Underwriter MMH

Evaluate, review and analyse insurance applications and screen applicants against set criteria in order to determine client risk and provide recommendations on approval or rejection of applications.

• Grade 12 or equivalent qualification
• B-Degree in Business, Finance, orrelated field
• Relevant medical qualification(nursing, physiotherapy, or equivalent)
• 2-3 years underwriting experience(essential)
• Experience in finacial services(desired)

• Make accurate individual underwriting decisions for new applicants and additional dependants applying to join Momentum Medical Sheme by applying:
  • The Medical Schemes Act (legislation)
  • The Momentum Medical Scheme underwriting policy
  • Standards, protocols and guidelines set
• Assist the underwriting team by providing clinical input on medical information provided by applicants in order to make accurate individual underwriting decisions.
• Create new and maintain existing standards and clinical protocols and guidelines.
• Provide training (clinical) internally to assist with application of guidelines.
• Create new and maintain existing list of condition specific exclusions and associated link to required clinical coding.
• Assist brokers, applicants, and members where applicable with regards to underwriting decisions made either telephonically, in writing or in person as required.
• Liaise with doctors and/or medical professionals where applicable with regards to underwriting decisions made either telephonically, in writingor in person as required.
• Effectively resolve any queries received and identifying trends and training gaps.
• Drive and support effective departmental team work.

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