The Road Accident Fund is a state insurer established by statute, it provides insurance cover to all drivers of motor vehicles in South Africa in respect of liability incurred or damage caused as a result of a traffic collision. Liability incurred in relation to property damage (such as damage to ve... read morehicles, buildings, vehicle contents) is excluded from cover.
Key Performance Areas
Policy review and implementation
Contribute to the development and implementation of departmental policy, procedures and processes.
Keep up to date with effective poli
Key Performance Areas
Review. Align and Update Existing OT related Tariffs including In-Built Rules Applicable to OT Profession
Review and identify gaps in the existing OT tariffs.
Align th
Key Performance Areas
Invoicing
Keep client information details up-to-date.
Create and send invoices and statements to clamaints.
Check data input to ensure the accuracy of the final bill
Key Performance Areas
Develop and Update Medical Tariffs and Relate Pricing
Serves as a medical expert and provide clinical leadership within the medical advisory team.
Analyse clinic
Key Performance Areas
Contribute to OHS strategies
Contribute to the development and maintenance of OHS strategy
Proactively promote the OHS of all employees, visitors and contractors.
De
Key Performance Areas
Verification and Validation.
Apply sound legal RAF Act and Regulations to Act, Case Law) knowledge on daily basis to validate claims.
Search for and apply relevant Cas
Key Performance Areas
Legal Administration
Transcribe and proof-read legal documents for settlement discussions.
Collate all the directives and update on the case file database.
Retrieval
Key Performance Areas
Legal cost management
Keep up-to-date wih all incoming claims.
Read and interpret claims.
Review claims to ensure no fradulant or contradictory claims are made.
De
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 submitte
Key Performance Areas
Contribute to OHS Strategies
Contribute to the development and maintenance of OHS strategy.
Proactively promote the OHS of all employees, visitors and contractors.
D
Key Performance Areas
Policy Review and Implementation
Contribute to the development and implementation of departmental policy, procedures and processes.
Keep up to date with effective poli
Key Performance Areas
Policy Review and Implementation
Contribute to the development and implementation of departmental policy, procedures and processes.
Keep up to date with effective poli
Key Performance Areas
Decision making regarding quality of care.
Assessment of ongoing medical problems of the injured after discharge in the home environment.
Assessment of patient accordi
Key Performance Areas
Audit & review medical bills.
Analysis of claimed items/services in correlation with available tariff structures and ICD 10 /CPT 4 codes.
Requesting motivation for
Key Performance Areas
Cryptography
Develop encryption algorithms by designing complex algorithms that convert data into a format that can be only understood by those who possess a unique decr
Key Performance Areas
Cybersecurity Awareness
Program Development: Design and deploy a dynamic cybersecurity awareness program that addresses current threats, regulatory requirements, and ind
Developmental outcomes and deliverables for the respective programmes will include, but not be limited to the ones below:
Motor Vehicle Accident Processes and Procedures.
Storage and Back-up.
Developmental outcomes and deliverables for the respective programmes will include, but not be limited to the ones below:
Motor Vehicle Accident Processes and Procedures.
Data Security.
Iden
