Key Duties & Responsibilities    
Disability Management

• Processing of disability claims within the risk policy SLA agreements.
• Review of Absenteeism report monthly and identify potential notifications and members who may be at risk and engage with the region accordingly.
• Ensure clear, accurate and timeous communication to payroll and regions relating to an approved claim.
• Ensure all funds during the waiting period of member are recovered by the employer.
• Communicate with region review communication from Insurer and ensure disability employee adheres to within time period.
• Be able to lodge appeals within the applicable grace period and identify reasons for claim being declined and recommendations.
• Potential notifications
• Admitted claims
• Medical Reviews
• Appeals
• Identify problematic areas in the administration of disability process and provide solutions to enhance the process.
• Provide training guide on disability process with regions and interactive training sessions.
• Maintain a current monthly tracker on all disabilities status to be shared with the Region and clear identification of areas of concern.
• Monthly recons of insurer payments and schedules with funds received in company account.
• Timeous retirement counselling sessions for disability members and a seamless separation.
• Liaise with 3rd party benefit providers and maintain a healthy relationship.

Death Claims Management with Times frames of Risk policy SLA.

• Funeral Cover: ensure on the notification of a death of a member or dependent all funeral claims are processed timeously, and verification of any other funeral benefits an employee may have. All forms and supporting document to be complete before sending to insurer.
• Group Life Cover: ensure accurate information is completed by forms and supporting document for the GLA payment. Verification that employee has no other additional Group Life cover and action accordingly.
• Death Investigation:  Ensure Superfund receives all employer information to institute a death investigation.
• Provide guidance to HR and training on death claims process and act as an intermediary between HR and Insurer.
• Update the death claims guide accordingly.
• Identify challenge areas in administration of death benefits and provide recommendations so process is seamless.

Unclaimed benefits

• Investigate all queries relating to unclaimed benefits with the various platforms and provide updates to enquirer.

Medical Aid

• Track new entrants and ensure on medical aid within the company policy.
• Timeously assist with medical aid enquiries and route accordingly.

FAWU

• Monthly recons of membership and assist payroll with any other enquiries.
• Retirement counselling sessions.
• Ensure all Normal and Early retirements sessions are done at least 4 weeks before exit and records of sessions are kept.
• Ensure all PRMA agreements or instructions are concluded before employee exits.
• Completed general office administration
• Completes and controls day-to-day office administrative functions so that all documentation can be correctly and timeously handled, whilst providing a quality service.
• Ensures at all administrative activities meet the standards of the customer and relevant company policies and procedures (100% accurate, timeous, etc.).
• Takes charge of telephone calls received and if necessary re-routes with as little inconvenience to customer as possible.
• Treats all customers with respect and dignity at all times.
• Requests are completed timeously, correctly and are legible.
• Records are kept, maintained and updated as per company procedure and access is properly controlled.
• Keep functional contact list updated with e-mail addresses and contact numbers.
• Assist with other adhoc projects within the team.

Regional HR Reporting

• Draws regional HR reports, analyses trends and reports on these on a quarterly basis.
• Provides reports to customers as and when requested.
• Reports meet the standards of the customer (on time and 100% accurate and any other specific needs of the customers in line with the requirements set by the Regional HRBP).
• Helps maintain a positive service culture.

Skills, Experience & Education    
Qualifications

• Minimum requirement: 3 Year HR or Finance diploma or degree
• Experience
• 1-2 years experience in a Benefits or HR department with a large Multi-National Company