FUND MANAGER at MEDICAL AID

About the position

The Fund Manager's responsibilities would be to take full accountability for managing the contracted administration and managed care services and manages the delivery of services and the relationship with the Principal Officer and Board of Trustees. The Fund Manager oversees the financial soundness of the scheme and ensures that all statutory and operational requirements are fulfilled. The Fund Manager must report on all financial and industry related issues to the scheme and take proactive action to ensure any risks are identified and timeous

DUTIES AND RESPONSIBILITIES

• Manage timeous submission of statutory returns to the Council of Medical Schemes, management accounts and Annual Financial Statements.
• Manage the processing of drafting, updating and registration of the rules of the scheme.
• Monitor solvency and Medical Schemes Act compliance and make recommendations to scheme.
• Keep up to date with relevant issues, inter alia via participation in industry discussions, to inform clients of changes to the environment.
• Manage the process of arranging and compiling all notifications and documentation for annual general meetings.
• Monitor the administrative services and provide the Principal Officer or Board of Trustees with feedback on general and specific issues relating to the administration of the Scheme.
• Prepare Scheme documents and marketing material such as application forms, dependant questionnaires, member guides etc.
• Respond to all written enquiries/complaints received from the Council for Medical Schemes.
• Prepare and provide members with a summary of any benefit and contributions changes or any rule changes affecting the conditions of membership.
• Manage the process of compiling and presenting reports to the Board of Trustees at meetings.
• Monitor and meet performance against pre-established Service Levels of Schemes.
• Keep customer schemes advised of all relevant matters relating to their Schemes.
• Manage the process of annual product design and obtain necessary information to ensure that the scheme operates within the most profitable scenario.
• Oversee service levels and customer relationship management (CRM) system, including the resolution of all "normal" and "elevated"/ "priority" queries.
• Ensure coordination of all operational activities, including but not limited to call centre services; all correspondence; statements and mini statements; claims; special claims; dealing with accumulated savings, provider and member reimbursements, membership matters and special projects

EXPERIENCE AND QUALIFICATIONS

• Minimum B. Com/B Com (Hons) at a recognised tertiary educational institution
• Minimum of 5 or more years' experience in Financial Management/Fund Management
• Minimum 5-10 years' experience in Medical Scheme management or significant industry experience
• Must have own vehicle and a valid drivers licence

Desired Skills:

• medical scheme fund management
• related degree