Current Opportunities at Rand Mutual - RMA

• As a Junior Data Analyst, you will be responsible for applying data analytics techniques such as mining, generation and visualisation, to deliver unparalleled Big Data support and service to the business. The incumbent will also be responsible for transforming data into readable, goal-driven reports for continued innovation and growth.

WHAT WILL YOU DO?

Data Interrogation

• Assist in understanding and identifying data anomalies, for these to be managed/addressed with Data owners.
• Identify data entities and data sources that comprise enterprise data
• Understanding of different Data sources and processes, to aid/assist Business with data management processes

Analysis of data

• Identify, analyse, and interpret trends or patterns in complex data sets.
• Use a variety of methods to analyse data, interpret the data and results and generate useful business reports.
• Use data to create models that depict trends in the member base and the consumer population as a whole.  

Identification of business needs and appropriate solutions

• Work with management team to create a prioritized list of needs and information for each business segment
• Identify and recommend innovative ideas to improve business processes

Reporting

• Using appropriate tools and channels to report progress of business as required
• Adhering to deadlines and ensuring accuracy and quality of information presented on the report.

WHAT YOU'LL BRING TO THE TABLE?

• Knowledge of business policies, processes and procedures, legal compliance
• NQF Level 6: Diploma in IT, Maths, Economics or other Statistical
• 1 - 2 years business experience in business reporting and analysis
• Must possess database (SQL) and business reporting skills
• Computer literacy (MS Office – Advanced)
• Ability to interface with various stakeholders

Closing date: 27 July 2023

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Description

• As an ICT Senior Solutions Developer, you will enable the business to accomplish their business objectives effectively and efficiently by designing, maintaining, and enhancing the IT systems, databases, and reports. You will also be required to guide and coach junior & intermediate developers.

WHAT WILL YOU DO?

Design, develop and maintain systems  

• Design, develop, enhance, and maintain computer systems
• Write technical specifications
• Continuously configure and optimize applications
• Design, develop, enhance, and maintain system reports
• Implement and develop reports on MS reporting services
• Conduct unit testing by producing unit tests for checking and identification issues and challenges 
• Produce Release Notes or Deployment Plan with each New Development\CR\Enhancement to be applied for All associated Env End-to-End till Prod\Live env
• Review and approve all release notes and Deployment Plans produced by Junior & Intermediate Developers

Engage with stakeholders and provide user support   

• Provide user support on application systems
• Interface with users, management, external IT service providers

Conduct ongoing research for continuous improvement and innovation  

• Perform research and development of ideas and concepts.
• Recommend ideas and solutions to the business based on business specifications/BRS.

Provide developers with support and coaching  

• Provide junior and intermediate developers support and coaching
• Ensure that junior and intermediate developers’ solutions are in conformity with the system architecture
• Ensure junior and intermediate developers comply with standards and procedures.

WHAT YOU'LL BRING TO THE TABLE?

• Knowledge of business policies, processes and procedures, legal compliance
• NQF Level 6: Relevant Industry Diploma in Information Technology or Degree in BSC
• 6 to 10 years’ relevant experience
• Development Certificate advantage
• Advance knowledge of .Net 3.0 and higher
• Advance knowledge of HTML/ASP/Entity Framework
• Advanced knowledge of MVC
• Experience with Unit Testing
• Working knowledge of automation testing
• Advance knowledge of .Net 3.0 and higher
• Advance knowledge of HTML/ASP/Entity Framework
• Advanced knowledge of MVC
• Experience with Unit Testing
• Advanced knowledge & Experience of the Microsoft SQL 2012 and higher database technology, T-SQL
• Advanced knowledge & Experience of programming language in C# and JavaScript.
• Advanced knowledge & Experience of multiple front-end languages and libraries (e.g., HTML/ CSS, JavaScript, XML, jQuery) and web servers.
• Sound knowledge & Experience of Restful APIs and Microservices an advantage
• Advanced knowledge & Experience of Angular
• Experience in unit testing
• Advanced knowledge & Experience of Entity Framework
• Sound experience in developing and maintaining new and existing Web APIs in C#
• Sound experience in developing and maintaining new and existing Web based applications
• Be able to work within a team
• Knowledge of designing, developing, enhancing, and maintaining system reports
• Ability to provide user support on application Systems
• Must be user oriented
• Driven and willing to learn.

