Consultant: Offer Management

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.

Purpose of the Job: The Consultant: Offer Management is responsible to quality assure, consult and communicate the offer made and request payment on acepted offers.

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.

Exeption 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 of an unusual occurrence procedures

Administrative support

• Document and upload offers on the system.
• Adequate provision of administrative support.
• 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

• Bachelor’s Degree/Advanced Diploma in a Health Sciences or Law related qualification.

Experience

• Relevant 3 years’ experience in an insurance related environment.

Competencies

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

• Technical
  • Knowledge of cash flow and invoicing.
  • 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.