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 balances clinical insight with business objectives to ensure sound decision-making that directly impacts cost management and long-term scheme viability.

Essential Grade 12

Desirable Relevant clinical qualification (e.g. Nursing, Clinical Associate, or similar)

Experience Requirements Essential: 3+ years’ experience in Medical Scheme Administration, with direct exposure to New Business underwriting. Desirable: Experience using administration systems such as MIP and SOL (...