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• As a Life Claims Assessor, you will be reporting to the Claims Manager: Life, you will be responsible for adjudicating and processing claims in an effective and efficient manner within the prescribed guidelines set out by Rand Mutual Assurance.

WHAT WILL YOU DO?

Claims Adjudication:

• Verify claims captured for correctness and compliance
• Capture / accept additional information on claims i.e. medical reports
• Ensure all documents required to process a claim are indexed and filed into the system
• Add meaningful and accurate notes to ensure complete synopsis of claim on the system
• Update requirements on claims and ensure they are always accurate and up to date

Claims Management:

• Manage claims in line with individual targets
• Review of claims in line with process, authority limits and within agreed timelines
• Escalate where required within authority limits
• Management of medical reports for claims with Permanent Disability
• Communicate claims process to both the employer and employee as set out in the claim’s management processes
• Timeous management of workflows and notifications

Adjudicate and process payments for claims:

• Adjudication and processing of TTD benefits including approval within authority limits
• Adjudicating and processing payment of sundry invoices within authority limits
• Process Permanent Disability claims

Customer Service:

• Regularly communicate and liaise verbally and in writing with customers/suppliers/visitors/enquirers and relevant staff
• Interpret and respond clearly and effectively to spoken requests over the phone or in person, and to verbal or written instructions
• Manage walk-in queries as and when required in line with the RMA Service Catalogue
• Handle customer inquiries both telephonically and by email
• Research required information using available resources
• Provide customers with accurate product and service information in an efficient manner
• Update existing customer personal information on the system
• Deal with all customers in a professional and empathetic manner

WHAT YOU'LL BRING TO THE TABLE?

• Matric
• FAIS Regulatory Examination (RE5)
• NQF Level 5 Higher Certificate in a FAIS Recognised Qualification
• A medical qualification would be advantageous
• Insurance Qualification (advantageous)
• 3 to 5 years claims related experience
• General knowledge of the LTI Act
• Intimate knowledge of the FAIS Act
• Intimate knowledge of the GCOC
• Intimate knowledge of the Insurance Act
• General knowledge of the ASISA Standards and Guides
• Good Administrative skills
• Advanced Excel Skills
• Knowledge of Claims processing, approval
• Long Term Insurance experience
• Deadline driven

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• As a Facilities Officer you will ensure the effective, efficient, and cost-effective supply of the available stationery and office consumables to staff and departments and to assist the Facilities Manager and the communications centre with other daily operations. 

WHAT WILL YOU DO?

Facilities Management  

• Carry out standard facilities management tasks for clear asks.

Inventory   

• Perform basic inventory control tasks and checks on quantities, quality, and availability against records following established inventory control procedures.

Customer Service   

• Provide basic customer service support, such as data input, filing or photocopying. May also exchange basic information with customers by having courteous interactions with them.

Health, Safety and Environment   

• Follow basic mandatory work instructions (including use of personal protection equipment where relevant) to safeguard the environment and the wellbeing of oneself and others.

Administration  

• Conduct basic data entry into company systems and file information using agreed procedures to ensure information is accurate and accessible.

Operational Compliance   

• Follow a straightforward mandatory procedure to ensure that work is carried out to the required quality standards and/or to ensure adherence to external regulatory codes and internal codes of conduct.

WHAT YOU'LL BRING TO THE TABLE?

• Grade 12
• Sound experience and understanding of straightforward procedures or systems 1 to 3 years related work experience

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• As the Human Capital Operations Coordinator, you will be reporting into the Team Leader: Shared Services, you will be responsible for providing a full range of day-to-day administrative support in various functional areas such as Talent and Performance Management, Talent Acquisition and Learning and Development. Furthermore, you may also be involved in other special projects and initiatives as assigned. This is a high-visibility position that will interact with all employees at all levels of the organization for first level HR administrative support.

