Clinical Underwriter (Cape Town)

Position: Clinical Underwriter (Cape Town)
Location: Cape Town
Type: Permanent
Ref: MVG/CU
 
Managed Care organisation seeks to employ a Clinical Underwriter with the following experience and credentials:
 
  • Investigation of non-disclosure cases and providing decisions made in line with underwriting guidelines as per scheme rules and Medical Schemes Act
  • Process the loading of waiting periods for specific conditions in line with underwriting guidelines
  • Medical Assessment of cases
  • Provision of underwriting, non-disclosure and claims advise and support for moderate and complex cases
  • Medical Assessments, Non-Disclosure decisions, Review of Claims and Authorisations
  • Conduct underwriting and medical research in collaboration with stakeholders   
Key Requirements:
  • Excellent clinical underwriting and non-disclosure process knowledge (2-3 years)
  • Medical Aid industry experience (2-3 years)
  • Clinical Health Risk Management experience (2-3 years)
  • Matric qualification
  • Clinical Degree in either Nursing, Physiotherapy or Occupational Therapy
To apply submit application to response@mvgrecruitment.co.za.
 
Supporting documentation required:
    • Copy of Matric Certificate
    • Copy of Clinical Degree
    • Copy of current Registration with relevant industry body (SANC or HPCSA)
    • Comprehensive CV detailing your Clinical Underwriting experience