Claims Processing Manager

H And S Labour Brokers; Johannesburg; On-site; ZAR 40 000 - 60 000; Full time

Job summary

A leading company in the benefits administration sector is seeking a qualified individual to manage the claims processing function. This role involves ensuring compliance with pension fund legislation and providing professional support services to beneficiaries. Candidates should possess a Bachelor's Degree in Law and have substantial experience in the field, particularly in management roles.

Qualifications

• At least 6 years of relevant experience, including 2 years in management.
• Registered with relevant professional bodies, if applicable.
• Valid driver's license.

Responsibilities

• Manage internal departmental functions and processes.
• Ensure timely and accurate benefit payments.
• Conduct unclaimed benefits reviews and audits.

Skills

Knowledge of Benefit administration

Understanding of Pension Fund Rules

Knowledge of African languages

Education

Bachelor's Degree in Law

Job description

Job Description

Reference: JHB-CLG-1

Manage the Benefits Investigation and claims processing function, ensuring professional support services to surviving dependents/beneficiaries for informed benefit allocation, in compliance with the Fund rules, Section 37C of the Pension Funds Act, and related legislation.

Ensure timely and accurate benefit payments, manage claims and benefit administration issues.

Duties & Responsibilities

1. Manage internal departmental functions and processes.
2. Develop and implement plans supporting Pension Administration and company objectives, optimizing current workflows.
3. Handle all benefit processing activities according to Fund rules and legislation.
4. Conduct unclaimed benefits reviews, tracing, verification, fund valuation, and audits.
5. Provide interpretation advice on Fund Rules.
6. Ensure audit controls are in place and follow up on audit requests.
7. Participate in Committees such as Benefits Committee, Medical Panel, and Management Benefits Committee, making decisions based on documentation.
8. Contribute to the Fund's projects focusing on business processes and system enhancements, drafting reports as needed.
9. Stay updated on relevant guidelines and legislation, recommending policy amendments.
10. Oversee Section 37C dependency investigations and death benefits allocations, ensuring compliance and accuracy.
11. Manage outstanding banking details and verify death benefit reports for legal compliance.
12. Oversee social services provision to guardians, implementation of Committee decisions, and case investigations.
13. Ensure compliance with rules regarding beneficiaries' status changes.
14. Forecast and manage section expenses within budgets, investigating cost containment methods.
15. Ensure compliance with procedures and legislation, providing accurate information for audits, and implementing risk controls.

Minimum Qualifications & Experience

• Bachelor's Degree, preferably in Law.
• Registered with relevant professional bodies, if applicable.
• At least 6 years of relevant experience, including 2 years in management.
• Knowledge of African languages is advantageous.
• Understanding of Pension Fund Rules, Income Tax Act, Divorce Act, Pension Funds Act, and other relevant legislation.
• Knowledge of Benefit administration and Law - Section 37(C).
• Valid driver's license.

If qualified, please upload your CV on our website. Email applications will not be considered. We promote employment equity and consider designated groups. Shortlisted candidates will undergo background screening and assessments. Package details are provided upon application.