WHAT WILL YOU DO?

Provide administrative support on Talent and Performance Management:

• Maintain all Talent management documents on the Talent Management Shared Drive i.e. Profiles, job descriptions, performance agreements, organograms and ringfenced PDPs and PIPs.
• Ensure that all managers with new employees provide the correct probation documents for the database.
• Booking of all Talent Management assessments.
• Responsible for the end-to-end event management and coordination as per event/programme requirements (e.g. Coordination of venue/online setup, communication, adherence to agenda and timelines and the generation and provision of resources/materials).
• Maintain the performance management system.
• Provide support on the performance management system as and when required.
• Administer the Performance System
• Process related information provided periodically during performance reviews, performance contracting, and talent management program implementation.

Provide administrative support on Learning and Development:

• Process internal bookings (received via LMS) and approve on the LMS. Send out invites to employees
• Process external booking forms and enrol staff onto training – receive a completed booking form from employees, complete the company information and send the form to the provider for processing
• Ensure that the procurement process is followed where service providers are not reflecting on the system and inform the Payroll and HC Operations Manager to kick start the supplier on-boarding process with the procurement team
• Process invoices for all training on a weekly basis and submit to the finance team for approval
• Print and bind training manuals
• Coordinate logistics for internal training and ensure that logistics for external training are communicated to the service provider (i.e. number of people attending).
• Coordinate and arrange travel and accommodation bookings for individuals travelling to attend training.
• Capturing Training data on HR Premier
• Generate Spot Checks for Facilitators (Used to check if the facilitators are uploading registers, reports and certificates on time – For their KPA)
• Assisting with the WSP/ATR (once a year) by populating data onto various templates
• Update and send out monthly Training Schedule
• Coordinate and schedule training for staff and liaise with trainers to ensure that all logistics are planned.
• Email training to all staff
• Responsible for L&D administration including adding of training sessions to courses for staff to book, actioning the bookings after the Manager has approved/declined, assist with LMS Queries (system issues or logging in queries)
• Provide administrative support on Learnerships, Bursaries and Project Training
• Learnerships – collecting all supporting documents and agreements including HC documents e.g. employment contract.
• Bursaries – Saving of results, invoices, actioning system approvals, uploading of results and certificates. Repayments of bursaries
• Send personalized welcome email to New starters each month
• Register employees for compliance related courses, capture their data onto the system and issue certificates and results.
• Maintain L&D related information such as registers, certificates, registration forms if available, learnership agreements, POP, in a folder/file for BEE Audit purposes – Folders to be created
• Assist with checking PDPs before bookings
• Maintain employee data (new employees and terminations) on the LMS and capture all training information on the system

Provide administrative support on Talent Acquisition:

• Book and schedule candidates for interviews for the TA Specialists/Manager, HRBPs and hiring managers.
• Booking and facilitate case studies, psychometric and technical assessments.
• Coordinate integrity/ risk checks/MIE and obtaining reference checks for prospective employees.
• Ensure completion of Application for Employment forms for preferred candidates.
• Maintain candidate information, upload and save documentation and preparation of offer packs.
• Prepare advertisements and advertise advertise jobs on the job portals.
• Ensure all Talent Acquisition matters are dealt with efficiently and in accordance with company policies and procedures.
• Arranging travel, transportation and accommodation as and when required.
• Provide other administrative support to the TA team as needed.

Shared Services Helpdesk Support:

• Perform various administrative and/or clerical tasks/projects to support the functional areas within the Human Capital Department.
• Respond to internal and external HC related inquiries or requests and provide assistance.
• Redirect HC related calls or distribute correspondence to the appropriate person on the team and escalate complex queries to the Payroll and Operations Manager.
• Manage, respond and assist with queries sent to the Recruitment mailbox and HC-Helpdesk.
• Scan documentation for electronic files.
• Assist in ad-hoc HC projects.
• Management of L&D queries received via Shared Services Helpdesk

Reporting:

• Provide training and HC related data for monthly reporting
• Provide information for quarterly reports for Facilitators if they uploaded their training reports timeously
• Assist in pulling the reports from the LMS (including the entire training budget for RMA) and HCIS systems.

