Helen Weber
Senior Medical Advisor
Cape Town
Summary
Experienced Senior Medical Advisor with over 7 years of experience in Insurance Medicine . Excellent reputation for resolving problems and improving customer satisfaction. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
25
25
years of professional experience
Work History
Senior Medical Advisor
Sanlam
Cape Town
02.2018 - Current
- Support product actuaries with medical expertise in product design,definitions and medical incidence and prevalence of diseases
- Support underwriting and claims through assessment,guidance,training and identify trends
- Act as reinsurer medical officer thus provide expert medical input,identify trends and training needs
- Managed employees, overseeing hiring, training and professional growth of employees.
- Increased customer satisfaction by resolving issues at underwriting,claims and ombudsman queries.
- Prepared variety of different written communications, reports and documents.
- Identified issues, analyzed information and provided solutions to problems.
- Participated in continuous improvement by generating suggestions, engaging in problem-solving activities
- Used critical thinking to break down problems, evaluate solutions and make decisions.
Senior Medical Officer
TAL -ILS
Cape Town South Africa
07.2017 - 01.2018
- Supported claims and underwriting teams both Cape Town based and Australian based
- Applied continuous process improvement strategies to enhance case management, programs and clinical management.
- Training for case managers and underwriters on medical topics
- Support General Manager with growing unit
Medical Advisor
Sanlam
Cape Town
08.2015 - 06.2017
- Claims and underwriting support
- Clinical screening examinations and stress ECG's for client's applying for insurance cover
- Training of underwriters and claims teams on medical topics
Medical Officer
City of Cape Town
Cape Town
11.2013 - 07.2015
- Improved patient outcomes and delivery of care through improved clinical quality processes.
- Completed patient referrals to other medical specialists.
- Confirmed consistent and accurate medical recordkeeping practices.
- Verified complex diagnoses to facilitate treatment plans.
- Interpreted diagnostic test results for deviations from normal.
- Applied continuous process improvement strategies to enhance case management, programs and clinical management.
- Reviewed and evaluated test results to suggest care and treatment options.
- Communicated with patients, ensuring that medical information was kept private.
Senior Manager
Metropolitan Health
Cape Town
05.2010 - 10.2013
- Health insurance industry policy and clinical protocol development to ensure cost effective and clinical sound principles applied
- Evaluated health technology assessment on new pharmaceutical products to asses cost effectiveness and efficacy based on scientific principles
- Provided strong leadership to enhance team productivity and morale.
- Developed basket of care for chronic management disease program
- Manged coding and pharmaceutical management teams
- Conducted performance evaluations, compensations and hiring to maintain appropriate staffing requirements.
Clinical Research Medical Officer
Kidcru & Dr Heinrich Weber
Cape Town
01.2006 - 04.2010
- Clinical research in paediatric HIV and tuberculosis as well as asthma trials
- Training of staff and other teams in Africa on protocols
- Quality assurance
- Meticulous attention to detail
- Worked across continents with various research teams
General Practionar
Various
Cape Town
01.1997 - 12.2005
- Worked as GP locally in South African private and public arena
- Worked abroad in Queensland and Victoria as GP and resident visiting MO in Kilmore hospital as GP obstetrician
Education
Bachelor of Medicine And Surgery - Medicine
University of Stellenbosch
Western Cape South Africa 01.1989 - 12.1995
Certificate - Certificate in Health Technology Assesment
University of Stellenbosch Business School
Cape Town South Africa 08.2011 - 08.2011
Certificate - Leadership And Design Thinking
University of Cape Town Business School
Cape Town South Africa 04.2001 -
Skills
Medical coding knowledge
undefinedTimeline
Senior Medical Advisor
Sanlam
02.2018 - Current
Senior Medical Officer
TAL -ILS
07.2017 - 01.2018
Medical Advisor
Sanlam
08.2015 - 06.2017
Medical Officer
City of Cape Town
11.2013 - 07.2015
Certificate - Certificate in Health Technology Assesment
University of Stellenbosch Business School
08.2011 - 08.2011
Senior Manager
Metropolitan Health
05.2010 - 10.2013
Clinical Research Medical Officer
Kidcru & Dr Heinrich Weber
01.2006 - 04.2010
Certificate - Leadership And Design Thinking
University of Cape Town Business School
04.2001 -
General Practionar
Various
01.1997 - 12.2005
Bachelor of Medicine And Surgery - Medicine
University of Stellenbosch
01.1989 - 12.1995
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