Clinical Risk Management Specialist

Position: Clinical Risk Management Specialist
Industry: Insurance
Location: Cape Town
Type: Hybrid (3 In/ 2 Out)
Working hours: Flexible
 
Medico Legal Insurance Firm seeks to employ a Clinically qualified individual to assist within their Clinical Risk Management team. The core operational function of the role is to assess the risk profiles of medical practitioners within the company’s broad underwriting framework.
 
Responsibilities:
 
  •     Review policy applications and renewals for underwriting risk
  •     Identify high-risk policyholders through underwriting and claims processes
  •     Translate risks into policy terms, guided by actuarial pricing
  •     Engage with clients to address risk profiles
  •     Provide clinical leadership and support
  •     Analyze research data
 
Requirements:
 
  •     Registered medical practitioner or pharmacist – currently registered with the relevant council
  •     Proven underwriting and clinical risk management working experience  within Managed Care or Insurance Industry
  •     Research experience highly advantageous
  •     Proficiency in MS Word, Excel, and PowerPoint
 
Qualities:
 
  •     Self-motivated and independent
  •     Analytical with strong problem-solving skills
  •     Excellent communication skills
  •     Organized and detail-oriented with high numeric ability
  •     Perseverant, reliable, and team-oriented
 
Apply to response@mvgrecruitment.co.za, REF: MVG/CRMCPT
Closing date: 03 May 2024