Manager: Claims Processing - Bryanston, South Africa - Secondments Recruitment
Description
Job Advert Summary:
Manage the Benefits Investigation and claims processing function, ensuring the provision of professional support services to the surviving dependants/beneficiaries (for informed allocation of benefits) to the correct beneficiaries in compliance with the Fund rules, Section 37C of the Pension Funds Act and related Acts.
Minimum Requirements:
- Relevant Bachelor's Degree, preferably in Law. Registered with professional bodies where applicable
- At least 6 years jobrelated experiance. which should include at least 2 years' esxperience in a management role
- Knowledge of an African Language is an advantage
- Working knowledge of Pension Fund Rules
- Basic knowledge of Income Tax Act, Divorce Act, Pension Funds Act, Child Care Act, Marriage Act, Recognition of Customary Marriage Act, Mental Health Act
- Working knowledge of Benefit administration
- Knowledge of Law
- Section 37 (C) allocation of death benefit lump sums
- Valid driver's licence
Duties and Responsibilities:
- Manage internal departmental functions and processes
- Develop and implement plans for the section that support Pension Administration and the comapny's objectives, ensuring optimisation of current business and workflow processes.
- Unclaimed benefits and Evidence of Survival reviews, tracing and verification
- Fund valuation and all audits
- Ensure that audit controls are in place and audit requests are followed up.
- Participate on the defined Committees (Benefits Committee (BC), Medical Panel (MP), Management Benefits Committee (MBC)) and take decisions based on formal documentation.
- Implement controls and work plans, these may include allocating field trips, establishment of deadlines; control registers and implementation of databases for both ill health administration & social work case registers.
- Manage the administration system, checking that accurate record keeping and query management is adhered to.
- Manage the query and issues log for the department, monitoring turnaround times and responses to queries.
- Compile weekly/monthly statistical reports on the departmental activities and performance.
- Compile annual departmental statistical summary of departmental activities.
- Project Management
- Participate in the Fund's overall projects as required with continuous focus on Business Processes, system enhancements, omni channel business insight, contributing expertise to enable project objectives to be met.
- Draft reports as part of the project deliverables.
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