WHAT YOU'LL BRING TO THE TABLE?

• NQF Level 6: Diploma in Human Resources or Business Administration Thorough understanding of business analysis methodologies and processes
• 0 – 3 years’ proven experience working as an HR Coordinator or HR Administrative position thorough understanding of Application systems development methodologies and processes
• Strong ability to establish credibility, trust and partnership at all levels of organisation
• High level of confidentiality to handle sensitive/confidential documentation and data
• Strong work ethic with ability to be resourceful in meeting new challenges
• High degree of organisational skill and detail orientation
• Effectively communicate (oral & written) with people in potentially stressful situations
• High proficiency in Microsoft Office and other computer programs
• Ability to thrive in a fast-paced environment and work well on a team.
• Previous exposure to interaction with high level executives and candidates and an ability to stay composed and professional in high pressure situations
• Knowledge of human resources processes and best practices
• Strong ability in using MS Office (MS Excel and MS PowerPoint, Excel in particular)

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• As a Temporay Debtors Clerk you will be responsible for ensuring that all administration is complete, maintained and resolved in order to facilitate a seamless collection of the outstanding premium.

WHAT WILL YOU DO?

Debtors Account Maintenance

• Review accounts, track debit orders and verify payments
• Keep the cash flow forecast up to date to enable prompt follow up`s on accounts that have defaulted, including debit orders
• Send cash flow to accountants for tracking for legal/compliance records
• Allocate receipts/creditors notes to debt account on a daily basis
• Manually capture all payments at member level and allocate these to the correct invoice, including those identified by debtors clerks
• Ensure that all payments identified for reallocations (from mailbox or as informed by collections agents/contact centre/membership and sales) are completed once documents are received from debtor
• Compile a list of balances that need to be cleared from the age analysis and ensure that the list submitted for the transactions are created and matched to remove the balance via journals
• Ensure that interest calculation is correct and successfully uploaded in the financial system
• Maintain a list of all interest reversals for the allocated book. Ensure that interest is reversed on a weekly basis for cancellations and that the financial system status is updated
• Maintain the Invalid Contact Details Report including bounced e-mails by analysing the report and sending it to membership for update of member details
• Resend bounced invoices and statements to members (based on receipt of updates)
• Manually change/flag changing statuses as the account progresses through various stages
• Prepare Term Letters and ensure that the records are updated. Check that the member is fully compliant before the letter is drafted and submitted for approval. Updates on financial system done

Management of Risk accounts

• Keep track of debt risks, such as but not limited to, closures or cancellations due to deregistration’s, liquidations, wrongly classified, duplicated accounts
• Ensure that credit notes are raised by Membership by doing regular follow up`s
• Maintain suspense accounts by referring accounts to the bank after investigation, where necessary
• Ensure that all Business rescue accounts are handed to legal, that statuses are updated all relevant correspondence is forwarded to them

Reconciliations

• Conduct reconciliations between the various debtor accounts by interrogating rates, premiums and interest charged
• Conduct bank recons on receipts from premium balances against bank statements, on a daily and monthly basis
• Prepare monthly control account recons with relevant supporting documentation for submission within specific time frame
• Conduct monthly recon of trial balance to age analysis across company and debtors’ type
• Calculate, reconciliate and process refunds as a result of cancellations, incorrect payments or adjustments made by membership, by preparing a refund pack and uploading the documents onto the system, subsequent to getting approval
• Conduct legal recons by assessing what payment has been handed over to attorneys for litigation and ensuring no duplicate payments are made
• Ensure all integrations between systems are successful and invoices have been scheduled and dispatched to members

Maintain the department central mailbox and respond to/resolve customer queries

• Manage the e-mail inbox and attend to open queries as directed from all stakeholders (internal and external)
• Maintain referrals from collections and respond to customer queries within the stipulated SLA

Reporting and Billing

• Analyse report received from sales and establish if customers have been billed/not and if payment has been received/not
• Maintain manual billing process for all inter-company related costs including but not limited to the CF, Welkom and ad hoc costs (i.e. tribunal)
• Prepare and submit quarterly FICA report to the compliance team
• Report on all individual tasks, as per the list above

