Job Vacancies at Rand Mutual - RMA

Purpose

Reporting to the General Manager: Operations, the HR Business Partner will be responsible for leading and managing the people management related agenda at the internal client by gaining an in depth understanding of the client’s business and ensuring the people related agenda supports and helps the client achieve its goals and objectives.

Qualification and experience required

• NQF Level 7: Bachelor’s Degree in Human Resources or related field
• 7 years’ experience as a human resource business partner / HR generalist
• Experience in the medical aid / health management / insurance industry is advantageous

Key areas of responsibility

Talent Management

• Actively participate in the Talent Acquisition process for Claims Operations including providing input into short lists and participating in the interview process
• Gain an in-depth knowledge of the business unit’s talent, to actively identify performance gaps, skill gaps, leadership gaps and decreased employee engagement
• Ensure effective talent management processes are understood and implemented in the business unit
• Proactively identify key talent, and ensure talent management strategies are implemented e.g. career discussions with manager, career development plan with clear objectives and goals, provision of mentors etc.
• Develop succession plans for key talent and key positions in relation to Centre of Excellence
• Work with management and L&D Specialist to proactively identify appropriate training needs across the business unit
• Participate in the evaluation and monitoring of training programs to ensure success of training initiatives
• Roll out talent management initiatives i.e. job shadowing

Ensure a motivated workforce

• Work with management to increase employee engagement
• Work with management to identify areas of decreased morale and develop strategies to ensure long term employee engagement

Management of Human Resources Operations

• Provide guidance and coaching to line managers and employees on Employee Relations related issues referring to the Centre of Excellence when appropriate
• Ensure effective onboarding for new employees into the business unit, to ensure they can start performing in their roles as soon as possible
• Regularly send people related communication to the department i.e. new hires and leavers, promotions etc
• Consistently and proactively consult with line management and provide HR guidance where appropriate
• Effectively align business processes with people management in the business unit
• Proactively support the delivery of HR processes in the business unit
• Act as an employee champion and change agent within the business unit
• Act as a link between HR’s Centre of Excellence and the business unit, adjusting HR solutions when necessary
• Provide HR policy guidance and interpretation to employees and managers
• Proactively assess and anticipate HR needs in the business unit
• Actively spend time with employees and managers to gain an in depth understanding of the business objectives and processes, and ensure the people related agenda will lend to organisational efficiency, improved people management skills, and a shorter response time for HR.
• Seek integrated solutions for people management issues that link the HR agenda to the business agenda
• Maintain a correct balance between supporting the business to achieve its business objectives and being the voice of HR
• Act as a single point of contact for the employees and managers in the business unit
• Formulate positive business relationships with employees, managers and the HR department in order to deliver value-added service to management and employees that reflect the business objectives

Performance Management

• Ensure that performance management is applied consistently, and that the appraisal process is conducted timeously in line with company practices and timelines.
• Conduct quarterly performance reviews calibration with Managers
• Analyse monthly one on ones Performance discussions forms and quality reports to identify trends and areas of concern\focus and highlight these to the Managers and GM: Operations
• Launch 360-degree feedback surveys for Team Leaders and Managers quarterly. Collate responses and compile individual reports
• Provide day to day performance management guidance to line managers e.g. coaching, counselling
• Act as the performance improvement driver and provokes positive changes in the people management agenda

Reward and Recognition

• Actively drive the recognition culture in the department by encouraging staff and Managers to participate in the monthly Claims Staff Awards
• Vet nominations in line with the criteria prior to GM: Operations for final approval
• Proactively encourage Claims Management department participation at the RMA Recognition Scheme and the Year-End Staff Awards

Reporting

• Analyse trends and metrics to identify problems in people management areas such as absenteeism, disciplinaries and performance management
• Provide accurate and professional reports and presentations for the management team when required

Knowledge, skills and competencies required

• Knowledge of business policies, processes and procedures, legal compliance
• Knowledge of South African Labour Law advantageous
• Business insight
• Anticipating, Creating and Managing Change
• Planning, Organising and Follow through
• Verbal and written communication
• Negotiation
• Building relationships
• Analytical thinking
• Complex problem-solving

go to method of application »

Purpose

Reporting to the Chief Operating Officer, the incumbent will be responsible for the development and end-to-end management of the Project Office which includes the development of project management related processes, standards, policies and methodologies. The incumbent will also be responsible for the management of a team of Project Managers as well as overseeing the planning, implementation and tracking of specific RMA projects with specific deliverables as identified by Senior Management.

