Case Officer

3 weeks ago


Pretoria, South Africa Office of the Pension Fund Adjudicator Full time

**Responsibilities**:

- Assess jurisdiction of OPFA to investigate a complaint.
- Conduct proper investigation of complaints in accordance with legal principles and prepare file for adjudication.
- Ensure that the parties to a complaint are properly identified and cited in correspondence.
- Send out properly drafted correspondence.
- Request relevant information from the identified parties to a complaint for purposes of investigation.
- Assess submissions from the parties to a complaint and recommend further action to the Team Leader.
- Implements instructions received from the Team Leader.
- Bring extraordinary requests from parties to the attention of the Team Leader for guidance as soon as is received.
- Engage with parties to a complaint in relation to the administrative aspects of the file/investigation.
- Draft settlement and out of jurisdiction letters for approval by the Team Leader.
- Follow up on undertakings to respond.
- Ensure all information is captured and processed on the OPFA case management system.
- Submit weekly and monthly statistics to the Team Leader.

**Qualifications and Experience**:

- LLB degree
- Certificate in Pension Funds law (Added advantage).
- Three years’ experience in administrative function or twelve months in an ombud office.
- Previous work experience in the financial sector (Added advantage).

**Minimum Requirements and Key Competencies**:

- Computer Literacy (MS Word, Excel, MS Outlook).
- Communication skills.
- Listening skills (verbal and written).
- Self-motivated.
- Planning and organising.
- Resilience.
- Ability to analyse, interpret, solve problems, and making of legal arguments to reach a conclusion.
- Good writing skills with the ability to express complex concepts.
- Ability to make investigative decisions in the resolution of complaints.

**Behavioural Attributes**:
**Additional Information**

In accordance with the POPI Act 4 of 2013:



  • Pretoria, South Africa Dymaxa Recruitment Full time

    Our client, specializing in the labour relations industry, is seeking a **Case Manager/Office Supervisor to be based in Pretoria. **You will manage the overall Case Management function, nationally, as well as be responsible for the direct administration of cases for various areas (currently, Gauteng-Pretoria, Mpumalanga, Northwest, Limpopo, Eastern Cape...


  • Pretoria, Gauteng, South Africa Dymaxa Recruitment Full time

    Our client, specializing in the labour relations industry, is seeking a Case Manager/Office Supervisor to be based in Pretoria. You will manage the overall Case Management function, nationally, as well as be responsible for the direct administration of cases for various areas (currently, Gauteng-Pretoria, Mpumalanga, Northwest, Limpopo, Eastern Cape (PE/East...

  • Case Manager

    2 weeks ago


    Pretoria, South Africa Dymaxa Full time

    **Case Manager/Office Supervisor to be based in Pretoria. **You will manage the overall Case Management function, nationally, as well as be responsible for the direct administration of cases for various areas (currently, Gauteng-Pretoria, Mpumalanga, Northwest, Limpopo, Eastern Cape (PE/East London) and Free State. Your primary goal will be to manage the...

  • Case Manager

    4 weeks ago


    Pretoria, South Africa care force Full time

    Our client, a managed care organisation based in Pretoria is looking for a Case Manager. This is an equal opportunity organisation with various businesses and/ or subsidiaries that service clients in the medical scheme and insurance industries. Position: Case Manager (Member Management) Reporting to: Senior Specialist Clinical Management Location: On-site...

  • Case Manager

    2 weeks ago


    Pretoria, Gauteng, South Africa Dymaxa Recruitment Full time

    Our client, specializing in the labour relations industry, is seeking a Case Manager/Office Supervisor to be based in Pretoria. You will manage the overall Case Management function, nationally, as well as be responsible for the direct administration of cases for various areas (currently, Gauteng-Pretoria, Mpumalanga, Northwest, Limpopo, Eastern Cape (PE/East...

  • Case Manager

    2 weeks ago


    Pretoria, Gauteng, South Africa Dymaxa Recruitment Full time

    Our client, specializing in the labour relations industry, is seeking a Case Manager/Office Supervisor to be based in Pretoria. You will manage the overall Case Management function, nationally, as well as be responsible for the direct administration of cases for various areas (currently, Gauteng-Pretoria, Mpumalanga, Northwest, Limpopo, Eastern Cape (PE/East...

  • Case Manager

    4 weeks ago


    Pretoria, South Africa H2R Full time

    Gauteng, Tshwane (Pretoria) - Monthly Cost To Company (Market related, Negotiable) Our client, who is in the Health Care Industry, has a vacancy for a Case Manager on a Contract Basis, with a possibility of it becoming permanent The Case Manager will have thorough, well-grounded clinical knowledge of hospital admissions, LOS and LOC Excellent knowledge of...

  • Case Manager

    2 weeks ago


    Pretoria, Gauteng, South Africa care force Full time

    Our client, a managed care organisation based in Pretoria is looking for a Case Manager. This is an equal opportunity organisation with various businesses and/ or subsidiaries that service clients in the medical scheme and insurance industries.Position: Case Manager (Member Management)Reporting to: Senior Specialist Clinical ManagementLocation: On-site at...

