Risk Officer. March 2026

<p style="text-align:justify;text-justify:inter-ideograph;">Reporting to the Senior Risk Health and Wellness Officer</p><p style="text-align:justify;text-justify:inter-ideograph;"><br></p><p style="text-align:justify;text-justify:inter-ideograph;"><strong>The main responsibilities of the job are:</strong></p><p style="text-align:justify;text-justify:inter-ideograph;"><br></p><p style="margin-left:54.0pt;text-align:justify;text-justify: inter-ideograph;text-indent:-40.5pt;">Case Management.</p><p style="margin-left:54.0pt;text-align:justify;text-justify: inter-ideograph;text-indent:-40.5pt;">Claims Reviews & Investigations.</p><p style="margin-left:54.0pt;text-align:justify;text-justify: inter-ideograph;text-indent:-40.5pt;">Risk Management & Wellness.</p><p style="margin-left:54.0pt;text-align:justify;text-justify: inter-ideograph;text-indent:-40.5pt;">Provider Network Management</p><p style="margin-left:54.0pt;text-align:justify;text-justify: inter-ideograph;text-indent:-40.5pt;">Quality Assurance and Compliance.</p><p style="text-align:justify;text-justify:inter-ideograph;"><br></p><p style="text-align:justify;text-justify:inter-ideograph;"><strong>Qualifications: </strong></p><ul style="margin-top:0cm;" type="disc"><li style="text-align:justify;text-justify:inter-ideograph; ">Degree in Nursing.</li><li style="text-align:justify;text-justify:inter-ideograph; ">Diploma in Theatre nursing and/or midwifery is an added advantage.</li><li>Insurance and Risk Management OR equivalent is an added advantage.</li></ul><p style="margin-left:36.0pt;text-align:justify;text-justify: inter-ideograph;"><br></p><p style="text-align:justify;text-justify:inter-ideograph;"><strong> </strong></p><p style="text-align:justify;text-justify:inter-ideograph;"><strong>Ideal Candidate must:</strong></p><p style="text-align:justify;text-justify:inter-ideograph;"><strong> </strong></p><ul style="margin-top:0cm;" type="disc"><li>Have 3 years’ experience in claims investigations, case management and implementation of wellness programmes in a medical aid environment.</li><li style="text-align:justify;text-justify:inter-ideograph; ">Possess excellent investigative, problem solving and decision making skills.</li><li style="text-align:justify;text-justify:inter-ideograph; ">Have a strong client focus.</li><li style="text-align:justify;text-justify:inter-ideograph; ">Have good written and verbal communication skills.</li><li style="text-align:justify;text-justify:inter-ideograph; ">Be a person of integrity who is transparent and able to observe and protect the confidential nature of information.</li></ul><p style="text-align:justify;text-justify:inter-ideograph;"> </p>