Manager: Claims Processing - Bryanston at Secondments

Job Advert Summary

• Manage the Benefits Investigation and claims processing function, ensuring the provision of professional support services to the surviving dependants/beneficiaries (for informed allocation of benefits) to the correct beneficiaries in compliance with the Fund rules, Section 37C of the Pension Funds Act and related Acts. Ensure the timeous and accurate payment of benefits, manage issues associated with claims and benefit administration

Minimum Requirements

• Relevant Bachelor’s Degree, preferably in Law. Registered with professional bodies - where applicable
• At least 6 years job-related experiance. which should include at least 2 years' esxperience in a management role
• Knowledge of an African Language is an advantage
• Working knowledge of Pension Fund Rules
• Basic knowledge of Income Tax Act, Divorce Act, Pension Funds Act, Child Care Act, Marriage Act, Recognition of Customary Marriage Act, Mental Health Act
• Working knowledge of Benefit administration
• Knowledge of Law - Section 37 (C) allocation of death benefit lump sums
• Valid driver’s licence

Duties and Responsibilities
Manage internal departmental functions and processes

• Develop and implement plans for the section that support Pension Administration and the comapny’s objectives, ensuring optimisation of current business and workflow processes.
• all benefit processing activities in accordance with the benefits as defined in the rules of the Fund and applicable legislation.
• Unclaimed benefits and Evidence of Survival reviews, tracing and verification
• Fund valuation and all audits
• Provide interpretation advice on the application of the Rules of Fund.
• Ensure that audit controls are in place and audit requests are followed up.
• Participate on the defined Committees (Benefits Committee (BC), Medical Panel (MP), Management Benefits Committee (MBC)) and take decisions based on formal documentation.
• Implement controls and work plans, these may include allocating field trips, establishment of deadlines; control registers and implementation of databases for both ill health administration & social work case registers.
• Manage the administration system, checking that accurate record keeping and query management is adhered to.
• Manage the query and issues log for the department, monitoring turnaround times and responses to queries.
• Compile weekly/monthly statistical reports on the departmental activities and performance.
• Compile annual departmental statistical summary of departmental activities.

Project Management 

• Participate in the Fund’s overall projects as required with continuous focus on Business Processes, system enhancements, omni channel business insight, contributing expertise to enable project objectives to be met.
• Draft reports as part of the project deliverables.