Intake Adjudicator

We are currently looking for experienced Intake Adjudicators to work as a critical team member in our Claims Services Department. In this role you will be the expert in determining entitlement to compensation services and benefits. You will be accountable for the review and investigation of complex issues related to adjudication of all medical aid and lost time claims and recurrences.

Role responsibilities

• Reviewing and investigating complex issues related to adjudication, benefit approval and payment of all lost time, third party, hearing loss, workplace fatality and industrial disease claims.
• Determining the relevancy of each piece of evidence, applying the proper weight to the evidence and determining whether further evidence is necessary.
• Calculating benefit rates for the initial 13 weeks on all new lost time claims. In cases where the payment is greater than 13 weeks, the Intake Adjudicator determines and establishes the long-term ...