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
Management of Department
Development the business plans for the CSC aligned with the RAF strategic plan of the RAF.
Provide technical assistance to employees within th
Key Performance Areas
Management of claims payment process.
Verify and approve payments in line with DOA by confirming the accuracy, validity, completeness and existence of a payment by inspe
Key Performance Areas
Merits management
Compare the data on the accident information Centre against the claim to determine RAF liability.
Categorize merits assessment using RAF defined
Key Performance Areas
Perform assessment of bills
Screening and checking compliance with the RAF Act, Rules of Court, SLA and Applicable RAF Tariffs.
Evaluation of bills of cost that are se
Key Performance Areas
Loss of support adjudication
Review the claim against the loss of support adjudication standards.
Assess loss of support supporting documents and data to determine the
Key Performance Areas
Settlement and payments of Legal costs
Acknowledge receipt of hard copy files from Legal Cost Assistant
Prioritise files on the basis of taxation and fee analysis
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
Verification and Validation.
Apply sound legal (RAF Act and Regulations to Act, Case Law) knowledge on a daily basis to validate claims.
Search for and apply relevant
Key Performance Areas
Loss of earning adjudication
Confirm and record medical management recommendations.
Review the claim against the loss of earnings adjudication standards.
Check injur
Key Performance Areas
Funeral adjudication
Review the claim against the funeral adjudication standards.
Apply funeral benefit adjudication rules to determine quantum.
Generate funeral pro
Key Performance Areas
Telecommunications
Must be able to speak clearly
Excellence in speaking English
Operate switchboard systems
Integrity
Must be honest
Self-control
C
Key Performance Areas
Policy review and implementation.
Provide input into the enhancement and implementation of the case management policies and strategy and plan to ensure an alignmen
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
Messenger services
Collect correspondence from respective government institution, verify against the list before collection and acknowledge the receipt.
De
Key Performance Areas
Investigation and assessment of Claims lodged
Trace insured driver / witnesses to consult and obtain statements and docket.
Ensure that a proper sketch plan of an acci
Purpose of the Job:
Reporting to the Manager:
Digital Delivery, the successful incumbent is accountable for developing new applications/ systems as well as enhancing and maintaining existing
Purpose of the Job:
Reporting to the Manager: Digital Delivery, the successful incumbent is accountable for developing new applications/ systems as well as enhancing and maintaining existing app
Purpose of the Job:
Reporting to the Senior Manager: Security Services, the successful incumbent is accountable to manage all security vetting, administration and compliance activities and ensur
