Senior Claims Assessor: Compensation Fund REF NO: HR4/4/1/84
The Department of Employment and Labour · Gauteng
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CENTRE : Komani Labour Centre
REQUIREMENTS
- Senior Certificate plus a 3-year recognized qualification (NQF6 SAQA recognized) in Public Management / Business Management / Operations Management / Management / Human Resources Management / Nursing / Law/ LLB /B. Com / Finance / Administration. A valid driver license. 2 years' experience in Compensation or Medical Claims Processing Environment.
- Knowledge: Claims Handlin, Brand and Customer Oriented Service Delivery, Public Services Act and Regulations, COID Tariffs, Public Services Charter, Approved COID Delegations, Promotion of Access to Information Act, Road Accident Fund, Occupational Health and Safety Act (OHS), Constitution of the Republic of South Africa No. 108 of 1996, Relevant regulations, laws and legislation.
- Skills: Accountability, Analytical Thinking, Attention to detail, Brand and Customer Oriented Services Delivery, Business and Finance Acumen, Communications, Emotional Intelligence, Ethics and Governance, Team orientation.
DUTIES
- Adjudicate registered and fatal claims per delegation's requirements. Verify and refer complex claims to medical services for further adjudication.
- Authorise compensation benefits as per delegations. Handle complex inquiries and advocacy sessions. Supervision of staff.