New Job Openings at Road Accident Fund

Key Performance Areas

Compliance administration.

• Maintain up-to-date written documentation related to the departments business activities.
• Ensure compliance to the policies and process standards. 
• Keep abreast of internal standards and business goals to ensure adherence to sound internal control.

Office coordination.  

• Aid in the maintenance of correspondence, filing, telephonic queries and provide general administration support to the office.
• Maintain strict confidentiality in all matters relating to the office.
• Assist in making follow-ups on outstanding matters. 
• Ensure all requests are handled and responded to within set timelines.
• Engage and follow up with Processing Centers on outstanding matters 
• Assist in ensuring the availability of stationery within the department.
• Validate and verify information and documents submitted for accurate capturing and further handling.
• Ensure the systems/registers used are kept up to date.
• Check for duplicate documents, requests and queries and report on them.
• Allocate reference numbers and accurately capture related documents on different systems.
• Allocation of matters to responsible team members.
• Draft and send out letters to all stakeholders as required. 

Meeting support

• Aid in arranging meetings on behalf of the department.
•  Assist with taking and distributing minutes in accordance to set governance standards. 
• Create and maintain a register to track matters outstanding.
• Support in the maintenance of follow-up plan on meeting resolutions and matters outstanding.
• Ensure confirmation of meetings and management of team diaries.
• Schedule appointments with internal and external stakeholders as and when required.

Document and Records Management.

• Manage Administer the records management and filling processes in line with the RAF filling plan.
• Ensure that the filing system is always up-to-date and functional.
• Aid in the retrieval of information at all times as requested in the office. 
• Ensure confidentiality of all documents under control and that documentation reaches the intended recipients.
• Acknowledge the receipt of documentation, apply a file number allocation, record data onto the computer system and file appropriately.

Qualifications and Experience  

• Matric or Grade 12 certificate.  
• Relevant 1 years’ experience in Administrative or similar environment.

go to method of application »

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 submitted documents.
• Assess the submitted documents to determine compliance as per defined processes and rules.
• Apply compliance and/ lodgement rules in pre assesing the prospective claim.
• Identify duplicate claims and linked claims.
• Examine the prescription of lodgement and apply prescription rules.
• Verify mortality with Home Affairs
• Communicate the assessment outcomes to the prospective claimants

Quality assurance

• Ensure that pre assessment processes are implemented and maintained at the highest standards
• Maintain the implementation an unusual occurrence procedures.

Administrative support

• Document the acknowledged claims.
• Deal with/and respond to correspondence.
• Produce documents, briefing papers, reports and presentations.
• Assist with typing and editing briefs, technical papers, letters to various parties, and memos.

Reporting

• Track and report against set objectives and targets.
• Report on emerging risks.
• Provide ad hoc reports on process improvement initiatives

Stakeholder management

• Maintain healthy relationships with all stakeholders.
• Follow up and feedback to all stakeholders to keep them updated on the status of a query.
• Respond to queries within the predefined turnaround times

Qualifications and Experience  

• Bachelor’s Degree/Advanced Diploma in a related qualification
• Relevant 3 years’ experience in the Claims environment.

go to method of application »

Key Performance Areas

Loss of earning adjudication

• Confirm and record medical management recommendations.
• Review the claim against the loss of earnings adjudication standards.
• Check injury documents substantiating an ability to earn an income and make a determination.
• Analyse the age, qualification level and skillset of the claimant to determine whether   the applicant qualifies for an LOE.
• Make a determination on the whether the injured is able to earn income or not as well as whether the injured is major or minor.
• Apply applicable case laws and Statutory limit to determine the LOE quantum.
• Schedule the injured for medical assessment in line with the findings.
• Make recommendations on an appropriate amount of money for pay out per case.

Quality assurance

• Adjucate the LOE product claim in line with the approved policy /SOP.
• Participate in the consultations process on the implementation of programs and services.
• Ensure that programs and services are implemented and maintained at the highest standards.
• Implement the development and implementation of an unusual occurrence procedures.
• Quality assure the loss of earning claims before they can be progressed to the next phase of the claims processing.

Administrative support

• Record and document proof affirnity.
• Deal with/and respond to correspondence.
• Produce documents, briefing papers, reports and presentations.
• Assist with typing and editing briefs, technical papers, letters to various parties and memos.

Reporting

• Track and report against set objectives and targets.
• Report on emerging risk.
• Provide ad hoc reports on process improvement initiatives.

Stakeholder management

• Maintain healthy relationships with all stakeholders.
• Follow up and resolve all queries, following up and making recommendations on which corrective actions are appropriate.
• Follow up and feedback to all stakeholders to keep them updated on the status of a query.
• Respond to queries within the predefined turnaround times.

Qualifications

• Bachelor’s Degree/Advanced Diploma in related qualification.

