Posted on :
6 Aug, 2014
6 Aug, 2014
SENIOR CLAIMS ASSESSOR 4 POSTS
SALARY : R 227 802 per annum
CENTRE : Labour Centre: Tzaneen- Ref No: HR 4/4/6/48 (1 post)
Labour Centre: Bellville (2 posts) and Cape Town ( 1 post ) – Ref No: HR 4/4/10/144
Grade 12 (NQF4)/ A three year tertiary qualification degree/diploma in Public
Management/ Administration/ Social science/ OHS / Finance/ HRM is required.
Three to five years’ experience in a claims processing environment of
compensation or medical claims is highly desirable plus supervisory experience.
Knowledge: DoL and Compensation Fund objectives and business functions,
Management functions and management skills , Compensation Fund Services,
Compensation Fund Value Chain and business processes , Relevant Fund
policies, procedures and processes Human anatomy/Biology and medical
terminology , Stakeholders and customers , Customer Service (Batho Pele
Principles) , Required IT knowledge , IT Operating Systems , Risk Awareness ,
COID Act, Regulations and Policies , COIDA tariffs, COIDA Act, Regulations and
Policies Constitution Act ,DPSA guidelines on COIDA ,Mutual association
conditions and provisional settlements, Public service Act , Occupational Health
and Safety Act (OHS) ,PFMA and National Treasury Regulations ,General
knowledge of the Public Service Regulations. Skills: Required Technical
Proficiency, Numeracy, Business writing, Required IT, Fund IT Operating
Systems, Data Capturing, Data and records management , Telephone etiquette
Administer claim registration process .Adjudicate registered customer claims.
Prepare for payment claim. Quality assurance for medical / accounts payments.
Serve as a team leader /supervisor.
ENQUIRIES : Ms PA Landman, Tel: (051) 290 1693.
Ms Z Maimane, Tel: (021) 441 8125
APPLICATIONS : Chief Director: Provincial Operations, Private Bag X 9368, Polokwane, 0700 For
Attention: Human Resources Operations, Provincial Office Limpopo. Physical
address: 42a Schoeman street, Polokwane 0700
Chief Director: Provincial Operations: P O Box 872, Cape Town, 8000 For
Attention: Sub-directorate: Human Resource Management, Western Cape
CLOSING DATE : 15 August 2014 at 16:00