Risk Claims Administrator

Job Description

Perform end-to-end QA checks in line with the Fund’s Quality Assurance checklist.
Verify completeness and accuracy of claim forms and supporting documentation.
Ensure all claim documentation is correctly completed, signed and compliant with Fund requirements.
Confirm alignment between claim data and system records (Everest system).
Identify and escalate discrepancies or missing information to relevant stakeholders.
Ensure all mandatory supporting documents are received and compliant.
Conduct due diligence checks including verification of member details (ID, name, DOB, tax number, banking details and employer information).
Identify outstanding loans or indebtedness in line with applicable legislation (Section 37D / Section 19(5)(a)).
Perform member and beneficiary bank account verification after workflow loading.
Check for possible matches on the Unclaimed Benefit Fund register.

Minimun Requirements

    Matric (Grade 12)
    Proficiency in Microsoft Excel
    Knowledge of FICA, POPIA & Treating Customers Fairly (TCF) principles
    Strong written and verbal communication skills
    Experience in employee benefits / claims administration (advantageous)
    Strong attention to detail and analytical ability
    Ability to work under pressure and meet strict deadlines
    Strong stakeholder engagement and customer service skills

Job Overview

  • Posted date : August 27, 2026
  • Location : Midrand, Gauteng
  • Job nature : Permanent
  • Reference :
  • Closing date : 09/10/2026