Description:
PURPOSE OF THE ROLE:
To receive and perform quality assurance on documents and assessment of claims for legitimacy based on the specialized requirements of the role. To initiate all new claims received on the operating system used by Salt Employee Benefits To follow up on behalf of members on all outstanding claim payments To deal with member queries and advise members on fund benefit structure and benefits To act as a liaison between the members of the Fund and Fund’s other service providers (funeral benefit administrator, Section 37C Investigators, Trust Fund Administrators, Tracers) in receiving claims and ensuring that they are processed timeously. To assist in employer engagements in areas where they are visitingAreas of Responsibilities
Key Activities
Member Walk-Ins
Receive members and help them with submission of claim. First ensure that the member is a member of the Fund Ensure that the member is not still employed in the industry Check that the contributions are up to date Check that all claim documents are available: Claim documents are completed and signed and stamped by both employer and member Copy of ID is available and clear Copy of bank statement is available and clear Letter from SARS is available and show Tax number Advise member is there are any discrepancies regarding the membership or any of the above. Help member to understand what the member needs to do. Advise members who come to enquire about their membership on their status Where a member has shown proof that they were employed and the employer has not paid, refer to the relevant CLO and/Compliance Manager for further investigation. Provide members with benefit statements, where available. Help member submit the funeral claims to the funeral claim administrator. Educate members on benefits of the fund and process. Provide a weekly report to the manager for consideration and review.
Planning for Travelling
Complete a yearly travel plan split per month All travel plans to be approved by the manager and ultimately by the head of department before you embark on a trip. All travel requirements to be fulfilled prior to submission for approval. Any deviation from plan must be motivated and plans changed accordingly.Assisting with Employer Engagements
To inform all Client Liaison Officers (CLOs) of planned pending trips and to get a list of employers that needed to be visited from CLOs To prepare for employer visits by ensuring that a full recon, outstanding claims and unallocated contributions have be...
23 Feb 2022;
from:
gumtree.co.za