Disability Claims Coordinator

5 months ago

Centurion, South Africa Momentum Corporate Full time

**Introduction**

**Role Purpose**

Ensure the smooth running of the disability management administration function by efficient coordination of related tasks. To provide an effective and efficient service to clients and intermediaries by receiving, evaluating and responding to queries timeously. Accurately capture incoming correspondence and claims onto the relevant system within departmental guidelines.

**Requirements**:

- Grade 12 (NQF Level 4)
- At least 2 years' experience in Employee Benefits and Insurance Industry is advantageous
- Successful completion of Yenzani training is preferred
- A working knowledge of Office 365
- Intermediate Excel skills

**Duties & Responsibilities**

INTERNAL PROCESS
- Responsible for the timely and accurate management and co-ordination of new and existing disability claims, in collaboration with claims assessors and administrators.
- In collaboration with the disability claims assessor, responsible for requesting outstanding or additional information required for the claims assessment required by the assessor.
- Responsible for summarising documents and information received into an accurate and relevant summary, which can be utilised by the claims assessor in the claims assessment process.
- Validate all information and data received from claimants for new and existing claims, using policy documents and system information.
- Suspend or terminate claims based on non-submission of requirements.
- Provide an efficient administrative support function to the claims assessors.
- Update workflow system and upload documents with personal and claimant information.
- Monitor, manage and report on items within the assessor's workflow queue.
- Manning of system mailboxes
- Ensure adherence to specific turn-around times of each disability claim attended to
- Take accountability for following up on outstanding information from clients, which is necessary for the claims assessment.
- Provide accurate and timely feedback to clients on the status of their claims and manage their feedback accordingly.
- Provide up to date and accurate disability status reports to clients.

CLIENT
- Build and maintain relationships with clients and internal and external stakeholders.
- Deliver on service level agreements made with clients and internal and external stakeholders in order to ensure that client expectations are managed.
- Make recommendations to improve client service and fair treatment of clients within area of responsibility.
- Participate and contribute to a culture which builds rewarding relationships, facilitates feedback and provides exceptional client service.

PEOPLE- Develop and maintain productive and collaborative working relationships with peers and stakeholders
- Positively influence and participate in change initiatives
- Continuously develop own expertise in terms of professional, industry and legislation knowledge
- Contribute to continuous innovation through the development, sharing and implementation of new ideas
- Take ownership for driving career development

FINANCE
- Identify opportunities to enhance cost effectiveness and increase operational efficiency
- Provide input into the risk identification processes and communicate recommendations in the appropriate forum.

**Competencies**
- Planning and Organisation Skills
- Accountability
- Adaptability
- Results Orientation
- Attention to Detail
- People Skills
- Customer Orientation
- Business Administration Skills
- Business Writing Skills
- Communicating with Impact

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