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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The successful candidate will be responsible for conducting interbranch claims audits by assessing potential risks and non-compliance with prescribed rules, procedures and standards of quality.
Training needs based on findings, for preliminary investigation of suspected fraud cases, updating the claims risk register, analysing reports received from the Board of Healthcare Funders to identify the impact on FEM claims as well as policyholder trends in terms of reporting accidents and advising underwriting accordingly are further requirements of the position.
The minimum requirements of the position are a Matric with a least 3 years’ experience as a supervisor or team leader in a disability claim or related environment.
Certification in COIDA Total Quality Management or Auditing are an added advantage.
Sound knowledge and understanding of COIDA insurance claims and underwriting operations and related risk management are requirements for the position.
Excellent customer focus, the ability to work in a highly pressurised environment, quality orientation, reliability, report writing, and excellent communication skills complete our requirements.
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