Consultant Medical Management - 3 Year Fixed Term Contract

Qualifications and Experience: Bachelors Degree/Advanced Diploma in Health Sciences /Medical related qualification. Registration with HPCSA/SANCA Relevant 3 years experience in a Medical related environment 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. Escalation of complex cases for multi-disciplinary review and adjudication. Participate in the consultations process on the implementation of medical claims processes. Technical Competencies: 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. Please note that if you have not received a response within 14 days of submitting your application that your application was unsuccessful.