Description:
The purpose of this position is to provide efficient administration and verification service in respect of quality assurance of claims that results in the improvement of client service and to minimise financial risk. The main responsibility of the Quality Assurance Administrator is to ensure that all claims and related documents conform to the set standards, within the agreed service levels and that the claim is ready for processing by the claim administrator. Perform quality assurance based on the specialized requirements of the role.
Areas of Responsibilities:
Perform all quality assurance related activities as set out in the Quality Assurance checklist, which may change from time to time and which include all email, interpersonal and outbound telephonic enquiries / queries. Verify that the claim form reflects information that coincides with the data on Everest (System) and where there is a variance or difference, or any other query, return the claim documents to the Front Office colleagues. Ensure that all mandatory documents are received. Determine whether there is an outstanding housing loan and or indebtedness for the member (i.t.o. Section 19 (5) (a) or Section 37D (b) (ii) of the Act) or note on Everest for loans.Complete member static data member / employer physical address, member tax number, member / beneficiary bank details.
Member / beneficiary bank account holder verification to be done after loading Workflow.
Create a Workflow within 24 hours of receipt of funeral / death / disability / unclaimed benefit and within 72 hours of receipt of other exit documentation. Investigate whether the member has a record on the Unclaimed Benefit Fund Assist the Contact Centre when required by providing information and resolving queries. Assist the claim administrator by obtaining outstanding requirements on claims as requested by the claim administrator (due to quality assurance fail). Strict adherence to the rules and policies of the Funds, legislation, administration procedures and service level agreements. The QA administrator will attend internal and external training as required. Meet production standards in terms of quantity (50 cases per day) and quality (less than 1% error rate). Accept accountability and take responsibility for tasks. Build and maintain relationships at all levels with internal departments to enhance organisational effectiveness and efficiency. Devote the whole of your time, attention and abilities during working hours to the discharge of your duties with strict accuracy. Use your best endeavours to properly conduct, improve, extend, develop, promote, protect and preserve the business interests, reputation and goodwill of the company. Any other duties as determined by the business needs and par...Additional Info:
2 to 4 years
Salary: RNegotiable
Job Reference #: 2292556089