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Follow-up Presentation to the

Follow-up Presentation to the. S. S. Mkhonto Compensation Commissioner. 25 May 2010. Clearing of suspense accounts The suspense account is reconciled every month to identify the items that need to be cleared.

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Follow-up Presentation to the

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  1. Follow-up Presentation to the S. S. Mkhonto Compensation Commissioner 25 May 2010

  2. Clearing of suspense accounts • The suspense account is reconciled every month to identify the items • that need to be cleared. • R87 million was in the suspense account. This amount (R87 million) has been cleared by March 2010. • The reasons for this were : • 1) due to beneficiary payments made in March 2008 but only reflected in the bank statement of April 2008. The proper accounting treatment of this transaction at year end should have been classified as outstanding payments instead of suspense account. • 2) Deposits into the Fund’s bank account, with no reference numbers from employers. The bank has since assisted the Fund to trace and allocate these unknown deposits to the relevant employers. 2

  3. FILLING OF VACANCIES WITHIN THE FUND Total CF Staff Establishment 3

  4. FILLING OF VACANCIES WITHIN THE FUND • Status on current 64 Vacancies • 9 New appointments approved wef 01/04/2010. • 24 Interviews held awaiting NIA results. • 28 Posts already advertised, interviews scheduled for May. • 3 Vacancies still to be advertised. 4

  5. HRM Vacancy statistics

  6. CLAIM STATISTICS AT 31 MARCH 2010 8

  7. Claims information • The table indicates the total number of claims registered during the past financial years, 2007, 2008 and 2009 • It also indicates how many claims have been accepted, repudiated to date and how many have awards paid to date-Some claims from previous years have been re-opened and additional benefits paid during this financial year. • The difference between registered claims and accepted + repudiated are claims which have not been accepted due to outstanding information • Most not accepted claims are where the employee was off duty for 3 days and less, no first medical reports submitted or employee received first aid treatment and did not see a medical doctor. No compensation benefits are payable for such claims

  8. Claims information cont… • Claims for 2007 financial year still not accepted by 31 March 2010 were 24 565 • Claims for 2008 financial year still not accepted by 31 March were 31 490 • Claims for 2009 financial year still not accepted by 31 March 2010 were 71 070

  9. Compensation benefits processed in the 2009 financial year • All compensation benefits paid-TTD, PD plus monthly pensions. • Within these claims, are those that had not furnished required documents in the previous years and have only submitted during this financial year after our review process and follow up. • The slides indicate that there has been an increase on payments as compared to the previous financial years. This is attributed to the new policy on minimum earnings for TTD and the continuous review of previous claims.

  10. Breakdown of compensation benefits processed payments

  11. COIDA PROCESS • A claim is registered with an employers report of accident/disease • The treating doctor submits the first medical report as evidence of personal injury as required by the act. • The fund determines liability for the claim on the basis of the employer’s report and the doctor’s medical report • Where liability is accepted, the employer pays salary for the off duty days-maximum of 3 months where after the fund takes over- the fund reimburse the employer for the three months payments • While the employee is still off sick, the employer/employee submits progress medical reports indicating prognosis-enables continuous payment of salary by the fund. • Once the condition has stabilized, the treating doctor submits a final medical report for the fund to assesses permanent disablement. • The act requires the assessment of PD to be done only when the condition is stable. Claims with serious conditions can take up to two years to stabilize hence delayed settlement of such claims.

  12. The actuarial valuations for the year 2009/10 is in the process of being finalised by the actuaries. • The valuation will only be available after the finalisation of the audit ie. August 2010 as actuaries only utilize audited financial statements.

  13. As at the 31 March 2010 the following figures were available for Compensation benefits paid on the financial system

  14. Variance between processed and actual paid • The difference of(R124 m) between the total actual paid benefits by the Finance Directorate (647m) and the total processed by the Claims Directorate (R771m) is caused by the delays in submission of banking details by beneficiaries. • This problem is being addressed through a special campaign-see slide 18

  15. UNCLAIMED MONIES • The current unclaimed monies is R28.4 million • A notice was published in the Government Gazette volume 529 No 32346 of 3 July 2009, to request all beneficiaries of unclaimed monies to claim their dues. • During the month of March the Fund ran a month –long radio and newspaper advertisement to request the beneficiaries of the unclaimed monies to come forward and provide the Fund their banking details • Since the advert went out 1 500 beneficiaries came forward and provided the Fund with the banking details and all have since been paid . 18

  16. DEPARTMENTS CONTRACTUAL OBLIGATIONS TO SIEMENS (High Level) • to provide optimised and documented business processes for automation • to ensure user and management participation in systems automation • to transfer to Siemens, DoL ICT employees prior to contract commencement • to ensure timely payment of the unitary fee • to inform Siemens 12 months prior to expiry whether the contract will be renewed • to compensate for delays or defaults caused by the Department • transfer of legacy assets to Siemens • to ensure a change management governance process are in place • to ensure a secure working environment • to manage third party service providers eg. SITA

  17. OPERATIONAL CHALLENGES FROM SYSTEMS • Employment Services system • slow response • problems with saving of documents • unstable • RESOLUTION : • this system has been re-developed and optimised with no major issues reported • Compensation Fund systems • disparate and legacy systems • scanning challenges • RESOLUTION : • Development of an integrated claims management system to commence. Scanning environment has been upgraded. • Other General challenges • bandwidth at labourcentres (contributes to slow response) • 109 centres bandwidth have been upgraded in the last 9 months by SITA

  18. RAND MUTUAL SYSTEM • The Fund conducted a Proof of Concept and then planned to pilot the system • A budget of R2 million was approved for this process • Total costs to Rand Mutual are R524 427.10 • These costs relate to user training, systems setup, resources etc.

  19. COMPENSATION FUND CLAIMS SYSTEM DECISION • An audit was conducted on the Rand Mutual project which resulted in a negative finding • The decision was taken to implement the Siemens solution due to the following : • will be developed based on CF’s business requirements and processes and will be customized for CF • - will be a fully integrated system, including the financial module, with additional components eg. Customer Relationship Module • - will be aligned to the DoL systems architecture and function across the organisation seamlessly including integration with components of other DoL systems eg. Integrated Client Database • - development of the solution and infrastructure is included within the PPP • - support and maintenance is from one service provider

  20. High-Level Project Schedule – CF claims system 15/06/10 30/07/10 30/11/10 31/03/11

  21. PPP PAYMENTS PER ANNUM

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