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
Develop and implement departmental policies, procedures and operational plans.
Provide assistance to Senior Claims Manager in formulating and implementing strategic dire
Key Performance Areas
Legal secretarial administration
Prepare court statements and forms that Attorneys will need in court.
Dictate Attorney’s audio files and written notes.
Key Performance Areas
Outsourced Investigations
Conduct preliminary investigations into allegations of fraud, waste or abuse committed by customers against RAF or by internal RAF staff member
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 define
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 su
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
Provision of Legal Advice to Business
Manage, monitor and report on legal advice provided by the Legal Advice section.
Instruct attorney to brief counsel on legal opin
Key Performance Areas
Enterprise Architecture
Facilitate establishment of Architecture Standards and Policy.
Institute Enterprise Architecture Governance.
Lead or provide guidance on Busi
Key Performance Areas
Development of Bill Review Rules and Guidelines
Provide input into the development of guidelines to review medical bills in accordance to the fee schedule and internal p
Key Performance Areas
Integration Architecture
Facilitate establishment of Architecture Standards and Policy.
Develop EA standards, data architecture standards, EA governance frameworks, an
Key Performance Areas
Network Administration and Monitoring
Maintain connection to or from different sites (WAN).
Maintain backup links.
Monitor and support Software Defined WAN (SDWAN) i
Key Performance Areas
Medical Management
Manage medical assessments including injury assessments of past and future medical care, preauthorization and clinical coding.
Manage the assessment
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
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
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
Ensure IT Services are Accessible to Internal and External RAF Customers
Attend IT incidents and requests.
Configure new equipment.
Adopt a proactive approach to pre
Key Performance Areas
Offer Management
Quality assure the type of offer made.
Identify and correct any defects in consultation with the originator of the offer.
Provide recommendations to
Key Performance Areas
Crime and Loss Prevention
Supervise control room operations.
Monitor CCTV, fire detection, panic alarms, radio and telecommunication equipment, PA system, UPS generato
