E B Administrator Group Risk Funds with RE5 essential - i.e. Death, disability, medical underwriting, exits and funeral.

• Quality Assure all claim forms received and capture the task on the CRM system
• Submitting the completed claim form plus supporting documentation to the provider timelines
• Following up regularly on the progress of the claim in accordance to provider timeline
• 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
• Ensure that all membership movements are implemented on the monthly billing
• Delays on claims to be escalated to management
• Full understanding of the clients benefits and rates per provider
• Special projects
• All aspects regarding Group Risk Claims exp essential

QUALIFICATIONS

• NQF Level 5 RE essential
• FAIS

PREFERRED QUALIFICATIONS

• NQF Level 5 RE
• FAIS

EXPERIENCE

• Minimum 5 years'''''''''''''''' experience in Employee Benefits Administrstion
• Proficient in Advanced Excel
• Advanced knowledge on Employee Benefits rules, FICA, FAIS and TCF
• Advanced knowledge of Employee Benefits processes

HOW THE RULES RAISES THE BAR

• Full understanding of employee benefits, requirement, timelines and processes

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.  Work within standard operating procedures and/or scientific methods.  Works with a moderate degree of supervision.