Claims and Benefits Processing Supervisor

5 days ago

Bryanston, South Africa Eskom Pension and Provident Fund Full time

**Oversee specialist benefits processing for administrators and social workers**
- Prepare up to date, accurate, monthly reports and statistics for the Specialist Benefits Processing Manager
- Ensure that audit controls are in place and audit requests are closed timeously
- Update Benefits Allocation Checklist to ensure fair and equitable allocation of death benefit claims
- Oversee benefits administrators’ responsibilities including;
- Perform quality assurance on claim forms and supporting documents received according to applicable workflow, rules and legislation to ensure claims are accurate and compliant.
- Validate the exit claim form to the exit movement received via Eskom interface.
- Manage the allocation and reconciliation of member contributions to ensure that all contributions are correctly recorded
- Ensure accuracy of all claim documentation and member information
- Verify applicability of member options to Fund Rule and Legislative requirements.
- Ensure that all data is accurately captured by benefits administrators into the system
- Re
- calculate the pre commutation value for the death of a pensioner claim, before loading dependants for a benefit
- Ensure that all death claims are processed accurately and timeously
- Process and monitor pensioners information within given timeframes
- Ensure that all queries and complaints are timeously resolved and escalated where necessary
- Manage the administration system, checking that accurate record keeping and query management is adhered to.
- Attend to enquiries, cooperate and provide information on legal complaints.

**Project Management support**
- Keep abreast with changes in relevant guidelines and other legislation, to make recommendations where policies and procedures need to be amended.
- Recommend processes and procedures that are relevant to the section and enhance service delivery.

**Provision of administration services to beneficiary and guardian cases; implementation of Management Benefits Committee**
- Coordinate the investigation and implementation of decisions, requests and referred cases, with reports and recommendations being submitted to BC, MP& BP or other internal departments.
- Manage the suspension, addition, termination and reinstatement of beneficiaries (widows and minor children) in compliance with Fund rules and legislation.
- Ensure guardian changes are affected and children are properly placed with suitable guardians.
- Check the accurate payment of benefits to the correct beneficiaries.
- Follow up on needs assessment conducted and guardian cases identified where there is a misuse of benefits.
- Contribute to the compilation of manuals / guidelines for guardians.
- Ensure the timeous payment of the trust advance payments to the beneficiaries
- Monitor the use of children’s instalment lump sum accounts and pension benefits to reduce the number of unnecessary requests for advanced payment.
- Ensure that all customer and stakeholder enquiries are accurately and sensitively resolved or escalated to the appropriate level.

**People Leadership**
- Manage planning of resource requirements, ensure sufficient capable resources are in place to meet service delivery demands, maintaining the effective and efficient capability of the department.
- Build a high performing team where the best people are deployed in the right roles and deliver against strategy.
- Ensure that all employees are motivated, developed.
- Manage employees’ performance and ensure that their individual and collective performance is of the required standard.
- Implement and maintain an effective system of internal controls and delegations of authority for the department, to ensure that accountability for decisions made.
- Inspires, aligns and engages employees around the vision and strategy of the Fund, maximising employee engagement and willingness to invest discretionary effort.

**Required Minimum Education/Training**
- Relevant Bachelor Degree. Registered with professional bodies - where applicable.

**Required Minimum Work Experience**
- At least 5 years job-related experience which should include at least 1 year’s experience in a supervisory role.
- Knowledge of any African Language is an advantage.

**Technical Competency Requirements**
- Working knowledge of Pension Fund Rules
- Basic knowledge of Income Tax Act, Divorce Act, Pension Funds Act, Child Care Act, Marriage Act, Recognition of Customary Marriage Act, Mental Health Act
- Working knowledge of Benefit administration
- Knowledge of Law - Section 37 (C) allocation of death benefit lump sums
- Valid driver’s licence

**CLOSING DATE: 20 FEBRUARY 2024

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