Team Leader Earnings Assessor at Rand Mutual - RMA

Purpose of the Role

• Reporting to the Claims Manager, the Team Leader Earnings Assessor will be responsible for supervising and managing the Earnings Assessors to ensure RMA clients are declaring earnings for compensation purposes in line with RMA policies/products and the COID Act.

Qualifications and Experience Required

• Matric
• NQF Level 6: Diploma in Payroll Administration
• COIDA in Practice or Insurance Qualification an advantage
• FAIS Regulatory Examination (RE1)
• Minimum of 7 years supervisory experience within the Insurance/Medical Aid Industry
• Insurance and/or Medical Aid experience would be advantageous

Key Areas of Responsibility

Supervise and manage a team of Earnings Assessors

• Carry out all team planning on a regular basis, as issues arise, or in advance of anticipated needs
• Communicate effectively with other teams and management by sharing information on effective practices and needs
• Monitor and measure the Earnings Assessors’ productivity

Quality

• Ensure quality of work is consistently of high standards
• Addressing and Improving Audit and Quality Assurance findings
• Ensure high standards of work in line with Quality Assurance metrics

Manage the earnings function

• Act as a point of escalation for complex earnings calculations on claims received
• Ensure timeous calculation of earnings for Temporary Total Disablement and Permanent Disablement; Pensions and Fatal on claims received
• Ensure timeous management of workflow requests and notifications on earnings calculations

Compliance to legislation, policies and procedures

• Ensure adherence to all company policies and procedures throughout the earnings calculations process
• Always ensure adherence to ethical standards
• Ensure all earnings calculations are done in line with benefits calculations under legislation

Reporting

• Use appropriate templates and channels to report progress on a weekly and monthly basis
• Adhere to deadlines and timeously submit various periodical reports to Claims Management and internal committees
• Ensure accuracy and high quality of reports submitted to Claims Management and internal committees

Innovation

• Develop innovative methods/procedures of verifying earnings for calculation of compensation
• Identify opportunities for ongoing system enhancements
• Work with Data Analytics team to design and implement productivity report and dashboards specifications

Customer Service

• Manage complex complaints and difficult customers
• Upskill team to resolve complaints quickly and efficiently
• Minimise follow ups, transfers and delays

Knowledge, Skills and Competencies required

• Knowledge of payroll admin processes
• Knowledge of COID legislation
• Knowledge of Claims processing, approval and payment processes would be advantageous
• Knowledge of all related applications and processes relevant to the position of Team leader
• Good presentation skills and ability to interact with management
• Computer literacy: Advanced MS Word, Excel and Outlook
• Insurance and/or Medical Aid experience would be advantageous
• Customer Focus
• Numerical Ability
• Process and System Competence