Legal Adjudication Officer

COUNCIL FOR MEDICAL SCHEMES

Gauteng, South Africa

Permanent

Aug 15

You will work within the Complaints Adjudication unit. You will be responsible for: Investigate and resolve complaints in terms of the Medical Schemes Act; Analysis of responses from medical schemes and apply relevant legal principles to the complaints in order to make sound decisions; Conducting research in relevant areas of law and health policy and apply same to the complaints; Drafting decisions which are binding on the Office of the Registrar; Provide clarity at the appeal hearings as and when required; Drafting trends report for submission to the head of the unit; Providing legal advice to complainants; and Attending internal and external meetings on behalf of the Complaints Adjudication Unit to ensure speedy resolution of complaints.

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