Latest Jobs at Road Accident Fund

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 the Claims Onboarding Department in the Province.
• Claims Onboarding include consultations, origination of direct claims, direct claim lodgement, pro-active and re-active information collection, and pre-merits assessment.
• Manage the activities of the Hospital Service Centres, Community service Centre (including Registrations and Validation/Verification, Merits team).
• Mobilise employees within the Province to actively practice the RAF mission, vision, values and strategic objectives.

Ensure implementation of continuous improvements initiatives to enhance service delivery & effective reporting.

• Prepare and submit monthly progress reports to the Senior Claims Manager.
• Ensure effective and sufficient recording of daily activities of the Department.
• Ensure the timely completion of financial reports.

Ensure adherence to corporate governance within the team.

• Prepare and manage the annual budget for the CSC in accordance with legislation and RAF targets and goals.
• Prepare the annual administrative and human resource budget for the budget for the Department in the Region.
• Ensure that employees adhere to the PFMA.
• Monitor the departmental expenditure.

Stakeholder Management  

• Facilitate communication with all levels of stakeholder contact.
• Ensure that the RAF values are adhered to in all dealings with stakeholders.
• Ensure adequate representation of the Fund in relevant external activities and events.
• Ensure a positive relationship with all internal and external stakeholders. Ensure external stakeholders are continuously engaged to improve relationships.

People Management.

• Provide leadership and inspire team members towards high performance.
• Manage performance and development of reporting staff.
• Provide coaching to team members on an ongoing basis.
• Set operational goals and targets for teams.
• Ensure proper planning and allocation of consistent workload within the Department.
• Facilitate weekly team lead meetings to ensure maintenance of the crucial interface between management and staff.

Qualifications

• NQF 7 (Bachelor’s Degree or Advanced Diploma) related qualification to discipline.
• NQF8 (Post graduate Diploma / Honors Degree / Professional Qualification Degree) Advantageous.

Experience

• 6-8 working experience in a claims/legal environment of which 2 years must have been at a manager/supervisory level.

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Key Performance Areas

To follow up on queries from stake holders

• Telephone calls.
• Checking correspondence.
• Sending out letters.
• Draft undertaking letters where applicable.

Completing payment requisition on offers made

• Expenditure authorisation.
• Check list.
• Obtain relevant signatures in terms of the DOA.

Drawing and filing of correspondence received.

• Request file from CAFS.
• Print all relevant emails / letters received via post.
• Placing documents on file daily.

Updating claims system.

• Draw file from CAFS.
• Update claim viewing with all relevant information.

Collecting and delivering files to all relevant departments

• Request files from Assessor and ensure that it is delivered to relevant department timeously. 

Sending file copies to relevant stakeholders

• Obtain file from CAFS.
• Have copies made and sent to relevant stakeholders.

Qualifications

• NQF 4 (Matric or Grade 12) qualification.
• Computer literacy.

Experience

• Relevant 1 year experience in a claims handling environment and administration.

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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 survey to understand the area to be audited.
• Arrange meetings with the auditee and discuss areas of concern.
• Draft the audit planning memorandum and discuss it with the auditee before submitting it for approval.
• Discuss the planning documents with the auditee after the opening meeting for confirmation of changes that need to be effected.
• Formulate the audit program based on the outcome of the preliminary survey using appropriate audit methodologies.
• Address and respond to reviews on all planning documents from the IT Audit Manager.
• Obtain approval of the audit program as well as all other planning documents (mentioned above) from the IT Audit Manager.

Supervise the Audit Process

• Provide regular team progress to the IT Audit Manager.
• Conduct and supervise the audit as per the RACM.
• Review working papers for completeness and accuracy before submission to the IT Audit Manager.
• Review preliminary survey work performed by auditors.
• Review the system descriptions and risk and control gap analysis performed by the internal auditors.
• Schedule progress meetings with the auditee and discuss factual correctness of potential findings.
• Refer to management any issues that require immediate action.

Policy Review and Implementation

• Contribute to the development and implementation of departmental policy, procedures and processes.
• Keep up to date with effective policy and practice execution strategies.  

Reporting

• Prepare and submit draft audit report with findings addressing audit objectives and scope to the IT Audit Manager.
• Address review notes from the IT Audit Manager and capture close-out meeting minutes.
• Provide assurance and recommend controls to business units in accordance with the relevant laws and regulations and National Treasury frameworks.

Stakeholder Management

• Facilitate and manage communication with relevant internal and external stakeholders and proactively and progressively manage the relationships.
• Communicate with all levels of stakeholder contact.

