THE FEDERATED EMPLOYERS MUTUAL ASSURANCE COMPANY (RF) PROPRIETARY LIMITED was established as a mutual insurer in 1936 and on the introduction of the Workmen's Compensation Act 1941 was granted a licence to continue to transact workmen's compensation insurance for the building industry.
Its business operations are essentially confined to the insurance of e...
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We are seeking applications for the role of Claims Accounts Authoriser in Head Office. Reporting to the Head Office Claims Manager, the overall objective of the position is to investigate, analyse, and accurately authorise claims payments in terms of the Compensation for Occupational Injuries and Diseases Act and FEM’s standard operating procedures.
The successful candidate will be assessing and authorising various medical accounts, wages, banking details and permanent disability awards as well as monitor financial performance which includes cost containment, over servicing, duplicate payments, and refunds. Furthermore, they will provide service excellence by ensuring claims turnaround times are met and participate in discussions about medical impairment assessments.
The minimum requirements of the position are a diploma or B degree in Nursing or equivalent, with the active registration with the relevant professional body. The position requires a minimum of 3 to 5 years prior work experience in a clinical or multi-disciplinary life and disability claims environment and 2 to 3 years in either, Occupational/ICU/ Orthopedic /Theatre Technique Nursing experience.
Further requirements are a good understanding of the risk management processes, experience in auditing of medical accounts; good organisational, decision-making, and analytical abilities coupled with the ability to work independently, good computer skills, literacy and numerical ability.
Knowledge of the COID Act and workman's compensation will be a distinct advantage. An excellent performance track record, customer focused, the ability to work in a pressurised environment, quality orientation, reliability and excellent communication abilities complete our requirements.