Open Positions at Road Accident Fund

Key Performance Areas

Management of claims payment process

• Verify and approve claims payments in line with DOA by confirming the accuracy, validity ,completeness and existence of a payment by inspecting supporting documentation to confirm the following: 

           - Payee to the trigger and supporting documents (per above).

           - Banking details to both the trigger document and any supporting documents.

• Resolve duplicates within 5 working days and take appropriate corrective action.
• Report on appropriate actions to be followed on fruitless and wasteful expenditure incurred as well as advising on ways of preventing or reducing fruitless expenditure.
• Ensure that the turnaround times for the submission of batch per expectation/requirement is done within the 5 days’ timelines after being received from finalisation.
• Maintain and develop good relationship with claimants, attorney firms and staff members.
• Ensure continuous implementation and improvement of internal controls for claims payments.
• Follow up on all outstanding batch payments at finance.
• Attend to queries and discrepancies in relation to missing payments within the finance department.
• Ensure that all payments submitted to Treasury at Head Office are processed as per batch serial numbers.
• Ensure that payments that have discrepancies/queries are returned to finalisation Department.
• Reconcile finalisation payment reports against EA for approvals.

Financial Management including bank and cash management

• Implementation of and adherence to financial management principles to ensure valid, accurate and complete payments pertaining to petty cash.
• Effective internal controls and compliance to required supporting source documents (i.e receipts, deposit books etc).
• Follow up on reconciling items to ensure timeous resolution.
• Ensure that all petty cash transactions captured and saved on SAP, are in the correct accounting period.
• Review monthly petty cash reconciliations reports, check supporting documentation and ensure that they are submitted to treasury (HO) on a monthly basis.
• Ensure timely banking of cheques and cash received as per policy.
• Ensure that deposit breakdowns are allocated in the correct bank accounts and general ledger.
• Perform petty cash counts.
• Monthly reporting relating to Petty Cash.

Reporting

• Contribute to the preparation and submission of Regulation reports.
• Aid in the development of functional reporting systems, for management, project or performance reporting.
• Report regularly and periodically, perform necessary submissions as and when required to provide progress updates and/or inform management decisions.

Compliance, Monitoring and evaluation

• Monitored service delivery of claims payment function.
• Ensure that fallout reports on claims payments are investigated and actioned timeously.
• Monitor claims payments (from request, to batching, to payment) and manage exceptions.
• Deal with claims payment queries and ensure resolved timeously.
• Ensure appropriate implementation of and adherence to Policies and procedure.

Stakeholder Management

• Aid in proactive and progressive relationships with key stakeholders.
• Deal with inquiries and requests for information from both internal and external stakeholders.
• Aid in the maintenance of relationships with vendors, service providers or procurement teams and ensure that all relevant procured items are invoiced and paid on time.

Qualification

• Bachelor’s degree/ Advanced Diploma in Finance/Commerce/Accounting related qualification

Experience

• Relevant 4 years’ experience in a financial environment.
• SAP experience will be advantageous.

Technical and behavioral competencies required

• Reconciliation experience
• Knowledge of Financial management
• Knowledge of the Public Finance Management Act
• Knowledge of Treasury Regulations
• Computer literate – knowledge of Microsoft, financial and accounting software packages
• King IV
• Knowledge of Corporate Governance 
• Cash and bank management
• Speed, accuracy and accountability
• Planning, Organising and Coordinating.
• Personal Mastery.
• Judgement and Decision Making.
• Ethics and Values.
• Client Service Orientation.

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Key Performance Areas

General Damages adjudication

• Review the claim against the general damages adjudication standards.
• Identify falsified general damages related injuries and report them.
• Confirm and record medical management recommendations.
• Apply relevant controls and tools to generate general damages offer, i.e., book of quantum.
• Calculate general damage product and make an offer.
• Process the offer to be communicated to the claimant following the appropriate channels.

Quality assurance

• Participate in the consultations process on the implementation of programs and services.
• Ensure that programs and services are implemented and maintained to the highest standards.
• Implement the development and implementation of an unusual occurrence procedures.

Administrative support.

• 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

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

Experience

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

Technical and behavioral competencies required

• Claims assesment and settlement process and systems (including handling, general damages assessment and settlement)
• Medical case management
• Complex problem identification, solving and decision making
• Claims management processes and systems
• Customer value proposition
• Good financial management skills
• Strong analytical capabilities
• Knowledge of Motor Vehicle Accident legislation
• PFMA knowledge
• Planning, Organising and Coordinating
• Personal Mastery
• Judgement and Decision Making
• Ethics and Values
• Client Service Orientation

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Key Performance Areas

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.

Manage an effective Fixed Asset Management System

• Draft fixed assets monthly reports and submit to the manager.
• Additions.
• Disposals.
• Values and depreciation.
• Submit ES to manager on all identified assets to be disposed of.
• Manage and ensure accuracy of fixed assets register (updates and maintenance).
• Implement plan for fixed asset verification annually.

Implementation of policies and procedures

• Ensure implementation of policy and procedure.
• Amend procedures where necessary.
• To research best practice, make an input into and implement approved strategies relating to effective facilities management.
• To make input into and implement approved operating policies, procedures and processes relating to facilities management.

To manage HO fleet management system

• Manage the implementation of fleet management policy and procedures.
• Manage and monitor use of RAF fleet ensure compliance with Acts and Regulations.
• Analyse vehicle usage and submit report to manager.

