Claims / Benefits Processing Supervisor: Bryanston - Eskom Communications

ROLE DESCRIPTION

Oversee fund administration duties for administrators

• Prepare up to date, accurate, monthly reports and statistics for the Benefits Processing Manager
• Maintain the statistical records of members and pensioners and prepare a submission to the EXCO meeting on a monthly basis.
• Ensure that audit controls are in place and audit requests are closed timeously.
• Oversee benefits administrators’ responsibilities including;
•  Perform quality assurance on claim forms and supporting documents received according to applicable work flow, rules and legislation to ensure claims are accurate and compliant.
• Validate the exit claim form to the exit movement received
• Ensure accuracy of all claim documentation and member information
• Verify applicability of member options to Fund Rule and Legislative requirements.
• Validate manual tax directives for members with additional voluntary contributions.
• Ensure that all data is accurately captured by benefits administrators into the system
• Validate the manual calculated Final Average Emoluments to ensure accurate application in the exit calculation in all areas.
• Re- calculate the pre commutation value for the death of a pensioner claim, before loading dependants for a benefit
• Prepare information in readiness for a health check, ensuring accuracy of member data, information and applicable calculations.
• Ensure that all ill health disability benefits applications are accurately and timeously captured and actioned.
• Ensure that Unclaimed Benefits Specialist traces beneficiaries within given timeframes and stipulated SLA’s
• Report on unpaid claims within required EPPF process and policy requirements
• Process and monitor pensioners information within given timeframes
• Check and monitor the daily maintenance of pensioner personal detail changes before the closing of payroll.
• Ensure that contact details of pensioners are maintained and correct for distribution and for pensioner functions invitations by the CRM’s.
• Check and monitor the verification of pensioner existence on the updates done from the EOS Receipt process
• Suspend pension benefits for the non-submission of EOS and on an ad hoc basis for pensioner traced by the Social Workers
• Reinstate pension benefits after suspension of benefits for non-submission of EOS
• Manage the allocation and reconciliation of  member contributions to ensure that all contributions are correctly recorded

Project Management support

• Participate in the Fund’s overall projects e.g., Defined Contribution Conversion, Business Process Re-engineering, amendment of the Fund’s Rules, contributing expertise to enable project objectives to be met.
• Draft reports as part of the project deliverables.
• Keep abreast with changes in relevant guidelines and other legislation, to make recommendations where policies and procedures need to be amended.
• Recommend processes and procedures that are relevant to the section and enhance service delivery.

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Provide support to the Benefits Processing Manager  

• Keep abreast with changes in relevant guidelines and other legislation, to make recommendations where policies and procedures need to be amended.
• Recommend processes and procedures that are relevant to the section and enhance service delivery.

Maintain Member / Pensioners System Data

• Verify and forward all data updates for authorisation before Payroll close through the workflow process.
• Maintain data integrity by following up on the exception reports and making the required updates.
• Ensure that the system is aligned to processes in terms of technical specifications by conducting necessary testing and confirmations before finalising the documents.
• Ensure that the correct procedure is followed in terms of the Transfer In process and update the system with the correct values paid into the Fund’s account.
• Follow up on the exception report after the monthly contribution update and delegate to Administrators to update the system.
• Check and monitor divorce calculation of settlement amounts for manual and MIR calculation according to the rules of the Fund.
• Forward the request for the DSD adjustment to the Actuary after payment of the divorce and update the member record with the revised DSD.
• Monitor and check system and website outputs, Monthly Statistical Reports, Deferred pensioner estimates at retirement and annual statements, members benefits statements Additional Benefit Tax Certificates and Maintenance of Divorce Records
• Ensure that the quality performance standard is maintained by complying with the expected SLA in terms of enquiries from other stakeholders.

People Leadership 

• Manage planning of resource requirements, ensure sufficient capable resources are in place to meet service delivery demands, maintaining the effective and efficient capability of the department.
• Build a high performing team where the best people are deployed in the right roles and deliver against strategy.
• Ensure that all employees are motivated, developed.
• Manage employees’ performance and ensure that their individual and collective performance is of the required standard.
• Implement and maintain an effective system of internal controls and delegations of authority for the department, to ensure that accountability for decisions made.
• Inspires, aligns and engages employees around the vision and strategy of the Fund, maximising employee engagement and willingness to invest discretionary effort. 

Contribute to the team

• Provide assistance to internal and external auditors with annual audit.
• Assist with follow up audit recommendations.
• Liaise with Eskom employer HR, other Member Services staff and Accounts on member and pensioner data maintenance.
• Adhere to quality performance standards.
• Ensure all engagements are member centric
• Participate in EPPF’s projects, contributing knowledge of data maintenance policy and procedures.

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REQUIRED MINIMUM EDUCATION/TRAINING

• Relevant Bachelor Degree. Registered with professional bodies - where applicable.
• Relevant Industry Diploma

REQUIRED MINIMUM WORK EXPERIENCE

• At least 5 years job-related experience which should include at least 1 year’s experience in a supervisory role. 

TECHNICAL COMPETENCY REQUIREMENTS 

• Working knowledge of Pension Fund Rules
• Basic knowledge of Income Tax Act, Divorce Act, Pension Funds Act, Child Care Act, Marriage Act, Recognition of Customary Marriage Act, Mental Health Act
• Working knowledge of Benefit administration
• Knowledge of Law - Section 37 (C) allocation of death benefit lump sums