Responsibilities:
Receive investigation file and identify areas that require further investigation to dispose of a complaint
Request further information from parties to a complaint where requi
Description
Conduct legal research on issues determined in the adjudication order and commentary for adjudicators to consider.
Conduct an assurance of adjudication orders to determine if
Description
Conduct legal research on issues determined in the adjudication order and commentary for adjudicators to consider.
Conduct an assurance of adjudication orders to determine if
Description
Conduct adjudications on disputes referred to adjudication in a fair, equitable and transparent manner.
Working with the Dispute & Governance team.
Excellent case management
Responsibilities:
Investigate, analyse, and identify the essence of a complaint;
Draft correspondence and do follow-ups with Funds/Fund Administrators;
Analyse the adequacy of the responses
Key Performance Areas:
Analyse complaints with various levels of complexity, draw correct legal conclusions, and establish a clear and focused direction in the resolution of complaints.
Refer
Description
Conduct adjudications on disputes referred to adjudication in a fair, equitable and transparent manner.
Working with the Dispute & Governance team.
Excellent case management
Key Performance Areas:
Analyse complaints with various levels of complexity, draw correct legal conclusions, and establish a clear and focused direction in the resolution of complaints.
Refer
Job Objectives:
Claims Validation: Determine the validity of service contract repairs and claims by performing necessary checks to ensure accuracy and quality before fund allocation.
Pre-
Job Summary
To plan, manage and monitor the implementation of complaints resolution management activities and processes to deliver on approved operational plans in an effective and efficient man
Description:
Minimum Requirements and Key Competencies:
Strong administrative skills, including being deadline-driven.
High levels of ethics
Computer literacy.
Excellent verbal and writte
Key Competencies:
High level of ethics and integrity
Computer literacy (MS Word, Excel, MS Outlook)
Excellent drafting skills
Excellent verbal and written communication skills
Analytical
(Ref. CSOS/A/KZN/08/24)
Requirements
Bachelor’s degree in Law/BProc/LLB.
Admitted as an Attorney.
Expertise and understanding of Community Schemes governance and adjudication
THE JOB AT A GLANCE
Reporting to the Team Leader: Clinical Claims Adjudication, the incumbent is responsible for providing support on the effective and efficient adjudication of disease and acciden
Job Purpose
To drive the resolution of complaints received by the FAIS Ombud within a target driven environment on complaints received by the public against financial service providers and to move
THE JOB AT A GLANCE
As the Team Leader - Clinical Claims Adjudicator, you will be reporting to the Clinical Claims Manager, you will be responsible for leading and supervising the effecti
Requirements
Bachelor’s Degree in Law.
A post graduate degree will be an added advantage.
At least 5 years’ experience in a legal environment, drafting legal documents.
Previou
Requirements
Degree in law.
Advanced legal research.
Experience in quality assurance within a legal environment.
Risk Management experience within a legal environment will be an added adva