Claims and Benefits Processing Supervisor - 12 Months Fixed Term Contract (Bryanston) at Eskom Communications

Oversee specialist benefits processing for administrators and social workers

• Prepare up to date, accurate, monthly reports and statistics for the Specialist Benefits Processing Manager
• Ensure that audit controls are in place and audit requests are closed timeously
• Update Benefits Allocation Checklist to ensure fair and equitable allocation of death benefit claims
• Oversee benefits administrators’ responsibilities including;
• Perform quality assurance on claim forms and supporting documents received according to applicable workflow, rules and legislation to ensure claims are accurate and compliant.
• Validate the exit claim form to the exit movement received via Eskom interface.
• Manage the allocation and reconciliation of member contributions to ensure that all contributions are correctly recorded
• Ensure accuracy of all claim documentation and member information
• Verify applicability of member options to Fund Rule and Legislative requirements.
• Ensure that all data is accurately captured by benefits administrators into the system
• Validate the manual calculated Final Average Emoluments to ensure accurate application in the exit calculation in all areas.
• Re- calculate the pre commutation value for the death of a pensioner claim, before loading dependants for a benefit
• Ensure that all death claims are processed accurately and timeously
• Process and monitor pensioners information within given timeframes
• Ensure that all queries and complaints are timeously resolved and escalated where necessary
• Manage the administration system, checking that accurate record keeping and query management is adhered to.
• Attend to enquiries, cooperate and provide information on legal complaints.

Project Management support

• Keep abreast with changes in relevant guidelines and other legislation, to make recommendations where policies and procedures need to be amended.
• Recommend processes and procedures that are relevant to the section and enhance service delivery.

Provision of administration services to beneficiary and guardian cases; implementation of Management Benefits Committee

• Coordinate the investigation and implementation of decisions, requests and referred cases, with reports and recommendations being submitted to BC, MP& BP or other internal departments.
• Manage the suspension, addition, termination and reinstatement of beneficiaries (widows and minor children) in compliance with Fund rules and legislation.
• Ensure guardian changes are affected and children are properly placed with suitable guardians.
• Check the accurate payment of benefits to the correct beneficiaries.
• Follow up on needs assessment conducted and guardian cases identified where there is a misuse of benefits.
• Contribute to the compilation of manuals / guidelines for guardians.
• Co-ordinate the submission of trust advance applications and ensure that these are submitted timeously to Corporate Secretariat
• Ensure the timeous payment of the trust advance payments to the beneficiaries
• Monitor the use of children’s instalment lump sum accounts and pension benefits to reduce the number of unnecessary requests for advanced payment.
• Ensure that all customer and stakeholder enquiries are accurately and sensitively resolved or escalated to the appropriate level.

People Leadership 

• Manage planning of resource requirements, ensure sufficient capable resources are in place to meet service delivery demands, maintaining the effective and efficient capability of the department.
• Build a high performing team where the best people are deployed in the right roles and deliver against strategy.
• Ensure that all employees are motivated, developed.
• Manage employees’ performance and ensure that their individual and collective performance is of the required standard.
• Implement and maintain an effective system of internal controls and delegations of authority for the department, to ensure that accountability for decisions made.
• Inspires, aligns and engages employees around the vision and strategy of the Fund, maximising employee engagement and willingness to invest discretionary effort. 

Required Minimum Education/Training

• Relevant Bachelor Degree. Registered with professional bodies - where applicable.

Required Minimum Work Experience

• At least 5 years job-related experience which should include at least 1 year’s experience in a supervisory role.
• Knowledge of any African Language is an advantage.