Claims/benefits Withdrawal Manager

7 days ago


Gauteng, South Africa Eskom Pension and Provident Fund Full time

**MANAGE INTERNAL DEPARTMENTAL FUNCTIONS AND PROCESSES**
- Develop and implement plans for the section that support Pension Administration and EPPF’s objectives, ensuring optimisation of current business and workflow processes.
- all benefit processing activities in accordance with the benefits as defined in the rules of the Fund and applicable legislation.
- Unclaimed benefits and Evidence of Survival reviews, tracing and verification
- Fund valuation and all audits
- Ensure that audit controls are in place and audit requests are followed up.
- Participate on the defined Committees (Benefits Committee (BC), Medical Panel (MP), Management Benefits Committee (MBC)) and take decisions based on formal documentation.
- Implement controls and work plans, these may include allocating field trips, establishment of deadlines; control registers and implementation of databases for both ill health administration & social work case registers.
- Manage the administration system, checking that accurate record keeping and query management is adhered to.
- Manage the query and issues log for the department, monitoring turnaround times and responses to queries.
- Compile weekly/monthly statistical reports on the departmental activities and performance.
- Compile annual departmental statistical summary of departmental activities.

**PROJECT MANAGEMENT**
- Participate in the Fund’s overall projects as required with continuous focus on Business Processes, system enhancements, omni channel business insight, contributing expertise to enable project objectives to be met.
- Draft reports as part of the project deliverables.

**PROVIDE INPUT TO THE STRATEGIC MANAGEMENT OF THE SECTION**
- Contribute ideas for improved service delivery at Management meetings.
- Compile comprehensive business reports for this function, highlighting successes and risks in terms of achieving the section’s objectives.
- Keep abreast with changes in relevant guidelines and other legislation, to make recommendations where policies and procedures need to be amended.
- Develop, enhance and implement processes and procedures that are relevant to the section and enhance service delivery.
- Collaborate with internal and external stakeholders to implement new systems and processes, enabling integration to other areas.

**OVERSEE SECTION 37C DEPENDENCY INVESTIGATIONS ON DEATH BENEFITS ALLOCATIONS**
- Manage investigations on death benefit cases confirming dependency with recommended benefits allocation percentages for approval by Benefits Committee.
- Monitor that outstanding banking details for payment of approved death benefits are followed up, and confirmed.
- Verify that death benefits allocation reports produced are legally compliant with recommendations and reflect mínimal errors.
- Manage multi-disciplinary case reviews on benefits allocations with Legal Department
- Provide a Benefits Allocation Checklist to ensure fair and equitable allocation of death benefits
- Monitor that reports are written in required format and settings and information on reports is accurate and logically concluded.
- Co-ordinate submission of death benefits allocation reports to management within agreed timelines for before Benefits Committee (BC) meeting for approval.
- Participate in Benefits Committee meetings, contributing expertise in order to facilitate decision making.
- Oversee enquiries, cooperate and provide information on legal complaints.

**OVERSEE THE PROVISION OF SOCIAL SERVICES TO GURDIAN CASES, IMPLEMENTATION OF BENEFITS COMMITTEE & MEDICAL PANEL DECISIONS AND REQUESTS/REFFERALS FOR CASE INVESTIGATIONS AND SOCIAL ADVICE FROM OTHER INTERNAL DEPARTMENTS.**
- Implementation of decisions, requests and referred cases, with reports and recommendations being submitted to BC, MP& BP or other internal departments.
- Ensure compliance with Fund rules and legislation to suspension, addition, termination and reinstatement of beneficiaries (widows and minor children) in compliance.
- Monitor guardian changes, Trust advances and payments
- Oversee the accurate payment of benefits to the correct beneficiaries.
- Monitor the use of children’s instalment lump sum accounts and pension benefits to reduce the number of unnecessary requests for advanced payment.
- Monitor 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 th



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