SENIOR CLAIMS ASSESSOR REF NO: HR4/4/8/74

CENTRE : Labour Centre: Upington
REQUIREMENTS : Three-year tertiary qualification in Public Management/ Business
Management/ Public Administration/ Business Administration/ Administrative
Management / Management/ Financial Accounting/ Cost and Management
Accounting/ Operations Management/ Production Management/ Auditing
/HRM/ Nursing. 2 years’ functional experience in claims/ medical processing
environment. Knowledge: Relevant Compensation Fund policies and business
process. Public Service Act and Regulations. Customer Services (Batho Pele
Principles). COID Tariffs. Public Service Charter. Approved COID Delegation.
Promotion of Access to Information Act. Road Accident Fund (RAF) Act. PFMA
and Treasury Regulations. Skills: Planning and Organising. Problem solving.
Analytical. Decision making. Communication (Written & Verbal). Computer
literacy. Interpersonal Relationship. Good client relations. Innovative.
DUTIES : Adjudicate registration and fatal claims per delegation’s requirements. Verify
and refer complex claims to medical services for further adjudication. Authorise
compensation benefits as der delegations. Handle complex inquiries and
advocacy sessions. Supervision of staff.
ENQUIRIES : Mr. B Van Wyk Tel No: (054) 331 1752
APPLICATIONS : Chief Director: Provincial Operations: Private Bag X5012, Kimberley, 8301 OR
hand deliver at Laboria House, c/o Pniel & Compound Street, Kimberley.
FOR ATTENTION : Sub-directorate: Deputy Director: Human Resources Management