Qualifications and Experience

• Bachelor’s Degree/ Advanced Diploma in Auditing/ Computer Auditing/ Information Technology related qualification.
• Registered with the Institute of Internal Auditors and/or ISACA.
• CISA certification.
• CISSP/ CRISC/ CISM/ CGEIT will be an added advantage.
• Relevant 5 - 7 years’ experience in an IT auditing environment with specific experience in Cyber Security with a focus on technical applications and knowledge.
• Experience in the completion of SAP Basis, General Controls Reviews (GCR’s) as well as Application Controls Reviews (ACR’s), SDLC and Cyber Security Reviews.

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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 that model processes are effective, efficient, of high quality, well documented and verifiable.
• Data manipulation to determine reserves.
• Development of an appropriate valuation model/method.
• Setting of valuation assumptions.
• Running the model and producing results.
• Applying sensitivity and scenario testing to the results.
• Producing the valuation report.
• Standardize the actuarial valuation report to Actuarial professional guidance.
• Oversee that the actuarial results are correctly interpreted and reported in the RAF’s quarterly and annual financial statements.
• Manage the whole actuarial valuation process.

Development and Management of Funding Model

• Data manipulation for modelling future projections.
• Development of an appropriate modelling method – deterministic and/or stochastic.
• Set projection or modelling assumptions.
• Running model and reporting on results.
• Producing report on required funding from National Treasury and demonstrating period required by RAF to become solvent.
• Oversee that the actuarial results are correctly interpreted and applied.

Quotation of “Loss of Earnings” and “Loss of Support” Benefits for Motor Vehicle Claims

• Developing model and assumptions for benefit quotations.
• Data manipulation to state of quotation of loss of earnings or loss of support benefits – especially the model input.
• Running model to produce benefit results.
• Check quotation results actuarially for reasonability.
• Produce quotation report.
• Manage the quotation processing. 

Modelling of Regulatory Solvency Capital Requirements and Providing Technical Actuarial Information for ESB Reporting

• Use actuarial valuation results to compile the FSB report.
• Run a few model scenarios that are required for statutory reporting.
• Produce reports as appropriate.

Providing Executives with Input to the Strategic Plan

• Apply the Funding Model for financial projections.
• Set of model assumptions to make them suitable for projection purposes.
• Run model for Strategic Plan results.
• Apply scenario and sensitivity testing to model results.
• Produce necessary report on findings and results.
• Responsible for correct interpretation and application of actuarial results.
• Oversee and manage all related process. 

Providing Monthly Claims Statistics for Management Reporting

• Extract data and data reports from IT claim system.
• Provide results in statistical and graphical form to provide information for monthly, quarterly, half-yearly and annual management reporting.

Actuarial Investigations

• Investigate mortality and morbidity experience to assist in setting the quotation of loss of earnings and loss of support benefits.
• Assist with expense investigation for the company budgeting purposes.
• Produce appropriate reports for different relevant users of investigation results.
• Oversee that the actuarial investigation results are correctly interpreted and applied.

 Manage Actuarial Department Risks

• Assist with reviewing and monitoring risk mitigating tasks or measures.

 Policy Review and Implementation

• Contribute to the development and implementation of departmental policy, procedures and processes.
• Keep up to date with effective policy and practice execution strategies.

Reporting

• Prepare and submit reports as and when required to provide progress updates and/or inform management decisions.
• Develop reports/ policies/ procedures and guide the process through the alignment of the documents to the overall RAF’s Strategy.
• Develop functional reporting systems, for management, projects or performance reporting.

Stakeholder Management

• Facilitate and manage communication with relevant internal and external stakeholders in relation to investments and proactively and progressively manage the relationships.
• Manage relationships with vendors, service providers or procurement teams and ensure that all relevant procured items are invoiced and paid on time.
• Communicate with all levels of stakeholder contact.
• Represent the Fund in relevant external activities and events.

 People Management

• Ensure the sourcing, development and retention of a high-performance team.
• Manage staff in the department to ensure that they achieve their objectives in line with the strategic objectives of the RAF.
• Manage the implementation of human capital processes and procedures to control/regulate workplace conflict and/or institute corrective measures and consultation processes to address deviations from standards.
• Allocate, direct, motivate and evaluate subordinates to help them achieve their individual goals.

Qualifications and Experience

• Bachelor’s Degree/ Advanced Diploma in Actuarial Science/ Mathematics related qualification.
• Postgraduate in Actuarial Science/ Mathematics related qualification will be an added advantage.
• At least eight (8) professional actuarial exam passes/ exemptions will be an added advantage.
• Relevant 6 - 8 years’ experience in Actuarial environment of which 2 years must have been on a management/ supervisory level/ area of expertise.

