Consultant: Pre-Assessment x6

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.

Note: This is a 12 Month fixed-term contract.

Purpose of the Job: The Consultant: Pre Assessment is responsible for the pre assessment of prospective claims applications.

Key Performance Areas

Pre-Assessment of prospective claims

• Record all the submitted documents for prospective claims.
• Determine the benefits and the products submitted based on the submitted documents.
• Assess the submitted documents to determine compliance as per defined processes and rules.
• Apply compliance and/ lodgement rules in pre assesing the prospective claim.
• Identify duplicate claims and linked claims.
• Examine the prescription of lodgement and apply prescription rules.
• Verify mortality with Home Affairs
• Communicate the assessment outcomes to the prospective claimants

Quality assurance

• Ensure that pre assessment processes are implemented and maintained at the highest standards
• Maintain the implementation an unusual occurrence procedures.

Administrative support

• Document the acknowledged 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.

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 related qualification
• Relevant 3 years’ experience in the Claims environment.

Behavioral competencies

• Planning, Organising and Coordinating
• Personal Mastery
• Judgement and Decision Making
• Ethics and Values
• Client Service Orientation

Technical Competencies

• Ability to differentiate different RAF Products
• 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 detail.

 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

Only the first 300 CVs may be considered

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.