Experience

• Relevant 3 years’ experience in claims adjudication related environment.

go to method of application »

Key Performance Areas

To request of capital payments

• Request payments in terms of block settlement agreements.
• Request payments in respect of capital for claimants and/or their representatives.
• Request time frames within which payments are to be effected in terms of the court order.
• Prevent delays in requesting payments.
• Identify fraudulent payments and advise Forensics.
• Identify and record interim payments to prevent duplicate payments.
• Compile a schedule of files where settled or capital payment is to be requested.
• Check and prevent duplicate payments.
• Follow up on delayed/pending payments.

Provide customer services to clients of the RAF

• Attend to queries from both internal and external stakeholders.
• Provide advice and guidance to Claims sections in respect of duplicate or dummy files.
• Identify referrals to Recourse and Recoveries.
• Request termination of mandates where necessary before effecting payments.

Collate and compile statistics as required

• Record and maintain statistics on Payments requests.
• Monitor and report on failed payments.
• Keep daily stats of activities on work allocated and work to be done.
• Submit daily, weekly and monthly stats as required.

Render advisory responsibilities

• Attend to queries from stakeholders pertaining to capital payments outstanding.
• Provide feedback on payments to claims sections and attorneys.

Provide office administrative services

• Pre-screen files to ensure that they belong to the correct department of the RAF.
• Validate that the correct banking details are loaded on the system prior to requesting payment.
• Verify and validate that the payment is requested to the correct payee.
• Receive and record files where capital payments are to be requested after concluding the validation process.
• Updating the information on the files to correlate with the claims system iro claim number, link number, claimants and attorneys details.
• Compile lists of finalized files to be forwarded to CAFS.
• Request and return files from CAFS and claims when required.
• Attend to queries.
• Update the status and allocation of files on claims view system.
• Maintain accurate records of files where capital payments are to be requested.
• Keep records of movement of all files.  

Qualifications and Experience

• NQF 7 (Bachelor’s Degree or Advanced Diploma) related qualification to discipline.
• Relevant 3 years’ experience in claims system, MVA procedures and knowledge of court processes environment.

go to method of application »

Key Performance Areas

Legal Administration

• Transcribe and proofread legal documents for settlement discussions.
• Collate all the directives and update on the case file database.
• Retrieval of information at all times as requested in the office.
• Administer process relating to the arbitration of disputes between parties.
• Briefing experts for purposes of administering the claims.
• Administer hearings sessions to ensure that all parties and present information or evidence relative to claims is obtained.
• Ensure confidentiality of all documents under control and that documentation reaches the intended recipients.
• Follow-up on outstanding matters on behalf of the Legal Administration department in the office.
• Document the proceedings and follow up on the action log relation to the settlement of the claims discussion.
• File all settlement agreements.

Block Settlements

• Arrange meetings for block settlements.
• Management of court documentation and filling.
• Diarise and monitor court processes.
• Narrate and provide clarity on the assessment and determination on the claims offer done.

Reporting

• Contribute to the preparation and submission of reports.
• Report regularly and periodically perform necessary submissions as and when required to provide progress updates and/or inform management decisions.

Stakeholder management.

• Aid in proactive and progressive relationships with key stakeholders.
• Deal with inquiries and requests for information from both internal and external stakeholders.

Qualifications and Experience

• Bachelors Degree in Law or equivalent.
• Relevant 3 years’ experience in a Legal Administration related environment.

go to method of application »

Key Performance Areas

Verification and Validation.

• Apply sound legal RAF Act and Regulations to Act, Case Law) knowledge on daily basis to validate claims.
• Search for and apply relevant Case Law during verification and validation.
• Determine the need to call in the injured for questioning in line with the RAF act.
• Apply RAF procedures to validate the claims.
• Assess duplicate claims to address mandates and minimise further processing of duplicate claims.
• Examine and apply the prescription of rules at the claim and product level.
• Verify data and information with relevant stakeholders.
• Assess the validity of death benefits products to determine locus standi.

Quality assurance

• Maintain and update necessary reporting standards as per standard operating procedure.
• Adequate and sound quality assurance.
• Ensure that verification and validation are maintained at the highest standards.
• Maintain the implementation of an unusual occurrence procedure.

Administrative support

• Document the acknowledge pre assessed claims.
• Deal with/and respond to correspondence.
• Produce documents, briefing papers, reports, and presentations.
• Assist with typing and editing briefs, technical papers, letters to various parties, and memos.

Stakeholder management

• Maintain healthy relationships with all stakeholders.
• Follow up and feedback to all stakeholders to keep them updated on the status of a query.
• Respond to queries within the predefined turnaround times.

Reporting

• Track and report against set objectives and targets.
• Report on emerging risks.
• Provide ad hoc reports on process improvement initiatives.

Qualifications

• Bachelor’s Degree/Advanced Diploma in a related qualification.

Experience

• Relevant 3 years’ experience in the Claims environment.