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ROAD ACCIDENT FUND (RAF) - JUNIOR OFFICER: POST CLAIM SETTLEMENT
ROAD ACCIDENT FUND (RAF) - JUNIOR OFFICER: POST CLAIM SETTLEMENT
The Organisation requires the services of qualified individual at its Johannesburg Regional Office on a 12 Month Fixed Term Contract for the position of:
THIS IS AN INTERNAL AND EXTERNAL ADVERTISEMENT
JUNIOR OFFICER: POST CLAIM SETTLEMENT T.A.S.K GRADE 8
ADVERT REFERENCE NO: JOPS22062018JHB
LOCATION: Johannesburg
CLOSING DATE & TIME: 8/3/2018 11:55 PM
Purpose of the Job: To administer the undertakings in line with section 17(4) (a) of the RAF Act 56 of 1996 as amended.
Key Performance Areas
Handle Claims
· Interpret the settlement, the undertaking and any limitations to determine the Funds liability for future costs to be incurred.
· Scrutinize past medical expenses to determine the Funds liability for future costs to be incurred.
· Identify any differences between the final settlements and re-draft the undertaking to reflect the correct liability.
· Take cognisance of all expert reports, of internal and external origin, to determine the following:
· The nexus between the costs incurred and the accident.
· The reasonability of the costs by comparing the costs incurred with the claimants personal circumstances and needs
· Communicate with experts where there is uncertainty i.r.o. costs incurred.
· Report any discrepancies to Senior Officer.
· Pre-authorise costs still to be incurred in terms of the undertaking within the mandate and in line with the medical and legal assessment.
THIS IS AN INTERNAL AND EXTERNAL ADVERTISEMENT
JUNIOR OFFICER: POST CLAIM SETTLEMENT T.A.S.K GRADE 8
ADVERT REFERENCE NO: JOPS22062018JHB
LOCATION: Johannesburg
CLOSING DATE & TIME: 8/3/2018 11:55 PM
Purpose of the Job: To administer the undertakings in line with section 17(4) (a) of the RAF Act 56 of 1996 as amended.
Key Performance Areas
Handle Claims
· Interpret the settlement, the undertaking and any limitations to determine the Funds liability for future costs to be incurred.
· Scrutinize past medical expenses to determine the Funds liability for future costs to be incurred.
· Identify any differences between the final settlements and re-draft the undertaking to reflect the correct liability.
· Take cognisance of all expert reports, of internal and external origin, to determine the following:
· The nexus between the costs incurred and the accident.
· The reasonability of the costs by comparing the costs incurred with the claimants personal circumstances and needs
· Communicate with experts where there is uncertainty i.r.o. costs incurred.
· Report any discrepancies to Senior Officer.
· Pre-authorise costs still to be incurred in terms of the undertaking within the mandate and in line with the medical and legal assessment.
Update claims records
· Correct/update any change in the settlement details on the undertaking system to ensure that the liability of the Fund is accurately reflected on the system.
Attend to queries
· Attend to queries from internal and external stakeholders pertaining to the undertaking including the following:
· Liability of the Fund in terms of the undertaking.
· How to submit a claim.
· Status/progress made on the claims already submitted.
· General enquiries.
· Give advice to stakeholders on legal issues pertaining to undertakings.
Compile Statistics
· Keep daily stats of activities on Undertakings and related matters.
· Submit daily stats and monthly stats as required by Management.
· Keep record of statistics.
Keep claims records
· Maintain record of all allocated matters.
· Maintain record of litigated matters.
· Maintain and apply a diary system used to pend matters to be followed up.
· Scrutinize incoming correspondence and maintain proper record thereof.
· Maintain proper record of files requested and returned to the I/S, referred to Medical and/or Administration cell.
· Keep record of private telephone calls and submit accurate telephone accounts on a monthly basis.
Qualifications and Experience
· NQF 6 (Diploma or Advanced Certificate) qualification
· Relevant 2 years' experience in claims environment
Technical and behavioural competencies required:
· Personal mastery
· Emotional wisdom
· Ethics and governance
· Customer orientation and customer focus
· Ms Office package
· Writing skills
· Assertiveness
· Analytical thinking
· Advanced Third Party knowledge
Remuneration
A total cost to company of minimum remuneration package applicable to this position is R270 525.00 per annum and will be negotiable commensurate with experience.
Closing date: 03 July 2018
NB: "RAF offers Total Employment Cost packages with no additional contributions from the Employer; successful candidates are required to structure their packages in manner that will suit their needs".
INSTRUCTIONS TO PROSPECTIVE APPLICANTS
- Indicate the name and the reference number for the position you are applying for on the subject line
- Do not submit copies of qualifications and ID as these will be requested from shortlisted candidates on the interview date
- Submit a short cv with a maximum of 5 pages
APPLICATIONS CAN BE FORWARDED FOR ATTENTION OF THE RECRUITMENT OFFICER AT jhbrecruitment2@raf.co.za OR Hand delivered at 28th Floor, corner Jeppe and Von Wielligh Streets, Johannesburg.
The Road Accident Fund subscribes to the principles of employment equity and preference will be given to people from previously disadvantaged groups.
Prospective employees will be subjected to security vetting.
NB: Applicants who have not received any correspondence from us within six weeks from the closing date can consider themselves unsuccessful.