Claims Assessor at The Department of Employment and Labour

REQUIREMENTS:

• Three-year tertiary qualification in Public Management/ Public Administration/ Social Science/OHS/ Finance/HRM.
•  One (1) year functional experience in compensation and medical claims processing environment.
• Knowledge: Compensation Fund objectives and functions. Compensation Fund Value chain and processes.
• Relevant Fund polices and procedures.
• Customer Services.
• COID Services. Risk Tariffs.
• Skills: Required Technical Proficiency. Communication (verbal, written, listening and questioning skills).
• Fund operating system. Data Capturing. Data and Record Management. Telephone skills and Etiquette.
• Planning and Organising. Analytical thinking. Problem solving and decision making. 

DUTIES:

• Administer of claims registration process.
• Adjudicate registered claims. Quality Assurance for medical accounts payments.
• Render Administrative duties. Serve as a Team Leader/Supervisor.