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ROAD ACCIDENT FUND (RAF)
 
The Road Accident Fund's mission is to provide cover to all road users within the borders of South Africa to rehabilitate and compensate persons injured as a result of motor vehicle accidents in a timely and caring manner, and to actively promote safe use of our roads.
 
The Organisation requires the services of a qualified individual within its Pretoria Regional Office for the following position:
 
 THIS IS AN INTERNAL AND EXTERNAL ADVERTISEMENT
 
OFFICER DIRECT CLAIMS: T.A.S.K GRADE 10
ODC21052021PTA
LOCATION: Pretoria
CLOSING DATE & TIME: 6/1/2021 11:55 PM
 
Purpose of the Job: To provide claims handling to ensure prompt and fair settlement of claims.
 
 
Key Performance Areas                                              
Estimate value of loss in terms of DOA
  • Review documentation or determine further documentation needed.
  • Scrutinize claims documentation (e.g. pay slips, etc.).
  • Determine and estimate quantum of claims.

To liaise with panel of expert for expert advice
  • Assist direct claimants with medico-legal appointments.
  • Consider experts reports particularly actuarial calculations.
  • Instruct the relevant experts to quantify the benefits e.g. actuary, industrial psychologists on the advice of and approval of the assessor and/or senior assessor.

Quantify benefits and make appropriate offers
  • If no expert is required, calculate the value of benefits.
  • Loss of support/earnings calculation on advice of the Assessor and/or Senior Assessor.
  • ​Provide Details of income and fringe benefits in major sectors.
  • Determine contingency deductions to be applied.
  • Interpretation on the cap limit under the Amendment Act.
  • Assess the funeral account and award benefit in terms of the ARAF Act.
  • Process settlement of claims before prescription.
  • Communicating and explaining offer to claimants and assist with completion of BIF.
  • Attending to queries with claimants.
  • Knowledge of rules of collateral and accelerated benefits.
  • Factor in contingencies also consider merits allocated.
  • Prepare offer as approved by the assessor or senior assessor
  • Consider any prior payments/interim payments/WCC/Social grants/EIL under the advisement or approval of the assessor or senior assessor.
  • Obtain approval in terms of delegation and send out offer.
  • If accepted request payment.
  • If not accepted revise the offer.
 
Qualifications & Experience
  •  NQF 7 (Bachelor's Degree or Advanced Diploma) related qualification to discipline
  •  Relevant 3 years claims experience.

Technical and Behavioral competencies required
  • A good understanding of the organizations business processes
  • Computer literate
  • Excellent communication skills orally and writing
  • Knowledge of updates of earnings table, pension fund and the impact on loss of support
  • Knowledge of Claims processes
  • Personal Mastery
  • Emotional Wisdom
  • Ethics and Governance
  • Customer orientation and Customer focus
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Remuneration
At the cost to company of minimum package applicable to this position is R349 998. 00 per annum and will be negotiable commensurate with experience.
 
Closing date: 01 June 2021
 
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".
 
APPLICATIONS CAN BE FORWARDED FOR ATTENTION OF THE RECRUITMENT OFFICER AT MENLYN; E-MAIL ADDRESS IS Mariar.recruitment@raf.co.za  or Hand deliver at 38 Ida Street, Menlo Park.
 
INSTRUCTION TO PROSPECTIVE APPLICANTS
  1. Indicate the name and the reference number for the position you are applying for on the subject line
  2. Do not submit copies of qualifications and ID as these will be requested from shortlisted candidates on the interview date
  3. It is the applicant's responsibility to have foreign qualifications evaluated by the South African Qualifications Authority (SAQA) and to provide proof for such evaluation
  4. Submit a short CV with a maximum of 5 pages

The Road Accident Fund subscribes to the principles of employment equity and preference will be given to groups who are underrepresented in terms of our Employment Equity Plan
 
NB: Preference will be given to people living with disabilities
 
Please note that the 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.