LEGAL ADJUDICATION OFFICER

The Council for Medical Schemes is a statutory body established by the Medical Schemes Act (131 of 1998) to provide regulatory supervision of private health financing through medical schemes.

The following position exists for the person driven by a desire to protect the public interest.

LEGAL ADJUDICATION OFFICER (Patterson Grade – D1)

You will work within the Complaints Adjudication sub-division of the Council and will be responsible for:

• Investigation and resolution of complaints in terms of the Medical Schemes Act (MSA).
• Analysis of complaint responses from medical schemes and other regulated entities.
• Collating evidence and applying relevant legal principles to complaints to make sound decisions.
• Conducting research in relevant areas of law and health policy and applying the same to the complaints.
• Drafting binding decisions on behalf of the Office of the Registrar.
• Providing clarity at the appeal hearings as and when required.
• Drafting trends and non-compliance report for submission to the head of the unit.
• Providing legal advice to complainants.
• Representing the Complaints Adjudication sub-division in internal and external meetings.
• Providing training to external stakeholders on scheme rules, the MSA & Regulations.
• Undertaking assignments/tasks allocated by the line manager in accordance with CMS’s operational requirements.

SKILLS AND KNOWLEDGE BASE
The successful candidate will have the following essential qualifications, competencies, and skills:

• Bachelor’s degree in Law at NQF Level 7.
• A minimum of three (3) years’ overall working experience within the law/legal-related field, two (2) years of which must be
  in legal dispute resolution and legal research.

Training and Knowledge areas:

• Knowledge and understanding of the MSA, subordinate legislation, other relevant legislation, and case law.
• Knowledge and understanding of the interpretation of statutes.
• Knowledge of and an ability to apply legal principles and case law to the resolution of disputes.
• Sound knowledge of government policy affecting healthcare provision.
• Knowledge of case management will be an added advantage; and
• Computer Literacy

Technical Skills and Behavioural Attributes:

• Analytical and attention to detail.
• Proficiency in technical and professional skills (Legal Drafting, Legal Research, Investigation, Interpretation of statutes).
• Customer centrism, interpersonal and communication (verbal & written), presentation and report writing.
• Problem solving and conflict management; and
• Time and project management.
• Proficiency in MS Office

If you are motivated, tenacious, thorough, detail-oriented, and capable of managing multiple projects simultaneously, we invite you to submit your application to recruitment@medicalschemes.co.za. Please indicate the position you are applying for in the subject line. For more information regarding these positions, visit the Council for Medical Schemes’ website:
www.medicalschemes.co.za

Note: Correspondence will be limited to shortlisted candidates only. If you do not hear from us within two (2) months of this advertisement, please accept that your application was unsuccessful. CMS reserves the right to appoint or not to appoint for the above position.

The Council for Medical Schemes is a Designated Employer and is committed to adhering to its Employment Equity Plan and Affirmative Action Measures, as per the plan. Therefore, preference will be given to specific categories of persons.

We wish you all the best with your applications