Claims/benefits Processing Supervisor

**ROLE DESCRIPTION**

**Oversee fund administration duties for administrators**
- Prepare up to date, accurate, monthly reports and statistics for the Benefits Processing Manager
- Maintain the statistical records of members and pensioners and prepare a submission to the EXCO meeting on a monthly basis.
- Ensure that audit controls are in place and audit requests are closed timeously.
- Oversee benefits administrators’ responsibilities including;
- Perform quality assurance on claim forms and supporting documents received according to applicable work flow, rules and legislation to ensure claims are accurate and compliant.
- Validate the exit claim form to the exit movement received
- Ensure accuracy of all claim documentation and member information
- Verify applicability of member options to Fund Rule and Legislative requirements.
- Validate manual tax directives for members with additional voluntary contributions.
- 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
- Prepare information in readiness for a health check, ensuring accuracy of member data, information and applicable calculations.
- Ensure that Unclaimed Benefits Specialist traces beneficiaries within given timeframes and stipulated SLA’s
- Report on unpaid claims within required EPPF process and policy requirements
- Process and monitor pensioners information within given timeframes
- Check and monitor the daily maintenance of pensioner personal detail changes before the closing of payroll.
- Ensure that contact details of pensioners are maintained and correct for distribution and for pensioner functions invitations by the CRM’s.
- Check and monitor the verification of pensioner existence on the updates done from the EOS Receipt process
- Suspend pension benefits for the non-submission of EOS and on an ad hoc basis for pensioner traced by the Social Workers
- Reinstate pension benefits after suspension of benefits for non-submission of EOS
- Manage the allocation and reconciliation of member contributions to ensure that all contributions are correctly recorded

**Project Management support**
- Participate in the Fund’s overall projects e.g., Defined Contribution Conversion, Business Process Re-engineering, amendment of the Fund’s Rules, contributing expertise to enable project objectives to be met.
- Draft reports as part of the project deliverables.
- 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.

**Provide support to the Benefits Processing Manager**
- 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.

**Maintain Member / Pensioners System Data**
- Verify and forward all data updates for authorisation before Payroll close through the workflow process.
- Maintain data integrity by following up on the exception reports and making the required updates.
- Ensure that the system is aligned to processes in terms of technical specifications by conducting necessary testing and confirmations before finalising the documents.
- Ensure that the correct procedure is followed in terms of the Transfer In process and update the system with the correct values paid into the Fund’s account.
- Follow up on the exception report after the monthly contribution update and delegate to Administrators to update the system.
- Check and monitor divorce calculation of settlement amounts for manual and MIR calculation according to the rules of the Fund.
- Forward the request for the DSD adjustment to the Actuary after payment of the divorce and update the member record with the revised DSD.
- Monitor and check system and website outputs, Monthly Statistical Reports, Deferred pensioner estimates at retirement and annual statements, members benefits statements Additional Benefit Tax Certificates and Maintenance of Divorce Records
- Ensure that the quality performance standard is maintained by complying with the expected SLA in terms of enquiries from other stakeholders.

**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 i