Location: Pretoria Head Office
Job Type Classification: Permanent
Closing Date: Not Specified
Salary: R255 450 per annum (Level 06), plus 37% in lieu of benefits

REQUIREMENTS:

• 18 months of demonstrated experience processing and/or paying claims, together with a three-year N Dip/B Degree or comparable three-year tertiary certificate with at least 360 credits (ideally in administration or finance).
• Preference will be given to applicants who have prior experience managing and processing retirement fund and employee benefits claims.
• Three (3) years of demonstrated experience processing and/or paying claims, along with a Senior Certificate, Matric, Grade 12, Vocational Certificate, or equivalent (preferably with either Mathematics or Accounting as a passed subject).
• Preference will be given to applicants who have prior experience managing and processing retirement fund and employee benefits claims.
• familiarity with the Microsoft Office suite, with an emphasis on Excel.
• familiarity with claims processing standards and protocols.
• awareness of the benefits offered to employees.
• understanding of managing client relations.
• It will be advantageous to know about GEPF Services & Products.
• Understanding GEP Law and Regulations will be beneficial.
• It will be advantageous to be familiar with GPAA policies.
• analytical reasoning. administration of finances. analytical reasoning.
• good written and vocal communication abilities. abilities to solve problems.
• Customer orientation.
• imaginative thinking.
• ability to negotiate.
• reasoning logically.
• Be mindful of the details.
• the capacity to establish solid network connections.
• management of stakeholders. driven by production.

DUTIES:

• In addition to a wide range of other duties, the incumbent will be in charge of the following: Claims about the Process: Examine the received applications and claims for different kinds of exits or claims.
• Verify that all supporting documentation is included in accordance with the claim’s specific requirements.
• To guarantee that proper information is reflected, assess the member records that are represented in the documentation and make the necessary updates.
• When missing information is found on the benefits application form, ask the member for their information to be added.
• Pay claims: Examine the initial payment after reviewing the case’s specifics.
• Verify that all outstanding service has been accurately calculated for payments by reconciling the purchase of service amounts.
• Verify the correctness of benefit payments by uploading supporting documentation.
• Verifying if the beneficiaries listed meet the requirements to be considered dependents in order to issue payment instructions.
• Verify the calculation’s accuracy or provide justifications for rejection by comparing it to the data on the member records.
• Examine the list of denied claims or applications, noting the grounds for denial in accordance with the regulations of the different funds or schemes.
• Process the denied claims or applications in accordance with customary practice.
• Verify that, in compliance with the applicable policies and procedures, all exceptions (where applicable) pertaining to death distributions, service period recognition verification, fraud and risk issues, contribution adjustments, benefit distribution verification, payment reversals, unclaimed benefits, standard legal issues, and updating banking information have been addressed.
• Verify that the right benefit is being paid and that the necessary paperwork is attached.

How to Apply?

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