WHAT YOU'LL BRING TO THE TABLE

• NQF Level 5: Higher Certificates and Advanced National (Vocational) Certificate in Finance
• RE5
• 2-3 years’ experience
• Experience using Excel at an intermediate level
•  Basic understanding of accounting principles
• Ability to work with large volumes of accounts

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• As the Junior Contact Centre Agent, you will be reporting to the Team Leader: Contact Centre. You will be required to render client service by responding, processing, and resolving customer requests and queries via telephone and email. You will be required to provide clients with information regarding RMA products, and reduce risk through adhering to internal process. You will also be required to deliver a consistent, quality client experience by providing service and support to existing clients.

WHAT WILL YOU DO?

Handle customer inquiries both telephonically and by email:

• Answer calls and respond to emails
• Maintain desk SLA through adherence to schedules, defined processes and workplan
• Follow-up on customer calls where necessary
• Document all call information according to standard operating procedures
• Complete call logs and issue reference numbers to customers
• Manage and resolve customer complaints
• Provide customers with accurate product and service information in an efficient manner
• Verify/authenticate client details
• Adhere to compliance and regulatory requirements
• Research required information using available resources
• Update existing customer personal information
• Assist clients to submit claims electronically and complete relevant applications forms.

Identification, escalation and/or referral of queries:

• Identify and escalate priority issues
• Identify and escalate/refer queries/calls to the relevant department for action
• Route calls to appropriate resource.

System assistance:

• Assist clients with any system related queries (i.e. navigation issues, system defects/error/account locked etc.) and refer where necessary
• Assist clients with how to upload documents onto the system
• Assist with password reset queries for online services
• Assisting clients with how to navigate through the online portal, register for online service and how to submit their declaration of earnings.

Ad hoc workflow assistance:

• Support the contact centre team by providing any assistance on client queries as and when necessary.

WHAT YOU'LL BRING TO THE TABLE?

• Grade 12 (Required)
• 1 Year in a Contact Centre environment – in a customer service role.
• Experience in medical aid or insurance servicing (added advantage)
• Computer literate – Intermediate MS Office Suite
• Knowledge of customer service principles and practices
• Data-entry experience and good typing skills
• Experience in Contact Centre telephony and technology

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• As an Investigations Administrator you will be responsible for effectively and efficiently capturing data, imaging, indexing, provide administrative support and attend to client/customer queries (no advice to be given). In addition, you will plan for, implement and take joint accountability for the administration and the successful delivery of projects.

WHAT WILL YOU DO?

• Communicate and liaise verbally and in writing with customers/ suppliers/ and visitors
• File data and perform other routine clerical tasks as assigned
• Receive, sort, barcode, scan, batch, index and distribute incoming investigation reports in accordance and Service Level Agreements
• Compiling records of office activities
• Update existing customer personal information
• Complete ad hoc duties as requested and responded to in the stipulated time frame
• In collaboration with the stakeholders in the Project Office and Project Managers; plan for, implement and take joint accountability for the administration and the successful delivery of projects.
• Assisting project managers in tracking and following-up on project deliverables.
• Deal with correspondence, collating information, writing reports
• Effective application and utilisation of systems to ensure accurate and timeous
• record keeping.
• Timeous delivery/collection of documentation to relevant parties as per specified
• instructions
• Ensure adherence to compliance, corporate governance and relevant legislation.
• Share and transfer product, process and systems knowledge to colleagues.
• Ensure achievement of own performance objectives.
• Actively participate in own professional development and career path.
• Ensure effective relationships with internal and external stakeholders.
• Contribute to a service culture which builds rewarding relationships, proposes innovations and allows others to provide exceptional client service.

WHAT YOU'LL BRING TO THE TABLE?

