Service Consultant
3 weeks ago
Job Summary:
The primary role of the Service Consultant – Unclaimed Benefits is to assess, validate, and process payment of all unclaimed benefit cases within legislation, fund rules, and policy guidelines. The Service Consultant must perform all claim-related functions in a manner that promotes fund objectives and service excellence. The role involves liaison between employers, members, and beneficiaries to maintain good relations with various stakeholders.
Key Responsibilities:
Review applications/claims received for all unclaimed benefits.
Verify that all supporting documentation is attached as per the requirements of the specific claim.
Assess death claims and draft quality and comprehensive death claims reports (as per Section 37C stipulations).
Adhere to the payment process in line with legislation, policies, and procedures.
Action payment of all claims within agreed SLA's.
Mitigate all payment risks and escalate cases where appropriate. This includes the identification of fraudulent activity and non-disclosure.
Compile clear claims communication, send out acknowledgement notices within 24 hours, and keep clients/claimants up to date during the claims process.
Maintain standards in accordance with processes, procedures, administration agreements, regulatory requirements, and service level agreements.
Prepare daily stats reports and distribute accordingly.
Prepare claims data and report to admin team on request.
Liaise with employers, members, beneficiaries, and internal specialist departments through correspondence, telephone, and emails.
Maintain and update workflow systems and prescribed daily production stats.
Participate in various meetings and contribute to the discussions and decisions of the team and department from a servicing strategy perspective.
Maintain good relationships with all stakeholders.
Resolve queries and complaints within SLA.
Assist with project work for the operational team (when required).
Incident reporting and escalation.
Identify areas of improvement and escalate to relevant person.
Job Specification:
POSITION: SERVICE CONSULTANT – UNCLAIMED BENEFITS
Report maintenance and supplies requirements to the line manager and Facilities department.
Complete product/system training as and when required.
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