We are seeking a skilled Clinical Underwriter to evaluate and adjudicate complex new business applications using advanced clinical expertise. This role is responsible for delivering accurate, fair, and compliant underwriting decisions in accordance with the Medical Schemes Act, Scheme Rules, and internal underwriting policies.
The successful candidate will manage high-risk cases, providing critical risk mitigation to protect the scheme’s financial sustainability. This position plays a key role in balancing clinical insight with business objectives, ensuring sound decision-making that directly impacts cost management and long-term scheme viability.