MVA Administrator at Momentum Metropolitan Holdings Limited

Role Purpose    

• Ensure that claims are lodged against the road accident fund for treatment of injuries sustained during a motor vehicle accident and that the scheme is reimbursed the costs of such treatment on finalisation of the claims.

Requirements    

• Matric
• Minimum of 1 to 2 years relevant experience
• Experience in medical claims assessing
• Experience in identifying whether a member is able to obtain compensation from another party for treatment of injuries
• Experience in or at least knowledge of procedures involved in lodging claims against responsible third parties
• Ability to draft effective correspondence in both English and Afrikaans
• Report writing skills
• MS Excel and MS Word Skills

Duties & Responsibilities    

• Identifying possible third party claims.
• Sourcing possible MVA cases for investigation to establish merits.
• Obtain an undertaking, identifying medical treatment due to injuries.
• Forward a request to the member/attorney for the respective scheme's undertaking to be completed and signed once it has been confirmed that there is a valid claim against the Road Accident Fund.
• Obtaining copies of accounts for medical treatment from the various Medical Practises.
• Submitting Medical Claims Schedules to attorneys for lodging Past Medical Claims with the RAF.
• Dealing with telephone and correspondence queries from members, attorneys and the RAF.
• Archive all correspondence on member's correspondence file.
• Follow up all existing third party claims and ensure that scheme is reimbursed amounts claimed from third party.
• Check all payments against benefits utilised and ensure that they correspond, close file and delete filter, if not obtain settlement agreement or query settlement with RAF.
• Administration responsibilities.
• Propose system enhancements that will ensure better workflow.
• Monitoring and enforcing changes with regards to RAF legislation.
• Engage with clients in a client centric manner Client Services).
• Investigate client queries within the agreed service level and ensure that client receives timeous feedback.
• Escalate client queries to the relevant department or stakeholder.
• Provide accurate information and advice to clients and stakeholders in order to ensure that the client receives the appropriate after sales services.
• Provide authoritative, expertise and advice to clients and stakeholders.
• Build and maintain relationships with clients and internal and external stakeholders.
• Deliver on service level agreements made with clients and internal and external stakeholders in order to ensure that client expectations are managed.
• Make recommendations to improve client service and fair treatment of clients within area of responsibility.
• Participate and contribute to a culture which builds rewarding relationships, facilitates feedback and provides exceptional client service.
• Self-management and teamwork(People).
• Develop and maintain productive and collaborative working relationships with peers and stakeholders.
• Positively influence and participate in change initiatives.
• Continuously develop own expertise in terms of professional, industry and legislation knowledge.
• Contribute to continuous innovation through the development, sharing and implementation of new ideas.
• Take ownership for driving career development and performance excellence.
• Contribute to financial controls and planning Finance).
• Identify opportunities to enhance cost effectiveness and increase operational efficiency.
• Manage financial and other company resources under your control with due respect.
• Provide input into the risk identification processes and communicate recommendations in the appropriate forum.

Competencies    

• Understands how the business operates, what the key issues and risks are that drives business success; and how they impact on the commercial viability of potential ventures and the profitability of the Group.
• Anticipates, meets and exceeds client’s needs by creating long lasting relationships that support the client value proposition, supports their financial wellness and ensures client centricity.
• Drives a sense of urgency, focus, accountability, agility and execution to deliver business results.
• Actively leads change, does what is right for the business and drives continuous improvement through innovation.
• Creates and maintains an open, positive working environment by generating commitment, building trust, a shared sense of purpose, empowerment in others and encouraging them to contribute to the best of their ability.
• Prioritises the business interests of MMI and invests in the success of the group by aligning effort across divisions.
• Persuades, convinces, influences and inspires others, both within MMI and externally to win support, loyalty and gain commitment to the purpose of MMI.
• Manages self and relationships with others effectively, deals with ambiguity, uncertainty and pressure, and provides perspective in difficult situations.
• Is sensitive to individual and cultural differences and demonstrates humility and an openness to engage people from diverse backgrounds and cultures to the mutual benefit of all parties concerned.
• Takes responsibility for own development; and actively mentors, coaches and develops talent in others.
• Builds leadership bench strength for MMI by providing opportunities and experiences to develop skills, competencies and business knowledge.

Closing Date    

• 2026/04/03