Consultant: Pre-Assessment

2 months ago

Johannesburg, South Africa Road Accident Fund Full time

NB: This is a 12-Month Fixed-Term Contract position 

 

Purpose of the job: The Consultant: Pre-Assessment is responsible for the pre-assessment of prospective claims applications.

 

 

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/ lodgment rules in pre-accessing the prospective claim.
  • Identify duplicate claims and linked claims.
  • Examine the prescription of lodgment 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

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

 

Experience

  • Relevant 3 years’ experience in the claims environment.

 

Technical and behavioral competencies required

  • Ability to differentiate different RAF Products
  • Knowledge of Motor vehicle Act
  • Complex problem identification, solving and decision making.
  • Customer value proposition
  • Good financial management skills
  • Strong analytical capabilities
  • Knowledge of Motor Vehicle Accident legislation
  • PFMA knowledge
  • Attention to detail.
  • Planning, Organising and Coordinating
  • Personal Mastery
  • Judgement and Decision Making
  • Ethics and Values
  • Client Service Orientation

 

NB: "RAF offers Total Employment Cost packages with no additional contributions from the Employer, successful candidates are required to structure their packages in a manner that will suit their needs." 


NB: This is a 12-Month Fixed-Term Contract position 

 

Purpose of the job: The Consultant: Pre-Assessment is responsible for the pre-assessment of prospective claims applications.

 

 

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/ lodgment rules in pre-accessing the prospective claim.
  • Identify duplicate claims and linked claims.
  • Examine the prescription of lodgment 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

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

 

Experience

  • Relevant 3 years’ experience in the claims environment.

 

Technical and behavioral competencies required

  • Ability to differentiate different RAF Products
  • Knowledge of Motor vehicle Act
  • Complex problem identification, solving and decision making.
  • Customer value proposition
  • Good financial management skills
  • Strong analytical capabilities
  • Knowledge of Motor Vehicle Accident legislation
  • PFMA knowledge
  • Attention to detail.
  • Planning, Organising and Coordinating
  • Personal Mastery
  • Judgement and Decision Making
  • Ethics and Values
  • Client Service Orientation

 

NB: "RAF offers Total Employment Cost packages with no additional contributions from the Employer, successful candidates are required to structure their packages in a manner that will suit their needs." 

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