goals.
• Ensures Accountability – Holding self and others accountable to meet commitments.
• Courage – Stepping up to address difficult issues, saying what needs to be said.
• Plans and Aligns - Planning and prioritising work to meet commitments aligned to organisational goals.
• Analytical thinking – organizational development consultants need to analyze information to assess businesses, personnel, and departments to determine what is working and what can be improved.

Core Competencies:

• Cultivates Innovation by creating new and better ways for the organisation to be successful.
• Client Focus - Building strong customer relationships and delivering customer-centric solutions.
• Drives Results - Consistently achieving results, even under tough circumstances.
• Collaborates - Building partnerships and working collaboratively with others to meet shared objectives.
• Resilience - Rebounding from setbacks and adversity when facing difficult situations.

The Sanlam Group is committed to transformation and embracing diversity and our employment equity plan and targets will be considered as part of the recruitment process. This commitment is what drives us to achieve a diverse workplace with employment equity as a key goal to create an inclusive workforce, representative of the demographics of our society as well as people with disabilities.