About the Role
The Compensation Fund at the Komani Labour Centre is seeking a dedicated Senior Claims Assessor to join their team. In this pivotal role based in Komani, you will be responsible for adjudicating registered and fatal claims, ensuring that the community receives the benefits they are entitled to under the Compensation for Occupational Injuries and Diseases Act. This role is not just about processing claims; it’s about making a real difference in people’s lives by facilitating access to compensation for those who have suffered due to workplace injuries.
Working within the public service sector, this position is vital in maintaining the integrity and efficiency of the compensation process. As a Senior Claims Assessor, you will not only handle complex inquiries but also supervise staff, contributing to a collaborative environment that prioritizes excellent service delivery. Your expertise will play a crucial role in supporting individuals and families during challenging times, ensuring they receive the assistance they need.
About the Department
The Compensation Fund is committed to providing comprehensive compensation for employees who are injured or contract diseases while performing their duties. Its mission is to promote a fair and effective system that safeguards the rights of workers and provides financial support when it is most needed. By joining this department, you will be part of a dedicated team that works tirelessly to uphold these values, ensuring that public service is delivered with integrity and compassion.
What You’ll Do
- Adjudicate registered and fatal claims according to delegation requirements.
- Verify complex claims and refer them to medical services for further adjudication.
- Authorize compensation benefits as per the established delegations.
- Handle complex inquiries and conduct advocacy sessions to assist claimants.
- Supervise and mentor staff members, fostering a supportive team environment.
What You’ll Need
- A Senior Certificate and a 3-year recognized qualification in Public Management, Business Management, Operations Management, Management, Human Resources Management, Nursing, Law/LLB, B.Com, Finance, or Administration (NQF6 SAQA recognized).
- A valid driver’s license.
- At least 2 years of experience in a Compensation or Medical Claims Processing Environment.
- Strong knowledge of claims handling, customer-oriented service delivery, and relevant legislation such as the Public Services Act and COID Tariffs.
- Essential skills include accountability, analytical thinking, attention to detail, and emotional intelligence.
How to Apply
Please refer to the application instructions below.
Requirements
Senior Certificate plus a 3-year recognized qualification (NQF6 SAQA recognized) in Public Management / Business Management / Operations Management / Management / Human Resources Management / Nursing / Law/ LLB /B.Com / Finance / Administration.
A valid driver license.
2 years’ experience in Compensation or Medical Claims Processing Environment.
Knowledge: Claims Handlin, Brand and Customer Oriented Service Delivery, Public Services Act and Regulations, COID Tariffs, Public Services Charter, Approved COID Delegations, Promotion of Access to Information Act, Road Accident Fund, Occupational Health and Safety Act (OHS), Constitution of the Republic of South Africa No.
108 of 1996, Relevant regulations, laws and legislation.
Skills: Accountability, Analytical Thinking, Attention to detail, Brand and Customer Oriented Services Delivery, Business and Finance Acumen, Communications, Emotional Intelligence, Ethics and Governance, Team orientation.
Job Duties
Adjudicate registered and fatal claims per delegation’s requirements.Verify and refer complex claims to medical services for further adjudication.
Authorise compensation benefits as per delegations.
Handle complex inquiries and advocacy sessions.
Supervision of staff.