  • Case Manager

    2 weeks ago


    Pretoria, Gauteng, South Africa H2R Africa Full time

    Qualifications:Enrolled/ Registered NurseValid registration with SANCSkills and Competencies Required:3 to 5 years experience within a managed healthcare or medical scheme environmentSolid understanding of value-based careDemonstrated ability to manage a portfolio of hospital casesOutcome focused with the ability to manage competing demandsEstablishing and...

  • Case Manager

    2 weeks ago


    Pretoria, Gauteng, South Africa H2R Africa Full time

    Our client, who is in the Health Care Industry, has a vacancy for a Case Manager on a Permanent basisThe Case Manager will have thorough, well-grounded clinical knowledge of hospital admissions, LOS and LOCExcellent knowledge of the South African Healthcare industry and prevailing legislation, current coding structures i.e., ICD10's, CPT4, NRPL, PMB...

  • Case Manager

    2 weeks ago


    Pretoria, Gauteng, South Africa Qetello Holdings Full time

    Functions: Plan and optimise daily tasks to ensure timely updates of cases on the hospital list. Follow up on longterm and highcost cases of hospitalised and home care patients. Identify the need for patient and hospital visits and provide documented feedback. Adhere to the escalation process for cases requiring input from management or the medical advisor....

  • Case Manager

    1 week ago


    Pretoria, South Africa H2R Africa Full time

    One of our clients in the Healthcare industry has a permanent vacancy available for a Case Manager to join their dynamic team. Purpose of the position: To actively manage the clinical appropriateness and risk (both financial and clinical) of all hospital events and associated healthcare services in accordance with the relevant scheme rules, clinical...

  • Case Manager

    7 days ago


    Pretoria, South Africa Adzuna ZA B C2 Full time

    One of our clients in the Healthcare industry has a permanent vacancy available for a Case Manager to join their dynamic team. Purpose of the position: To actively manage the clinical appropriateness and risk (both financial and clinical) of all hospital events and associated healthcare services in accordance with the relevant scheme rules, clinical...

  • Case Manager

    1 week ago


    Pretoria, South Africa H2R Africa Full time

    One of our clients in the Healthcare industry has a permanent vacancy available for a Case Manager to join their dynamic team. Purpose of the position: To actively manage the clinical appropriateness and risk (both financial and clinical) of all hospital events and associated healthcare services in accordance with the relevant scheme rules, clinical...

  • Case Manager

    1 week ago


    Pretoria, South Africa H2R Full time

    One of our clients in the Healthcare industry has a permanent vacancy available for a Case Manager to join their dynamic team. Purpose of the position: To actively manage the clinical appropriateness and risk (both financial and clinical) of all hospital events and associated healthcare services in accordance with the relevant scheme rules, clinical...

  • Case Manager

    4 days ago


    Pretoria, South Africa Adzuna ZA B C2 Full time

    PLEASE ONLY APPLY IF YOUR HAVE ALL THE NECESSARY EXPERIENCE. IF YOU DO NOT GET FEEDBACK WITHIN TWO WEEKS PLEASE CONSIDER YOUR APPLICATION AS UNSUCCESFULL.Enrolled/ Registered Nurse.Valid registration with SANC.3 to 5 years experience within a managed healthcare or medical scheme environment.Thorough, well-grounded clinical knowledge of hospital admissions,...

  • Case Manager

    5 days ago


    Pretoria, South Africa H2R Africa Full time

    PLEASE ONLY APPLY IF YOUR HAVE ALL THE NECESSARY EXPERIENCE. IF YOU DO NOT GET FEEDBACK WITHIN TWO WEEKS PLEASE CONSIDER YOUR APPLICATION AS UNSUCCESFULL. Enrolled/ Registered Nurse.Valid registration with SANC.3 to 5 years experience within a managed healthcare or medical scheme environment.Thorough, well-grounded clinical knowledge of hospital...

  • Case Manager

    5 days ago


    Pretoria, South Africa H2R Africa Full time

    PLEASE ONLY APPLY IF YOUR HAVE ALL THE NECESSARY EXPERIENCE. IF YOU DO NOT GET FEEDBACK WITHIN TWO WEEKS PLEASE CONSIDER YOUR APPLICATION AS UNSUCCESFULL.Enrolled/ Registered Nurse.Valid registration with SANC.3 to 5 years experience within a managed healthcare or medical scheme environment.Thorough, well-grounded clinical knowledge of hospital admissions,...

  • Case Manager

    2 weeks ago


    Pretoria, Gauteng, South Africa H2R Full time

    Gauteng, Tshwane (Pretoria) Monthly Cost To Company (Market related, Negotiable)Our client, who is in the Health Care Industry, has a vacancy for a Case Manager on a Contract Basis, with a possibility of it becoming permanentThe Case Manager will have thorough, well-grounded clinical knowledge of hospital admissions, LOS and LOCExcellent knowledge of the...

  • Case Manager

    2 weeks ago


    Pretoria, Gauteng, South Africa iMedrecruit Full time

    About the job Case Manager (Member Management) 12 Month FTC - PretoriaCase Manager (Member Management) 12 Month FTC - PretoriaOur client, focusing on a risk and clinical assessment offering, is requiring a Case Manager (Member Management).Requirements (but not limited to) Perform Clinical coding in accordance with CPT and ICD requirements and as per client...