Risk Officer. March 2026

Reporting to the Senior Risk Health and Wellness Officer

The main responsibilities of the job are:

Case Management.

Claims Reviews & Investigations.

Risk Management & Wellness.

Provider Network Management

Quality Assurance and Compliance.

Qualifications:

• Degree in Nursing.
• Diploma in Theatre nursing and/or midwifery is an added advantage.
• Insurance and Risk Management OR equivalent is an added advantage.

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Ideal Candidate must:

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• Have 3 years’ experience in claims investigations, case management and implementation of wellness programmes in a medical aid environment.
• Possess excellent investigative, problem solving and decision making skills.
• Have a strong client focus.
• Have good written and verbal communication skills.
• Be a person of integrity who is transparent and able to observe and protect the confidential nature of information.