Senior Claims Assesor Vacancies – 2 Positions

Posted on :

18 Jun, 2014

Category :

Finance Jobs in South Africa

SENIOR CLAIMS ASSESSOR 2 POSTS REF NO: HR 4/4/5/22
SALARY : R227 802 per annum
CENTRE : Labour Centre: Pietermaritzburg (1 post) and Richards Bay (1 post)

 

REQUIREMENTS : 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

 

DUTIES : 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 N Cweba, Tel: (031) 366 2028.
APPLICATIONS : Chief Director: Provincial Operations: P O Box 940, Durban, 4000
FOR ATTENTION : Sub-directorate: Human Resources Management, Kwazulu-Natal

CLOSING DATE : 23 June 2014 at 16:00
NOTE : Applications must be submitted on form Z83, obtainable from any Public
Service Department or on the internet at www.gov.za/documents. The
completed and signed form Z83 should be accompanied by a recently updated,
comprehensive CV as well as recently certified copies of all qualification(s) and
ID-document [Driver’s license where applicable]. Non-RSA Citizens/Permanent
Resident Permit Holders must attach a copy of their Permanent Residence
Permits to their applications. Should you be in possession of a foreign
qualification, it must be accompanied by an evaluation certificate from the
South African Qualification Authority (SAQA). Applicants who do not comply
with the above-mentioned requirements, as well as applications received late,
will not be considered. The Department does not accept applications via fax or
email. Failure to submit all the requested documents will result in the
application not being considered. Correspondence will be limited to short-listed
candidates only. If you have not been contacted within eight (8) weeks after the
closing date of this advertisement, please accept that your application was
unsuccessful. Suitable candidates will be subjected to a personnel suitability
check (criminal record, citizenship, credit record checks, qualification
verification and employment verification). Where applicable, candidates will be
subjected to a skills/knowledge test. Successful candidates will be appointed
on a probation period of 12 months. The Department reserves the right not to
make any appointment(s) to the above post. Successful candidates will be
expected to sign a performance agreement.


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