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
Medical management
Conduct medical assessment and compile injury assessment reports and compile injury assessment reports by means of:
Analyse recorded injuries again
Purpose of the Job: The Consultant: Medical Management is responsible to implement the medical management activities, medical exception handling and providing administration support in claims proce
Purpose of the Job: Reporting to the Senior Manager: Facilities Management, the successful incumbent is accountable to manage and drive Occupational Health and Safety (OHS) for the organisation to
Key Performance Areas
Legal Secretarial Administration
Prepare court statements and forms that Attorneys will need in court.
Dictate Attorney’s audio files and written note
Key Performance Areas
Implement Calculation of Loss of Income Calculation Models
Demonstrate understanding of the principal elements in the actuarial basis of income valuations such as mortal
Key Performance Areas
Collation, Interrogation, Analysis and Compilation of Accurate Statistical Reports
Interpret data, identify trends and patterns, and create reports that provide in
Key Performance Areas
Ethics or Values Awareness
Plan, organise and facilitate ethics or values and related policies awareness campaigns.
Coordinate ethics or values awareness campaigns wit
Key Performance Areas
Valuation of Outstanding Claims Provision
Build, develop and assess models for reserving/valuation using appropriate techniques to ensure that the data is accurate, and
Key Performance Areas
Plan the Implementation of Cyber Security IT Audits
Plan and conduct Cyber Security IT audits as per the approved Internal Audit Methodology.
Conduct preliminary
Key Performance Areas
To follow up on queries from stake holders
Telephone calls.
Checking correspondence.
Sending out letters.
Draft undertaking letters where applicable.
Completi
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