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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 with ethics ambassadors.
• Conduct training needs analysis on ethics or values.
• Arrange and facilitate ethics induction for new and promoted employees.
• Manage and evaluate the effectiveness of training initiatives
• Manage ethics knowledge base by assisting in the drafting of ethics articles for publication in the Ethics Newsletter.   
• Drafts Ethics Office communications and directives for issuing to staff.

Facilitate the Development and Implementation of Ethics Framework and Strategies or Plans

• Assist in the development of ethics programme of action.
• Coordinate and plan ethics events.
• Implement Ethics Ambassador’s programme.
• Assist in the development of the Ethics Policy and SOP.
• Be able to conduct trend analysis.

Foster Relationships with Internal and External Stakeholders

• Participate in collaborative initiatives with other business units and combined assurance service providers on ethics or values awareness
• Plan, organise and conduct ethics desks and talks for employees.
• Provide continuous support to ethics ambassadors’ programme.
• Drafts ethics reports for combined assurance and ethics ambassadors’ forums as required.

Continuous Ethics Research

• Conduct research on best practices on ethics management and fraud awareness.
• Liaise with employees to obtain suggestions for required changes to Ethics Policy and SOP. 

Management of Case Management and Conflict of Interest

• Manage internal conflict of interest controls.
• Track, attend and follow up on reported unethical cases.
• Perform case management.

 Policy Review and Implementation

• Contribute to the development and implementation of departmental policy, procedures and processes.
• Keep up to date with effective policy and practice execution strategies.

Reporting

• Provide inputs for the report submitted to the EXCO.
• Prepare compliance reports, discuss with Management and obtain comments on the area reviewed.
• Develop reports/ procedures and guide the process through the alignment of the documents to the overall RAF’s Strategy.
• Develop functional reporting systems, for management, projects or performance reporting.

Stakeholder Management

• Facilitate and manage communication with relevant internal and external stakeholders proactively and progressively manage the relationships.
• Manage relationships with vendors, service providers or procurement teams and ensure that all relevant procured items are invoiced and paid on time.
• Communicate with all levels of stakeholder contact.
• Assist in drafting of different ethics reports for timeous submission to relevant stakeholders on weekly, monthly and quarterly basis.

Management Support

• Support line management on addressing all ethics related matters.
• Advise line management on emerging ethics risks.
• Assist line management in managing conflicts of interests.

Qualifications and Experience

• Bachelors Degree/ Advanced Diploma in Risk Management/ Internal Audit/ Public Administration/ Legal related qualification.
• Ethics Officer Certification by The Ethics Institute/ Certified Fraud Examiner is a requirement.
• Relevant 5 - 7 years’ experience in Ethics/ Compliance/ Risk/ fraud investigation environment.

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Key Performance Areas 

Collation, Interrogation, Analysis and Compilation of Accurate Statistical Reports

• Interpret data, identify trends and patterns, and create reports that provide insights to support potential areas of risk or non-compliance.
• Develop dashboards and visualizations to communicate findings to stakeholders.
• Develop and implement data analytics procedures to support continuous monitoring and risk assessment activities.
• Communicate data-driven insights, findings, and recommendations to management and stakeholders through clear and concise written and verbal reports.
• Perform analysis on all qualitative and quantitative data.
• Develop various templates and reporting automation processes and prepare reports for systems.
• Provide relevant statistical reports for forecasting purposes.  

Data Integration

• Ensure data accuracy, completeness and consistency.
• Collect, clean, and analyse large data sets from various sources to support internal audit objectives.
• Participate in special projects, investigations, and process improvement initiatives as required.
• Prepare cross systems integration reports from mulitple data sources (integrate various report from all systems reports).
• Maintain a database (department data repository) and perform updates on the data required and report accordingly.

Stakeholder Management

• Collaborate with internal audit team and other stakeholders to understand business requirements and identify areas for improvement.
• Coordinate with stakeholders to determine reporting requirements to confirm data requirements.
• Facilitate and manage communication with relevant internal external stakeholders in relation to proactively and progressively manage the relationships.

Qualifications and Experience

• Bachelor’s Degree/ Advanced Diploma in Data Science/ Information Science/ Informatics/ Statistics/ Computer Science related qualification.
• Certifications in relevant analytics and related tools, e.g., PowerBI, SAP BI, ACL, SQL, Python or VBA will be an added advantage.
• Relevant 5 - 7 years’ experience in data analytics, reporting / analytical reporting or related environment.
• Advanced microsoft excel skills (the use of vlookups, pivot tables, DAX, and VBA).
• Data analytics fieldwork (ACL & SQL) will be highly advantageous.
• Experience working with SAP BI or Microsoft Power BI will be highly advantageous.
• Experience working with VBA and Python programming languages will be highly advantageous.