• Grade 12 (Required)
• Diploma in Office Administration/Secretarial (Added advantage)
• Knowledge of administrative and clerical procedures
• Data-entry experience
• SLA management
• Achievement orientated
• Passionate about continuous development and improvement
• High levels of integrity
• Self-motivated
• Emotional intelligence
• Effective interpersonal skills
• Effective written and verbal skills
• Customer service orientated
• Navigate complexity
• Compelling and effective communication
• Adherence to confidentiality
• Resourceful
• Attention to detail
• Effective decision making and problem solving
• Highly proficient in MS Office (Excel, Word and PowerPoint)
• Strong written and verbal communication skills

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• As a New Business Technician, you will be responsible for providing an effortless registration experience to new customers registering with RMA. Manage the customer during the new business registration processes and remain engaged until customer receives the LOG. Provide continuous telephonic feedback and support during activation process

WHAT WILL YOU DO?

• Written and Verbal communication with employers / members to obtain employee data
• Quality assurance of employer/employee data
• Outbound call campaigns to educate employers on RMA and COID compliance
• Request and facilitate the submission of compliance documents
• Check and submit documents for processing
• Liaise with new employer registering with RMA and provide an effortless customer    experience.
• Source and search information related to non-compliant companies
• Written and verbal communication with non-compliant companies
• Authenticate information before submitting to campaign
• Generate and issue email campaign
• Segment data into natural grouping
• Outbound calls to follow up on compliance documents
• Other ad-hoc duties

WHAT YOU'LL BRING TO THE TABLE?

• Grade 12
• Relevant diploma in commerce / admin / insurance or equivalent advantageous
• At least 2 years’ experience in an Underwriting environment or Finance environment
• Experience in a Back-Office query resolution environment, preferably in a Contact Centre will be highly advantageous
• Ability to interface with client
• Ability to work under pressure
• Ability to check work accurately
• Interpersonal skills
• Good communication skills (verbal and written)
• Strong administration skills
• Able to take initiative
• Persistence 
• Confidentiality
• Customer Service orientated
• Methodical skills
• Good Excel skills

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• As an Assessment Technician, you will be reporting to the Membership Manager. You will be responsible for capturing of information submitted on the return of earnings received from employers registered for Class IV and Class XIII COID benefits. Supporting and processing the registration of new companies that have registered for COID and have been categorised as Class XIII or Class IV. Facilitating and processing the transfer for Class IV and Class XIII employers from the CF. Ensuring that that all data transcribed onto the system is accurate and that the correct, sub industry classification and assessment rate is applied.

WHAT WILL YOU DO?

• Ability to interface with clients
• Attention to detail
• Ability to work under pressure
• Ability to check work accurately
• Interpersonal skills
• Good communication skills (verbal and written)
• Strong administration skills
• Able to take initiative
• Persistence
• Confidentiality
• Customer Service orientated
• Methodical

WHAT YOU'LL BRING TO THE TABLE?

• Diploma/Degree: Commerce / Admin / Insurance
• 2 to 3 years’ working experience in financial services
• Experience in administrative role
• Computer literacy

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• As an Investigator, you will be responsible for the investigation of various types of cases as referred by Stakeholders. This includes COID, Funeral, Possible fraud, broker and group scheme and internal investigations. You will perform payroll audits on Employers when required. Engaging with key stakeholders during investigations, both internally and externally and performing other duties as assigned. 

WHAT WILL YOU DO?

Investigations

• Travel to various regions to conduct investigations.
• Investigate cases including COID, Funeral, possible fraud, broker and group scheme and internal investigations.
• Conduct thorough investigations including the planning and research, collecting of evidence and obtaining of affidavits from witnesses and role-players.
• Analyse the available information to identify further investigation needs including the legality and accuracy of evidence and affidavits obtained.
• Test the information provided to determine if the evidence is authentic and compile accurate reports including accurate findings, route cause analysis and recommendations.
• Testify in court cases and disciplinary hearings when needed.

Stakeholder relationship management

• Liaising with external role players including SAPS, Hospitals, etcetera.

Reporting

• Accurate and regular recording of Prepare and submit accurate and detailed reports with accurate findings based on evidence collected.

WHAT YOU'LL BRING TO THE TABLE?

