Senior Claim Assessor
3 months ago
Centre: Rustenburg
**REQUIREMENTS**:
Three years (3) tertiary qualification in Public Management/ Business
Management/ Public/ Business Administration/ Administrative Management/ Management/ Financial Accounting/ Cost and Management Accounting/ Operations Management/ Production Management/ Auditing/ HRM/ Nursing. 2 years' functional experience in a claims/ medical processing environment. Knowledge: Compensation Fund policies, procedures and business process. Public Service Regulation. Customer Service (Batho Pele Principles). COID Tariffs. Public Service Charter. COID Tariffs. Public Service Charter. Approved Delegation. Promotion of Access to Information Act. Road Accident Fund (RAF) Act. PFMA and Treasury Regulations. Skills: Planning and Organising. Problem Solving. Analytical. Decision Making. Communication (written and verbal). Computer literacy. Interpersonal Relationship. Good client relations and Innovation.
**DUTIES**: Adjudicate registered fatal claims per delegation's requirements. Verify and
refer complex claims to Medical Services for further adjudication. Authorise compensation benefits as per delegations. Handle complex enquiries and advocacy sessions. Supervision of staff.
**ENQUIRIES**: Mr. MO Maluleke Tel No: (018) 387 8100
**APPLICATIONS**: Chief Director: Provincial Operations: Private Bag X2040, Mmabatho, 2735 or
***
**CLOSING** **DATE**: 06 September 2024 at 16:00 (walk-in) and 00:00 midnight (online)
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