Consultant: Offer Management X2
Durban, Kwazulu-Natal, ZA
The Road Accident Fund’s mission is to provide timely and equitable assistance to those affected by motor vehicle accidents through the provision of appropriate social benefits to ensure financial relief and recovery for qualifying individuals.
Purpose of the Job: The Consultant: Offer Management is responsible to quality assure, consult and communicate the offer made and request payment on accepted offers.
18 months Fixed Term Contract
Key Performance Areas
Offer Management
- Quality assure the type of offer made.
- Identify and correct any defects in consultation with the originator of the offer.
- Provide recommendations to the manager and team leader on settlement offers.
- Communicate approved offer.
- Request payment to be made.
Exception Handling
- Assess the basis of the rejected offer.
- Make necessary adjustment on the initial offer and communicate.
- Suspend the claim until the dispute is resolved.
Quality Assurance
- Ensure that legal costing processes are implemented and maintained at the highest standards.
- Maintain the implementation an unusual occurrence procedures.
Administrative Support
- Document and upload offers on the system.
- 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.
Reporting
- Track and report against set objectives and targets.
- Report on emerging risks.
- Provide ad hoc reports on process improvement initiatives.
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.
Qualifications and Experience
- Bachelor’s Degree/Advanced Diploma in a Health Sciences or Law related qualification.
- Relevant 3 years’ experience in an insurance related environment.
Behavioural competencies
- Planning, Organising and Coordinating
- Personal Mastery
- Judgement and Decision Making
- Ethics and Values
- Client Service Orientation
Technical Competencies
- Understanding of post claim management and settlement.
- Medical bill reviewing.
- Medical case management.
- 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.
- Knowledge of budgeting, sales, business development, and strategic planning
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.
