Description:
Our client, a dynamic Financial Services Provider seeks to employ an EB Administrator (Risk funds) situated in Midrand area- responsible for managing various types of claims i.e. death, disaability medical underwriting, exits and funeral. The employee must understand the rules and requirements pertaining to the claim''''s timelines and provider requirements
Reporting to the Administration Manager
Duties
Quality Assure all claim forms received and capture the task on the CRM system
Submitting the completed claim form plus supporting documentation to the provider timelines
Following up regularly on the progress of the claim in acordance to provider timeline
If there are outstanding information from HR/Member, the administrator must follow up on a regular basis until the documentation is received and submit to the provider
Updating/saving all correspondence between the member/provider/employer on the CRM system
Ensure that all membership movements are implemented on the monthly billing
Delays on claims to be escalated to manaagement
Full understanding of the clients benefits and rates per provider
Special projects
QUALIFICATIONS
NQF Level 5 RE
FAIS
PREFERRED QUALIFICATIONS
NQF Level 5 RE
FAIS
EXPERIENCE
Minimum 5 years'''' experience in Employee Benefits Administrstion
Proficient in Advanced Excel
Advanced knowledge on Employee Benefits rules, FICA, FAIS and TCF
Advanced knowledge of Employee Benefits processes
HOW THE RULES RAISES THE BAR
Full unerstanding of employee benefits, requirement, timelines and processes
TECHNICAL
Has working knowledge and skills to perform a defined set of analytical/scientific methods or operational processes. Applies experience and skills to complete assigned work within own area of expertise. Work within standard operating procedures and/or scientific methods. Works with a moderate degree of supervision.
20 Feb 2022;
from:
gumtree.co.za