Consultant: Pre-Assessment X6

Job title : Consultant: Pre-Assessment x6
Job Location : KwaZulu-Natal, Durban

Deadline : December 21, 2024

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Key Performance Areas

Pre-Assessment of prospective claims


Record all the submitted documents for prospective claims.
Determine the benefits and the products submitted based on the submitted documents.
Assess the submitted documents to determine compliance as per defined processes and rules.
Apply compliance and/ lodgement rules in pre assesing the prospective claim.
Identify duplicate claims and linked claims.
Examine the prescription of lodgement and apply prescription rules.
Verify mortality with Home Affairs
Communicate the assessment outcomes to the prospective claimants


Quality assurance


Ensure that pre assessment processes are implemented and maintained at the highest standards
Maintain the implementation an unusual occurrence procedures.


Administrative support


Document the acknowledged claims.
Deal with/and respond to correspondence.
Produce documents, briefing papers, reports and presentations.
Assist with typing and editing briefs, technical papers, letters to various parties, and memos.


Reporting


Track and report against set objectives and targets.
Report on emerging risks.
Provide ad hoc reports on process improvement initiatives


Stakeholder management


Maintain healthy relationships with all stakeholders.
Follow up and feedback to all stakeholders to keep them updated on the status of a query.
Respond to queries within the predefined turnaround times


Qualifications and Experience  


Bachelor's Degree/Advanced Diploma in a related qualification
Relevant 3 years' experience in the Claims environment.



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