Angelo Jay-Jay Pillay
Consultant: New Business / Clinical Underwriter — Aspiring Business & Data Analyst
In compliance with the Protection of Personal Information Act (POPIA), direct contact details and other personal information can be supplied on request.
Professional Summary
Creative and detail-driven Consultant: New Business / Clinical Underwriter with 15+ years' experience in healthcare underwriting, healthcare administration, membership services, and client relations.
Skilled in applying underwriting in line with the Medical Schemes Act, working across SOL (Medikredit) and MIP systems, and liaising with members, brokers, and medical/clinical advisors.
Fast learner guided by honesty, respect, and a "progress not perfection" mindset,
Now building toward a career in business and data analysis with growing skills in Programming, Database management, SQL, Cloud Computing and end-user design.
Work Experience
Consultant: New Business / Clinical Underwriter
April 2011 — Current
PPS Healthcare Administrators — Centurion, South Africa
- Assess the risk of new applications to the scheme and apply the necessary underwriting in line with the Medical Schemes Act and scheme policies.
- Capture new member applications, dependant additions, and newborn registrations on the relevant systems (SOL/Medikredit, MIP).
- Review application forms for completeness and contact members to resolve outstanding or unclear information.
- Quality check applications captured after registration to reduce and eliminate errors.
- Capture members' responses to underwriting exclusions to activate or cancel new applications.
- Liaise with members and brokers on application status, underwriting procedures, and exclusions.
- Report on department and individual business registers on a daily basis.
- Assist New Business and broker support on an ad hoc basis, including inbox allocation, newborn registration support, welcome calls, and chronic condition (DSP) registration assistance.
- Escalate enquiries requiring third-party intervention and provide timeous feedback to brokers.
- Action underwriting letters, outstanding requirements, and member profile correspondence, maintaining agreed service levels and quality targets.
Consultant / Membership
September 2009 — March 2011
PPS Healthcare Administrators — Centurion, South Africa
- Maintained and reconciled contributions of individual members and employer groups, allocating payments correctly.
- Provided billing statements to employer groups and updated status changes (suspension, resignation, student, income).
- Finalised contribution and membership enquiries from the Call Centre, brokers, members, and employer groups.
Consultant / Client Services
June 2007 — August 2009
PPS Healthcare Administrators — Centurion, South Africa
Consultant / Client Services
April 2006 — May 2008
Ingwe Medical Aid — Houghton, South Africa
Consultant / Client Services
December 2000 — December 2005
Absa Platinum Direct — Auckland Park, South Africa
Lifeguard
October 1998 — December 1999
Southern Metropolitan Local Council — Lenasia, South Africa
Education & Career Development
Bsc Information Technology/Business analysis
In progress - Currently second year
Richfield Graduate Institute of Technology
Business Analyst Certificate
2023
FTI — Faculty Training Institute
Practical Software Testing
2023
iLab Training Institute
Quality Management
2020
Lyceum
Management of Technology and Innovation Certificate
2017
Da Vinci Business School
Basics of Business
2001
UNISA
Management Principles
2000
Varsity College
Matric / Grade 12
1997
M.H. Joosub
Skills
Python
React
Excel, Microsoft Word, PowerPoint, Outlook
Underwriting & Risk Assessment
Medical Schemes Act
SOL (Medikredit) & MIP Systems
ICD-10 Codes & Medical Terminology
Client & Broker Relations
Quality Assurance
Adobe Photoshop
C# (learning - 2nd year)
Database Systems (learning - 2nd year)
SQL (learning)
UX/UI and End User Design (learning)
Key Strengths & Competencies
Creative
Excellent Communication
Decisive
Problem Solving
Honest & Respectful
Punctual
Fast Learner
Extreme Ownership
Big-Picture Thinking
Confidentiality
Customer Orientated
References
In compliance with the Protection of Personal Information Act (POPIA), direct contact details and other personal information can be supplied on request.