Reference: JHB000108-A-1 JOB PURPOSE: To provide administrative support for the processing and payments of pension claims. MINIMUM REQUIREMENTS: An appropriate three (3) year N Dip/B Degree or similar three-year tertiary qualification with at least 360 credits (preferably in administration/finance) with 18 months proven experience in the processing and/or payment of claims Candidates with experience in the administration and processing of Retirement fund/Employee Benefits claims will receive preference OR A Senior Certificate/Matric/Grade 12/Vocational certificate / equivalent (ideally with either Mathematics or Accounting as a passed subject) with three (3) years proven experience in the processing and/or payment of claims Candidates with experience in the administration and processing of Retirement fund/Employee Benefits claims will receive preference Experience of the MS Office package, with particular focus on MS Excel RESPONSIBILITIES: Process Claims Review applications/claims received for various types of exits or claims Check that all supporting documentation is attached as per the requirements of the specific claim Evaluate the member records reflected in the documentation and update accordingly to ensure accurate information is reflected Request member's information for inclusion in the benefits application form, where missing information is identified Process payment of claims: Review the initial payment, based on a review of the particulars of the case Reconcile purchase of service figures, checking that all outstanding service has been calculated correctly for payments Upload supporting documentation for benefit payments, ensuring accuracy Checking whether beneficiaries indicated qualify as dependents according to set criteria, for instructions for payments Review the calculation against the information available on the member records, confirming whether correct or supplying reasons for rejection Review the summary of rejected applications/claims; identifying reasons for rejection based on rules of the various Funds/schemes Route the rejected applications/claims – in terms of the standard procedure Ensure that all exceptions (where applicable) related to death distributions, service period recognition verification, fraud and risk issues, contribution adjustments, benefit distribution verification, payment reversals, unclaimed benefits, standard legal issues and the updating of banking details have been resolved in accordance with the relevant policies and procedures Check that all documentation required for payment is attached and that the correct benefit is being paid to the member, based on established criteria Review the benefit application form and validate the content Initiate the payment instruction
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