Senior Claims Verification Specialist
1 month ago
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 DescriptionThe 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.
R35,000 - R45,000 per month (dependent on experience).
BenefitsTotal Employment Cost package with no additional contributions from the employer.
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