Consultant: Pre-Assessment X3 at Road Accident Fund

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

• NB: This is a 18 Month Fixed Term Contract.

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/ lodgment rules in pre assessing the prospective claim. Identify duplicate claims and linked claims.
• Examine the prescription of lodgment 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 of an unusual occurrence procedure.

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 required.
• Planning, Organizing and Coordinating.
• Personal Mastery.
• Judgement and Decision Making.
• Ethics and Values.
• Client Service Orientation.
• Technical competencies required.
• 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.