Key Responsibilities Conduct detailed medical assessments and apply clinical expertise to underwriting decisions. Manage non‑disclosure investigations, apply waiting periods, and ensure compliance with legislation and underwriting policy. Review claims and authorisation histories to identify undisclosed conditions. Resolve client queries within SLA and maintain strong stakeholder relationships. Contribute to underwriting guidelines, risk management, and continuous process improvement. Support research initiatives and uphold high standards of service, quality, and professionalism. Requirements Degree in nursing, healthcare administration, allied health sciences, or related medical field. Underwriting certification and HPCSA/SANC registration advantageous. 2–3 years’ experience in clinical health risk management or health underwriting. Knowledge of ICD‑10, PMBs, CMS regulations, Medical Schemes Act, and managed care processes. Strong clinical reasoning, analytical ability, and proficiency in relevant systems. #J-18808-Ljbffr
Clinical / Medical Underwriter
MVGRECRUITMENT
johannesburg, johannesburg
Published 3 days ago
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