Employee Benefits Administrator - Death, disabilit

Responsible for quality assuring and processing various types of claims i.e. death, disability, medical underwriting, exits and funeral.

The employee must understand the rules and requirements pertaining to the claims timelines and provider requirement.



Duties

Quality assure all claim forms received and capture the task on CRM system

Submitting the completed claim form plus supporting document to the provider

Following up regularly on the progress of the claim in accordance to provider timelines

If there are outstanding information from HR/Member, the administrator must follow up on a regular basis until the documentation is received and submit to the provider

Updating/saving all correspondence between the member/provider/employer on the CRM system

Delays on claims to be escalated to management

Full understanding of the clients benefits and rates per provider



Essential Qualifications



NQF Level 5 RE

FAIS



Experience the client looks for



Minimum 5 years experience in employee benefits administration

Proficient in advanced excel

Advanced knowledge on employee benefits rules, FICA, FAIS and TCF

Advanced knowledge of employee benefits processes



How the roe raises the bar :



Full understanding of employee benefits, requirements, timelines and processes



Business Support Perform a specialised support function in office/professional environment, including clerical/administrative support

May require vocational training or the equivalent experience



TECHNICAL

Has working knowledge and skills to perform a defined set of analytical/scientific methods or operational processes.

Applies experience and skills to complete assigned work within own area of expertise. Works within standard operating procedures and/or scientific methods. Works with a moderate degree of supervision