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
Insurance industry underwriting and claims
Case management and disability assesment
Product design
Critical thinking and analysis
Mentoring and training
Clinical knowledge
Timeline
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