Senior Claims Verification Specialist

1 month ago


Cape Town, Western Cape, South Africa Road Accident Fund Full time
About the Role

We are seeking an experienced Claims Validation and Assurance Expert to join our team at the Road Accident Fund.

This is a 12-month fixed-term contract position that offers a Total Employment Cost package with no additional contributions from the employer.

Job Description

The successful candidate will be responsible for verifying and validating registered claims, ensuring high-quality standards are maintained, and providing excellent administrative support.

Main Responsibilities:

  • Verify and validate claims by applying sound legal knowledge, searching for relevant case law, and examining data and information with stakeholders.
  • Maintain and update reporting standards, ensure verification and validation meet highest standards, and implement unusual occurrence procedures.
  • Provide administrative support, including documenting acknowledge pre-assessed claims, responding to correspondence, and producing documents and reports.
  • Maintain healthy relationships with stakeholders, follow up on queries, and respond within predefined turnaround times.
  • Track and report against set objectives and targets, report emerging risks, and provide ad-hoc reports on process improvement initiatives.

Requirements:

  • Bachelor's degree or advanced diploma in a related field.
  • Relevant 3 years' experience in the claims environment.

Techncial Skills:

  • Planning, organizing, and coordinating.
  • Judgement and decision making.
  • Ethics and values.
  • Client service orientation.
  • Complex problem identification, solving, and decision making.
  • Customer value proposition.
  • Good financial management skills.
  • Strong analytical capabilities.
Salary

R35,000 - R45,000 per month (dependent on experience).

Benefits

Total Employment Cost package with no additional contributions from the employer.



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