Claims Senior Administrator

Pinelands, Cape Town
Permanent
Full-time

5 days ago

Let's Write Africa's Story Together!Old Mutual is a firm believer in the African opportunity and our diverse talent reflects this.Job DescriptionOverview of CAS MONEY OUT:We are one of the High-Risk Administration departments in the OMiX CAS and we rely on our Multis-Skilled Servicing Consultants to be authentic, vigilant, respectful, and accountable and practice Integrity when servicing our customers. We require our Multis-Skilled Servicing Consultants to be continuously alert and cautious in their dealings with the demand of the customers that we service.Role overviewThe successful incumbent will be responsible for the processing of death, withdrawal, Retirals, Liquidation and In-Service claims in terms of the Pension Funds Act and the Rules of the Fund.To process, assess, and finalise pension fund claims efficiently and accurately, ensuring that all regulatory, legal, and company requirements are met. To provide excellent service to members, employers, and other stakeholders, ensuring a positive experience during the claims process.Key Result Areas

Delivers on daily production standards and adheres to service and quality standards.
Detail focussed, thorough, analytical and diligent.
Technical-legal knowledge and understanding of Section 37C of the Pension Funds Act and general knowledge of the common law, and other legislation- Administration of Deceased Estates Act, Intestate Succession, Divorce Act etc.).
Sound judgement and decision-making skills.
Excellent daily planning and time management skills.
Excellent verbal and written communication skills.
Ability to withstand significant work pressure.
Ensure all information sent in for the withdrawal, retirement and surplus claims have been taken into account and verified on the appropriate systems.
Ensure all EMS queries received are responded to within 48 hours
All claims are processed with the sole purpose of ensuring the benefit is paid timeously without delay

Additional Key ResponsibilitiesAssess, verify, and process different types of pension fund claims (e.g., withdrawal, retirement, death, disability, divorce, transfers, maintenance orders).

Check claim documentation for accuracy and completeness, ensuring compliance with fund rules and legislative requirements.

Liaise with employers, members, and third parties for outstanding or supporting information.

Communicate claim status and outcomes to members and stakeholders clearly and professionally.

Respond promptly to queries via email, telephone, and other channels.

Provide guidance on claim requirements and processes.

Ensure all claims are finalised within agreed turnaround times and service level agreements (SLAs).

Maintain strict confidentiality of member information and handle data according to regulatory standards.

Identify and escalate any potential risks, irregularities, or fraud.

Maintain accurate and up-to-date records on systems and trackers.

Contribute to daily, weekly, or monthly reporting on claims volumes and turnaround times.

Support internal audits and quality assurance processes.

Collaborate with colleagues to ensure workload is managed effectively.

Share knowledge and assist in training new team members when required.

Contribute to process improvements and suggest ideas to enhance service delivery

Specific KRA’s

May act as mentor to less experienced administrators.
Delivers on daily production standards.
Follows standardized processes and provides administrative support in line with normal business functioning.
Provides an indirect service to the Principal Officer, Fund, members, beneficiaries and intermediaries.
Responds to immediate administrative requirements within procedure.
Uses standard administrative techniques to coordinate own work.
Ensure regulatory and legislative compliance.

Systems knowledge:

AWD / Chorus
Compass
EMS
TransUnion
sClaims / eClaims
Secure Service
GCS (Group Client Search)

The successful incumbent will be responsible for the processing of death, withdrawal, Retirals, Liquidation and In-Service (Divorce and Maintenance)claims in terms of the Pension Funds Act and the Rules of the Fund.To process, assess, and finalise pension fund claims efficiently and accurately, ensuring that all regulatory, legal, and company requirements are met. To provide excellent service to members, employers, and other stakeholders, ensuring a positive experience during the claims process.Performs routine administrative duties such as drafting correspondences, scheduling appointments, organising and maintaining data, as well as assisting internal and external stakeholdersResponsibilitiesAdministrationProduce, update, and provide best practice support on a wide range of Microsoft documents, databases, and other departmental systems.Business Meetings/Events ArrangementSchedule appointments, make arrangements for meetings and conferences, and organize travel plans, following instructions to ensure more senior colleagues or a senior executive make the best use of their time.CorrespondencePrepare routine letters, email, minutes of meetings, and reports for approval by more senior colleagues or a senior executive.Document PreparationPrepare moderately complex documents using a variety of applications for technology devices, such as standard office software. Also responsible for gathering and summarizing data for reports.Work Scheduling and AllocationDesign own monthly schedule and, if necessary, assign work to others in order to speed up office workflow and ensure high-priority tasks get done.Data Collection and AnalysisProduce accurate reports for others by collecting data from a variety of standard sources and inputting it into standard formats.Insights and ReportingExtract and combine data to generate standard reports.Personal Capability BuildingDevelop and maintain excellent process or technical skills by participating in assessment and development planning activities as well as formal and informal training and coaching.Operational ComplianceDevelop working knowledge of the organization's policies and procedures and of regulatory codes and codes of conduct relevant to own work, adhering to mandatory procedures to ensure own work is undertaken to the required standards.SkillsClaims Administration, Claims Processing, Pension FundsCompetenciesDirects WorkDrives ResultsEnsures AccountabilityManages ComplexityOptimizes Work ProcessesPlans and AlignsTech SavvyEducationMatriculation Certificate (Matric) (Required)Closing Date05 September 2025 , 23:59The appointment will be made from the designated group in line with the Employment Equity Plan of Old Mutual South Africa and the specific business unit in question.The Old Mutual Story!

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