Discovery Medical Scheme jobs

Genesis Medical Scheme is seeking a Non-Disclosure Investigator that would be responsible for identifying and investigating suspected cases of member non-disclosure, misrepresentation, or omission of material medical information during the application process for medical scheme membership.

The role is responsible for assessing whether medical conditions, symptoms, treatments, or consultations existed prior to scheme application and whether these were appropriately disclosed during underwriting.

Experience:

Must have 3-5 years’ experience in a Medical Scheme environment.

Knowledge of Hospital authorisations, non-disclosure investigations, with demonstrated expertise in gathering evidence, analysing clinical information and identifying risk is essential.

Competencies:

Attention to detail

Excellent written and verbal communication in both English and Afrikaans

Review membership application forms, underwriting declarations, and supporting documents.

Assess whether pre-existing conditions, symptoms, consultations, investigations, or treatments existed prior to membership inception.

Establish clinical and treatment timelines in relation to application and joining dates.

Knowledge & Technical Skills:

Medical scheme operations

Underwriting and waiting periods

Extensive knowledge of anatomy

Clinical coding (ICD-10, tariff codes)

Strong report-writing and investigative skills.

Advanced analytical and problem-solving ability.

Please forward your CV to vacancies@genesismedical.co.za before 30 September 2026.

Work Location: In person