Manage an Effective inventory management system

• Implement inventory management policy and ensure adherence thereof for all stock items.
• Ensure regular and consistent stock taking of stock items.
• Monitor use of stock items.

Reporting

• Prepare and submit regulation 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.
• Prepare proposals, briefings, presentations, reports, and other documentation and provide management information both verbally and in report format.

Manage effective workspace management

• Create functional effective and flexible working areas.
• Maintain a database of accurate drawings of offices and submit any amendments to project office.

Ensure proper administration of audit and risk findings identified in the division

• Identify operational risks.
• Continuously monitor opportunities and incidents.
• Review audit findings, develop plans and submit comments to manager.
• Pro-actively rectify and control weaknesses identified.
• To ensure proper administration, governance, and risk management.

Manage FS sectional budget and other financial resources management

• Monitor the budget spending, manage the divisional cash flow, and minimise budget variance.

Financial resources management

• Forecast facilities management budget each FY starting with zero based and submit to manager. Ensure that expenses fall under the budget set.
• Ensure regular and consistent reporting on budget expenditure.
• To make input into the strategic and business planning and ensure budgeting for facilities services.

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.

Manage 30-day payment of all FM invoices

• Manage payment of accounts rent and other FM related services.
• Manage landlords, agents on outstanding invoices before month end.
• Submit a report to the manager on all invoice related information.

Manage all Facilities related Contracts

• Draft ES and advise SCM of required facilities management contracts to ensure no irregular contracts.
• Manage service level agreements with service providers for office cleaning. Fumigation, office plant and special server room clearing etc.
• Ensure up to date contract database.

People Management

• Ensure the sourcing, development, and retention of a high-performance team.
• Manage the recruitment of the operational workforce in line with employment equity targets.
• 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

• Bachelor’s Degree in Facilities Management related qualification.
• Postgraduate in Facilities Management related qualification will be advantageous.
• Drivers Licence

Experience

• Relevant 6-8 years’ experience in Facilities management environment of which 2 years must have been on supervisory level/area of expertise/management level.

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Key Performance Areas

Perform Assessment of Bills.

• Screening and checking compliance with RAF Act, Rules of Court, SLA and Applicable RAF Tariffs.
• Evaluation of bills of cost that are settled and or taxed.
• Assessment of Bills of Cost set down for taxation and those that are not set down.
• Assessment of Bills of Cost for block settlements.
• Prepare and make cost contributions and settle Bills of Cost.
• Evaluate assessor invoices and accounts in terms of the SLA and applicable tariff.
• Conduct research on case law and legal principles to keep abreast of developments.
• Preparation of executive summaries for legal costs as per threshold.

Assessment of Service Provider’s Bills and Invoices (Panel Attorneys)

•  Evaluate and tax Advocate’s accounts in terms of SLA and applicable tariff.
•  Evaluate panel attorney’s files in terms of the RAF tariff.
•  Evaluate assessor invoices and accounts in terms of the SLA and applicable tariff.
•  Assessment of disbursement of Experts Accounts.
•  Referral of SLA breaches to panel management.
•  Attend to block bookings.

Attend to Taxation of Bills of Cost

•  Prepare and make offers and settle Bills of Cost.
•  Attendance at Magistrate’s Court and Regional Court for taxations.
•  Attendance at High Courts for taxations.
•  Appearance before the Taxing Master to argue complex legal principles governing taxations of legal costs.

Attend Reviews of Bills of Cost

• Appearance before the taxing Master and the Magistrate to argue complex legal principles governing taxations of legal costs.
•  Prepare review documents for review proceedings in court.
•  Serve review documents to opposing party citing the basis of review.
•  Attend court and appear to argue the basis of review in front of Magistrate or Judge.

Attend to Litigation relating to Costs

•  Negotiate reasonable settlements of costs.
•  Request cost payment
•  Recover extra costs where applicable and advise Management accordingly.
•  Instruct panel attorneys to oppose and settle costs and cost applications.
•  Provide advice to Legal Department in respect of Litigation processes received.
•  Updating the status of claims view note.
•  Perform verification to ensure that the right payment is made to the correct Attorney

Authorisation of Bills of Cost for payment

•  Attend to Fee analysis.
•  Perform duplicate checks.
•  Evaluation of Bills of cost that is settled and or taxed.
•  Process Bills of Cost that are settled and or taxed.
•  Approve Bills of Cost that are settled and or taxed in terms of delegation of authority policy.
•  Request payment on the system.
•  Prepare the source documents to be forwarded to Finance Department for checking and payment.
•  Keep daily statistics of activities and trends on work allocated and work to be assessed.
•  Submit daily and monthly statistics as required by Management.
•  Keep record of statistics for performance management and review.
•  Attend queries from stakeholders pertaining to Bills of Cost settled and outstanding payments of accounts.
•  Referral of Writs Reports to Quality Assurance.
•  Prepare Batch Report for Payment Department.

Play advisory role and function to Claims Departments, Attorneys and Cost Consultants

• Prepare and render advice to claims sections, attorneys and cost consultants.
• Instruct panel attorneys to attend taxations on behalf of the RAF in respect of courts not falling within the proximity of offices of RAF.
• Conduct research on Case Law and legal principles to keep abreast of developments.

Quality Assurance on Writs Reporting

•  Investigation, reconciliation of Writs and Reporting.

Qualifications and Experience       

• NQF 7 (Bachelor’s Degree or Advanced Diploma) in Law or related qualification.
• Admission as an Attorney would be advantageous.
• Relevant 3 years’ experience in Claims or Legal Costs environment.