Job Description
Position: Head Benefits Administration
Department: Operations
Reports to: Manager: Operations
Purpose of the Position:
- To develop and supervise operational processes and procedures, work standards and practices, and update services with data control.
Key Performance Area
- Ensure update services with data control
- Provide new admissions systems and services, data verification systems and services, Section 14 transfer systems and services, quotation and benefits statements
- Ensure data integrity, including actuarial valuations, clean-ups, and audits;
- Ensure timely and correct processing of all benefit claims;
- Review and ensure correctness of member data before payment of claims
- Ensure administrative processes and procedures are adhered to when processing payments;
- Plan, organize, manage, and control the team.
- Implement and manage projects for the team
- Ensure compliance with the Pension Fund Act and other relevant regulations.
- Co-ordinate tax processing services;
- Provide proactive communication with stakeholders;
- Set objectives and SLA’s with team members for the team;
- Provide query resolution, problem-solving, and troubleshooting services;
- Ensure status change process controls are in place
- Preparation, submission, and presentation of claims to BAC Committee (Trustees)
- Operational processes, procedures, work standards, and practices
- Implement a systematic approach to benefits processing.
- Establish a systematic approach to final approval of benefits and control over stages of approval.
- Implement a systematic approach to new member admissions processing.
- Liaise with other section heads on issues of non-compliance or deviation from the agreed process.
- Organize and coordinate the tax certificate preparation and printing process.
Job-related Qualifications & Experience
- Degree in Business Administration/ Management/ Accounting and Finance NQF level 7
- Five (5 years)’ experience of which 3 years were at supervisory level and, at least 2 years’ experience in a retirement fund administration environment.
- A retirement fund management qualification will be an added advantage.
The incumbent should have the following knowledge, skills, and Attributes:
Knowledge of:
Basic accounting, benefits calculations, payout processes and procedures, data management, forensic investigations, fraud and what constitutes fraud, Pension fund rules, acts and regulations & other relevant acts, project management, procedure design, research methodologies, taxation, records management and Actuarial valuations.
Skills:
Analytical, change management, complaints handling, customer service, evaluation, feedback, conflict handling, decision making, communication and management skills, training and coaching, decision making, supervisory, problem solving, report writing, and presentation.
Personal Attributes:
Assertive, emotionally mature, integrity, ability to maintain confidential information, cultural sensitivity, honest, patient, sense of urgency, high stress tolerance, and results-oriented.