Medical Case Adjudicator

2 weeks ago

Soshanguve, South Africa South African Government Department of Labour Full time

Centre: Soshanguve
- REF No: HR 4/4/4/03/09 (X1 post)

Labour Centre: Pretoria
- REF No: HR 4/4/4/03/10 (X1 post)

Labour Centre: Johannesburg
- REF No: HR 4/4/4/03/11 (X2 posts)

Labour Centre: Vereeniging
- REF No: HR 4/4/4/03/12 (X1 post)

Requirements: Nursing Four (4yrs) Degree/ Three (3yrs) Diploma. Post Graduate Diploma in Occupational Health/ Theatre Technique/ Critical Care will be an advantage. Experience in a trauma/ emergency/ internal medicine/ general surgery/ orthopaedics/ theatre at the regional public hospital or private hospital is required. Experience in medical claims processing/ insurance environment will be an added advantage. Registration with the South African Nursing Council. **Grade 1**: 2 to 9 years' experience gained after registration. **Grade 2**: 10-19 years' experience gained after registration. **Grade 3**: 20 years' experience gained after registration. Knowledge: DoL and Compensation Fund objectives and business functions, Compensation Fund Services, Directorate or sub-directorate goals and performance requirements, nursing legislations and or related legal as well as ethical nursing practices, Compensation Fund policies, procedures and processes, Stakeholders and customers, Customer Service (Batho Pele Principles), COIDA tariffs, Technical knowledge, PFMA and National Treasury Regulations, Public Service Act. Skills: Required Technical Proficiency, Business writing, Required IT skills, Data capturing, Data and records management, Telephone Skills and Etiquette.

Duties: Provide advice and recommendation in the acceptance of liability. Recommend the approval medical accounts. Provide medical advice on the processing of occupational injury claims. Determine PD (Permanent Disability) and (Total Temporary Disability). Assess medical accounts on occupational injury claims and od medical accounts.

Enquiries: Mr S Mdluli/ Dr V Mabudusha Tel: 012 319 8100

CLOSING DATE: 09 May 2023 at 16:00

All fields of Section A, B, C and D of the Z83 must be completed in full. Section E, F, G (Due to the limited space on the Z83 it is acceptable for applicants to indicate refer to CV or see attached. A recently updated comprehensive CV (with detailed previous experience) is required. The questions related to conditions that prevent re-appointment under Part F must be answered.