Fund Assessor

Duties and Responsibilities

• Receive, capture and process fund benefit applications and claims.
• Validate member and employer information and supporting documents.
• Assess claims in accordance with fund rules and procedures.
• Process and verify benefit payments.
• Process online claims, including SAF, AHP and other applicable claims.
• Ensure processed claims are accurately reflected in fund statistics.
• Investigate and resolve queries and complaints
• Provide professional customer service via telephone and written communication.
• Maintain accurate records and meet required service levels and productivity targets.
• Perform any other duties reasonably required by the supervisor or manager

Knowledge / Experience / Skills / Abilities

• Excellent verbal and written communication skills.
• Previous call-centre or customer-service experience.
• Experience in fund benefit processing and/or assessment.
• Strong administrative and organisational skills.
• Good computer literacy, particularly Microsoft Office.
• Excellent attention to detail and accuracy.
• Strong interpersonal and relationship-building skills.
• Good decision-making and problem-solving abilities.
• Ability to work under pressure and meet deadlines.
• Ability to work independently and as part of a team.
• High level of integrity and confidentiality.
• A strong customer-service orientation.
• The ability to build and maintain effective relationships with members, establishments, service providers, colleagues and management.

Requirements

Qualifications

• Matric or equivalent
• At least 1 year Fund Benefit processing/ assessment experience
• General knowledge of benefit funds
• Customer orientated behavior
• Computer literate – Microsoft package intermediate level