Consultant: Pre-Assessment x 12 (Polokwane x5, Nelspruit x4 and Mafikeng x3)

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 AN EIGHTEEN (18) MONTHS FIXED TERM CONTRACT

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

Key Perfromance 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 the pre-assessing 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 adhoc 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. 

Qualifiction and Experience

• Bachelor's Degree / Advanced Diploma in a related qualifiction. 
• Relevant 3 years experience in the Claims environment. 

Technical and Behavioural Competencies

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

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.