• NQF Level 6: Bachelor’s degree in Criminal Justice or Forensic Investigation or related or must study towards one.
• 5 years + investigations experience.
• Certified fraud examiner (advantage).
• Experience in fraud investigations.
• Ability to manage a variety of investigations (COID, Life, Medical, conflict of interest etc.).
• Experience in broker and group schemes investigations will be an advantage.
• Strong Investigations skills (planning, research, obtaining information, interviewing, obtaining of detailed affidavits, gathering evidence etc.
• Solid understanding of investigation methodology.

Closing date:  28 June 2023

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• As a Rehabilitation Manager, you will be responsible for the day to day supervision, direction and evaluation of all rehabilitation activities and to foster sustainable interdisciplinary collaboration towards achieving the goal of successful and cost-effective rehabilitation for clients.

WHAT WILL YOU DO?

Rehabilitation Management

• Ensure legislative and RMA policy compliance in all rehabilitation practices
• Manage and oversee the internal policies, processes and procedure on case management and rehabilitation management
• Promote an environment that facilitates innovation, creative solutions, and empowerment
• Analyse hospital medical spend and provider usage patterns
• Identify and establish potential provider networks
• Conduct risk management by applying mitigating actions appropriately
• Monitor hospital admissions and patient progress weekly
• Adjudicate/Authorise requests for hospital admissions, MRI scans, CT scans and chronic medication
• Adjudicate requests for additional care and confer with RMA medical personnel prior to decision making
• Ensure cost effective patient assessment and treatment plans
• Promote early discharge and prevent unessential hospital readmissions
• Observe and evaluate treatment effect and recommend changes to rehabilitation team and/or medical team where necessary
• Perform appropriate rehabilitation assessments on patients if required
• Ensure compliance with patient care standards from service providers
• Coordinates resources to meet the rehabilitation care needs of the patient

Team Leadership:

• Adhere to the RMA values and polices and consistently behave in an honest and ethical way
• Supervise and lead the Rehabilitation team
• Identify performance gaps within the rehabilitation team; coach and assist team members with the development and implementation of their personal development plans
• Create awareness of the rehabilitation function within the broader RMA team
• Encourage collaboration and teamwork within and between teams
• Serve as coach, mentor and positive role model
• Assist with the recruitment, development. performance management, coaching and counselling of the team.

 Cost Management:

• Ensure quality and cost-effective rehabilitation
• Actively participate in improving customer experience
• Provide accounting assistance to managers and employees

Accurate and Timely Reporting:

• Manage the rehabilitation unit budget
• Analyse medical spend and usage patterns of hospital service providers
• Evaluate treatment options, promote early hospital discharges, prevent unessential readmissions, monitor treatment pre-authorizations, and engage in tariff negotiations with hospitals and other treatment service providers.

Customer and Stakeholder Relationships:

• Ensure customer satisfaction pertaining to rehabilitation care needs
• Engage with hospital management and provider networks to establish strong stakeholder relationships
• Work collaboratively with managers and team leaders in Medical Claims Management, and internal and external MSPs to promote RMA Benefits and negotiate improved tariffs

Review and Report on Rehabilitation costs, status and progress:

• Provide feedback to Medical Claims Management on hospital medical spend and provider usage patterns
• Weekly and monthly reporting on rehabilitation management status and progress

WHAT YOU'LL BRING TO THE TABLE?

• NQF 7 - Degree in Nursing, Physiotherapy, Occupational Therapy or Social Work
• Minimum 5 years of experience as a health professional 3 years of which should be in a team leader capacity
• Experience in Rehabilitation of the injured preferred
• Case Management experience advantageous
• Working knowledge of the COID Act
• Demonstrate knowledge of and proficiency in rehabilitation services and modalities
• Case management knowledge and skill
• Exceptional communication skills: Listening, verbal and written
• Proficiency in Microsoft Office (Word, Excel, Outlook and PowerPoint)
• Diagnostic, analytic, and problem-solving skills.
• Well-developed organisation and time management skills
• Ability to build and lead cohesive, successful team(s)
• Registration with the Nursing Council or H.P.C.S.A for relevant discipline
• Valid driver’s license

Closing date: 29 June 2023