Consultant: Verification and Validation x2

The Road Accident Fund’s mission is to provide appropriate cover to all road users within the borders of South Africa; to rehabilitate and compensate persons injured as a result of motor vehicle accidents in a timely and caring manner; and to actively promote safe use of our roads.

NB: This is a 12 Month’s Fixed Term Contract Position

Purpose of the Job:  The Consultant: Verification and Validation is responsible for the verification and validation of registered claims

Key Performance Areas

Verification and Validation

• Apply sound legal (RAF Act and Regulations to Act, Case Law) knowledge on daily basis to validate claims.
• Search for and apply relevant Case Law when during verification and validation
• Determine the need to call in the injured for questioning in line with the RAF act.
• Apply RAF procedures to validate the claims.
• Assess duplicate claims to address mandates and minimise further processing of duplicate claims
• Examine and apply the prescription of rules at the claim and product level
• Verify data and information with relevant stakeholders
• Assess the validity of death benefits products to determine locus standi.

Quality assurance

• Maintain and update necessary reporting standards as per standard operating procedure.
• Ensure that verification and validation are maintained at the highest standards.
• Maintain the implementation an unusual occurrence procedure.

Administrative support

•  Document the acknowledge pre-assessed claims
• Deal with/and respond to correspondence
• Produce documents, briefing papers, reports, and presentations.
• Assist with typing and editing briefs, technical papers, letters to various parties, and memos.

Stakeholder management

• Maintain healthy relationships with all stakeholders
• Follow up and feedback to all stakeholders to keep them updated on the status of a query
• Respond to queries within the predefined turnaround times 

Reporting

• Track and report against set objectives and targets
• Report on emerging risks
• Provide ad hoc reports on process improvement initiatives.

Qualifications and Experience       

• Bachelor’s degree/Advanced diploma in a related qualification.
• Relevant 3 years’ experience in the Claims environment

Technical and behavioral competencies required

• Planning. Organising and Coordinating
• Personal Mastery
• Judgement and Decision Making
• Ethics and Values
• Client Service Orientation
• Ability to differentiate different RAF Products
• Knowledge of Motor Vehicle Act
• Complex problem identification, solving and decision making
• Customer value proposition
• Good financial management skills
• Strong analytical capabilities
• Knowledge of Motor Vehicle Accident legislation.
• PFMA knowledge
• Attention to details

Road Accident Fund Values

• Integrity
• Compassion
• Accountability
• Respect
• Excellence
• Empathy

NB: “RAF offers Total Employment Cost packages with no additional contributions from the Employer, successful candidates are required to structure their packages in a manner that will suit their needs”

The Road Accident Fund subscribes to the principles of employment equity and preference will be given to People with Disabilities.

Applicants who have not received any correspondence from us within six weeks from the closing date can consider themselves unsuccessful

Security Vetting shall be conducted on all prospective employees

It is the applicants’ responsibility to have foreign qualification evaluated by the South African Qualification Authority (SAQA) and to provide proof of such evaluation.