EB Processor (EB Administrator) - Benefits Application Processing

The purpose of the roles is to provide administrative support for the processing and payments of pension claims.

The successful incumbent will be responsible for a wide variety of tasks which include the following but not limited to:

Process Claims

• Review applications/claims received for various types of exits or claims
• Check that all supporting documentation is attached as per the requirements of the specific claim
• Evaluate the member records reflected in the documentation and update accordingly to ensure accurate information is reflected
• Request member’s information for inclusion in the benefits application form, where missing information is identified

Process payment of claims:

• Review the initial payment, based on a review of the particulars of the case
• Reconcile purchase of service figures, checking that all outstanding service has been calculated correctly for payments
• Upload supporting documentation for benefit payments, ensuring accuracy
• Checking whether beneficiaries indicated qualify as dependents according to set criteria, for instructions for payments
• Review the calculation against the information available on the member records, confirming whether correct or supplying reasons for rejection
• Review the summary of rejected applications/claims; identifying reasons for rejection based on rules of the various Funds/schemes
• Route the rejected applications/claims – in terms of the standard procedure
• Ensure that all exceptions (where applicable) related to death distributions, service period recognition verification, fraud and risk issues, contribution adjustments, benefit distribution verification, payment reversals, unclaimed benefits, standard legal issues and the updating of banking details have been resolved in accordance with the relevant policies and procedures
• Check that all documentation required for payment is attached and that the correct benefit is being paid to the member, based on established criteria
• Review the benefit application form and validate the content
• Initiate the payment instruction

• An appropriate three (3) year N Dip/B Degree or similar three year tertiary qualification with at least 360 credits (preferably in administration/finance) with 18 months proven experience in the administration/processing of Retirement fund/Employee Benefits  

• OR
• Senior Certificate (ideally with either Mathematics or Accounting as a passed subject) with three (3) years proven experience in administration/processing of Retirement fund/Employee Benefits
•  Experience of the MS Office package, with particular focus on MS Excel.

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• Knowledge of Standards and procedures of Claims Processing.
• Knowledge of Employee Benefits.
• Knowledge of Client Relations Management.
• Analytical thinking.
• Financial management.
• Analytical thinking.
• Good communication skills both verbal and written.
• Problem solving skills.
• Customer orientation.
• Creative thinking.
• Negotiation skills.
• Logical thinking.
• Attention to detail.
• Ability to build strong network relationship.
  • Stakeholder management.
  • Production driven.