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Claims Administrator (TSRF) - Central Johannesburg

The Claims Administrator is responsible for the accurate processing of the deaths and disabilities’ claims, within the agreed service level agreement between SALTEB and the Fund and meeting production standards. The duties includes requesting information and responding to enquiries. Areas of Responsibility Ensure that all quality assurance related activities as set out in the Quality Assurance checklist have been actioned.Ensure completion of the quality assurance process as set in the Quality assurance checklistContact member for outstanding requirements and update notes on the systemCalculate the benefitApply for a tax directivePrepare the payment requisitionEnsure the bank details have been accurately captured onto the members record and verified by the bankEnsure all relevant documentation are saved onto member’s record.Ensure all relevant checks are done on the system before processing a claimMeet production standards in terms of quantity (35 assessments and processing of claims daily)Should a query raise at any point, complete the investigation and delegate to responsible party to resolveEnsure compliance to all control in the teams (switches, merges etc)Devote your whole time and attention and abilities during working hours to the discharge of your duties with strict accuracyEnsure all email communication, whether internal or external are dealt with professionally within service level agreementProcess payments of death claims once approved by Trustees within the latest agreed service levels RECORD KEEPING AND FILING Ensure all documentation relating to a claim are saved in the member profile on the systemEnsure appropriate notes are recorded in the member profile on the system REPORTING Prepare, analyse and present ad hoc reports as and when requested QUERY RESOLUTION Attend to queries or inquiries by members, employers and beneficiaries within the required timelines – 48 hours RELATIONSHIP MANAGEMENT Build and maintain positive relationships with all clients and service providersBuild and maintain supportive relationships with teams internallyEnsure that all communication sent internally and externally is dealt with professionally TIME MANAGEMENT Meet production standards in terms of quantity and quality assessments, and payments daily.Manage work inflow timeously EDUCATION, LANGUAGE AND QUALIFICATIONS Matric with Mathematics/AccountingExcellent command of EnglishOne vernacular language will be advantageousRE1 FAIS will be advantag https://protool.gumtree.co.za/external-link-browser.html?urlaHR0cHM6Ly93d3cuZGl0dG8uam9icy9qb2IvZ3VtdHJlZS80MjgzMjU5NDU3P3NvdXJjZT1ndW10cmVl&jid782239&xid4283259457 Apply Now
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