Qualifications and Experience Required:

• NQF Level 7: Relevant Bachelor’s Degree
• Project management qualification
• At least 10 Years in Project Management
• Minimum 5 years’ experience at senior management level
•  Sound experience in applying and implementing project management methodologies

Key Areas of Responsibility

• Create a standard set of principles and methods, practices, and templates for managing various projects across the business (AIT, COID and Life)
• Understand, interpret and translate strategic objectives into projects with measurable outcomes
• Train and coach project leaders and stakeholders on the project management process, related principles and methods
• Managing the day-to-day operations of the project management team by providing management (employee relations, annual leave, sick leave, training, scheduling etc.) and technical support to the team on a day-to-day and on an ongoing basis
• Plan, allocate, organize and control tasks and projects to the Project Management team
• Define, set-up and manage team KPA’s
• Define the scope of the project in collaboration with senior management
• Create a detailed work plan which identifies and sequences the activities needed to successfully complete the project
• Determine the resources (time, money, equipment, etc.) required to complete the project
• Develop a schedule for project completion that effectively allocates the resources to the activities
• Review the project schedule with senior management and all other staff that will be affected by the project activities; revise the schedule as required
• Determine the objectives and measures upon which the project will be evaluated at its completion
• Establish a communication schedule to update stakeholders including appropriate staff in the organization on the progress of the project
• Ensure that all project personnel receive an appropriate orientation to the organization and the project
• Contract qualified consultants to work on the project as appropriate
• Execute the project according to the project plan
• Monitor the progress of the project and adjust as and when necessary to ensure successful completion of the project
• Review the quality of the work completed with the project team on a regular basis to ensure that it meets the project standards
• Ensure that the project deliverables are executed on time, within budget and at the required level of quality
• Monitor and approve all budgeted project expenditures
• Monitor cash flow projections and report actual cash flow and variance to senior management on a regular basis (monthly/bimonthly)
• Manage all project funds according to established accounting policies and procedures
• Ensure that all financial records for the project are up to date
• Prepare financial reports and supporting documentation for funders as outlined in funding
• Communicate with funders as outlined in funding agreements
• Evaluate the outcomes of the project as established during the planning phase
• Aid and support to the ICT team and Business on ad hoc projects and requests, as and when required

Knowledge, Skills and Competencies Required

• Knowledge of business policies, processes and procedures, legal compliance
• Motivating People (includes Creating and Selling the Vision)
• Process Engineering and Systems Competence
• Process Engineering and Systems Competence
• Service Orientation / Customer Responsiveness
• Managing performance (goal/target setting)
• Synthesizing and consolidating information
• Judgement and Decision-making
• Decisiveness and Action Orientation
• Program and Project Management
• Verbal and written communication
• Technology and innovation
• Resource management
• Project management skills
• Complex problem-solving
• Resource management
• Teamwork/collaboration
• Technology and innovation
• Analytical thinking
• Business insight

go to method of application »

Purpose

• Reporting to the Clinical Claims Adjudications Manager, the incumbent will be responsible for effectively and efficiently processing pre-authorisations for Compensation for Occupational Injuries and Diseases Act (COIDA) accidents.

Qualifications and Experience Required:

• Degree in: Nursing / Medical
• Valid registration with professional body
• Medical Knowledge at NQF6 level
• Knowledge of administrative and clerical procedures
• Computer literate - MS Office
• Knowledge of Customer Service principles and practices
• Valid Driver's License and own transport
• At-least 2-3 years Case management experience

Key Areas of Responsibility

• Generate the pre-authorisation and feedback to MSP timeously
• Generate the hospital pre-authorisation and feedback to MSP timeously
• Generate pre-authorisation for Chronic medication for non-pensioners and supply feedback to MSP
• Authorise all Devices as per approval
• Ensure that all mandatory tariff codes are captured on authorization
• Medical management of Severe Injury claims
• Follow up on outstanding medical reports with Medical Service Providers
• Review and updating of ICD10 codes
• Updating of system with outstanding medical requirements
• Pre-authorisation of medical treatment in line with internal policies and Standard Operating Procedures
• Submission of periodical and monthly reports to Management
• Undertake relevant training as identified by line manager
• Training and coaching of Junior Staff and Medical Service Providers
• Adherence to Company Policies and Standard Operating Procedures
• Resolution of queries and complaints from stakeholders
• Participation in Company projects as and when requested

Knowledge, Skills and Competencies required:

• Excellent numeracy skills
• Building customer loyalty
• Contributing to team success
• Managing work and time management
• Stress tolerance
• Decision making