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Claims Administrator - Central Johannesburg

The Claims Administrator is responsible for the accurate processing of the 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 (100 assessment daily including payments of 25-30 claims to tax dailyShould 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 agreement 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, analyze and present ad hoc reports as and when requested QUERY RESOLUTION Attend to queries or inquiries by members within the required timelines 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 (100 assessments daily inclusive of payments).Manage work inflow timeously EDUCATION, LANGUAGE AND QUALIFICATIONS Matric with Mathematics/AccountingExcellent command of EnglishOne vernacular language will be advantageousRE1 FAIS will be advantageous ESSENTIAL KNOWLEDGE, SKILLS AND EXPERIENCE At least 2 years’ experience in similar position < https://protool.gumtree.co.za/external-link-browser.html?urlaHR0cHM6Ly93d3cuZGl0dG8uam9icy9qb2IvZ3VtdHJlZS8zNzEyMTUxODQ5P3NvdXJjZT1ndW10cmVl&jid338766&xid3712151849 Apply Now
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