POST 42/31 : CLAIMS ASSESSOR 2 POSTS
SALARY : R211 194 per annum
CENTRE : Labour Centre: Klerksdorp- Ref No: HR4/4/9/201(1 post) Provincial Office: Mmabatho –Ref No: HR4/4/9/202(1 post)
REQUIREMENTS : A Grade 12 (NQF4) three year tertiary qualification Degrees/ National Diploma in Public Management or Administration /Social Science /OHS / Finance /HRM is required. Three to five years experience in a claims processing environment of compensation or medical claims if highly desirable plus supervisory experience. Knowledge: Knowledge of DoL and Compensation Fund objectives and business functions, Management functions and Management skills, Compensation 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, COID tariffs, COID 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 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 : Administering claims registration process. Adjudicate registered customer claims, Process medical accounts payments. Quality assurance for medical/ accounts payment. Render administrative duties.
ENQUIRIES : Mr S Majova, Tel no: (018) 387 8100
APPLICATIONS : Chief Director: Provincial Operations: Private Bag X 2040, Mmabatho, 2735
FOR ATTENTION : Sub-directorate: Human Resources Management, Provincial Office: Mmabatho