Legal Advisor at Discovery Limited

Job Description

This position requires the successful candidate to manage legal disputes, as well as to provide legal assistance to Discovery Health when necessary.

Duties & Responsibilities

The successful applicant will be responsible for but not limited to the following job functions:

• Argue cases at Disputes on behalf of DHMS at weekly Dispute Hearings.
• Manage and own the entire Dispute Process and the relevant workflow pools.
• Assist senior legal advisor to respond to legal letters of demand from members.
• Provide legal assistance in respect of appeals to Council.
• Assist senior legal advisor in managing the mediation process before a matter goes on appeal.
• Provide legal training to the Benefit Compliance Review team when required.
• Update the Benefit Compliance Review team and relevant business areas on Council for Medical Schemes and dispute rulings as required.
• Monthly and quarterly trending and status reports.
• Assist in and provide advice on legal matters pertaining to Discovery Health e.g. Application of the Medical Schemes Act and Regulations to funding decisions.
• Draft heads of arguments for appeal and dispute matters.
• Investigate cases prior to going for disputes.
• Track industry trends relating to the Appeal committee and to the appeal board decisions, to assist with the implementation into Discovery Health.
• Record keeping according to company requirements

Mode of Application

How to apply: Interested and qualified? Discovery Limited South Africa

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