ROAD ACCIDENT FUND (RAF) VACANCIES

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RAF ATTORNEY: HIGH COURT
Division:  Governance
Reference No:  4183
Location:  East London, Eastern Cape, ZA
Employment Type:  Permanent
Disability (EE targeted role):  No
T.A.S.K Grade:  16
Job Posting Salary:  R1,028,791.00
Job Posting End Date:  24 Dec 2024
 
The Road Accident Fund’s mission is to provide appropriate 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.
 
Note: This is a Re-advertisement
 
Purpose of the Job: The RAF Attorney: High Court is responsible for all High Court matters within the Fund and to offer litigation services accordingly. This role will also be responsible to perform a range of tax services including tax bill of costs in compliance with South African laws and regulations.
 
Key Performance Areas
 
Policy Review and Implementation

• Contribute to the development and implementation of departmental policy, procedures and processes.
• Keep up to date with effective policy and practice execution strategies.

 
Preparation and Research on Related Litigation Matters

• Conduct research that will provide information in preparation for all matters for trial.
• Consult with client departments/ representatives, and witnesses for instructions and documentation for cases to be presented in Court.
• Draft pleadings to provide clear motivation/justification on a particular position about the case.

 
Mediation Process

• All required steps regarding the mediation process, as governed by the amendment to the rules of court, are to be taken.
• Upon conclusion of the mediation, parties shall inform Registrar and all other parties by a notice that Mediation is completed.
• Parties & Mediator must within 5 days of completion of mediation issue a joint minute indicating.

 
Represent the Road Accident Fund on all third party claims related litigation matters

• Attend court appearances in all allocated third-party litigation matters.
• Ensure file administration from opening to the conclusion of a legal case including adherence to trial dates.
• Handle appearances at courts, tribunals, mediation hearings and inquiries.
• Coordinate administrative legal actions to ensure compliance.
• Approve instructions to appoint and instruct expert witnesses.

 
Settle non-litigious matters before they are set down for trial

• Block consultation, early assessment of files, and early instructions to experts and assessors.
• Approve requests to appoint and instruct assessors and expert witnesses. 
• Recommend a settlement.

 
Provision of legal advice to RAF

• Provide legal advice on arising legal matters and contracts.
• Provide well-researched legal advice on matters impacting the organisation.
• Conduct legal research and prepare legal opinions.

 
Taxation

• Deliver a full range of tax services in compliance with laws and regulations.
• Build relationships and interact with clients to provide consulting and expertise in tax services.
• Provide innovative tax planning and review complex income tax returns

 
Reporting

• Prepare and submit regulation reports as and when required to provide progress updates and/or inform management decisions.
• Develop reports/ policies/ procedures and guide the process through the alignment of the documents to the overall RAF’s Strategy.
• Develop functional reporting systems, for management, projects or performance reporting.
• Prepare proposals, briefings, presentations, reports, and other documentation and provide management information both verbally and in report format.

 
Stakeholder Management

• Facilitate and manage communication with relevant internal and external stakeholders in relation to investments and proactively and progressively manage the relationships.
• Manage relationships with vendors, service providers or procurement teams and ensure that all relevant procured items are invoiced and paid on time.
• Communicate with all levels of stakeholder contact.

 
People management

• Ensure the sourcing, development and retention of a high-performance team.
• Manage the recruitment of the operational workforce in line with employment equity targets.
• Manage staff in the department to ensure that they achieve their objectives in line with the strategic objectives of the RAF.
• Manage the implementation of human capital processes and procedures to control/regulate workplace conflict and/or institute corrective measures and consultation processes to address deviations from standards.
• Allocate, direct, motivate and evaluate subordinates to help them achieve their individual goals.

 
Qualifications

• Bachelor’s Degree in Law or equivalent.
• Postgraduate in Law or equivalent.
• Admission as an Attorney of the High Court or Advocate.
• Right of appearance in the High Court.

 
Experience

• Relevant 5-7 years legal experience post-graduation or admission of which 2 years must have been in area of expertise (personal injury litigation)

 
Behavioural

• Resilience
• Communication
• Working with People
• Network and Alliances
• Planning, Organising and Coordinating
• Employee Engagement
• Personal Mastery
• Judgement and Decision Making
• Ethics and Values
• Client Service Orientation 

 
Managerial

• Change management
• Coaching and mentoring
• Conflict management
• Critical and innovative thinking
• Direction setting
• Facilitation and Presentation Skills
• People management
• Policy conceptualisation and formulation
• Risk Management
• Programme/project management
• Service Delivery Innovation
• Stakeholder development and relations
• Reporting

 
Technical

• Legislation & regulatory knowledge
• Ethics & compliance
• Monitoring and evaluation
• Policy and standard
• Governance
• Claims litigation
• MVA law and legislation
• Negotiation
• Conflict resolution
• Problem solving and analysis
• Mediation 

 
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”.
 
The Road Accident Fund subscribes to the principles of employment equity and preference will be given to People with Disabilities.
Applicants who have not received any correspondence from us within six weeks from the closing date can consider themselves unsuccessful
Security Vetting shall be conducted on all prospective employees
It is the applicants’ responsibility to have foreign qualification evaluated by the South African Qualification Authority (SAQA) and to provide proof of such evaluation.
 
APPLY NOW »
 
 
 
 
 

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CONSULTANT: MEDICAL MANAGEMENT X5
Division:  Operations
Reference No:  5150
Location:  Durban, Kwazulu-Natal, ZA
Employment Type:  Fixed Term Contract
Disability (EE targeted role):  Yes
T.A.S.K Grade:  11
Job Posting Salary:  R501,775.00
Job Posting End Date:  11 Feb 2025
 
The Road Accident Fund’s mission is to provide appropriate 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.
 
Purpose of the Job: The Consultant: Medical Management is responsible to implement the medical management activities, medical exception handling and providing administration support in claims processing.
 
Note: This is a 36 Month Fixed Term Contract.
 
Key Performance Areas
 
Medical Management

• Conduct medical assessment and compile injury assessment reports.
• Conduct assessments and bill reviews on submitted claims, focusing on the appropriate level of care, the length of stay, and quality of care.
• Incorporate tariffs, cost savings initiative recording, and treatment protocol to ensure that all service providers adhere to the rules, and the tariff as guided by the RAF and / or any that is considered reasonable.
• Pre authorise submitted claims aligned to RAF clinical guidelines including the RAF formularory, treatment protocols and related tariffs.
• Escalation of complex cases for multi-disciplinary review and adjudication.
• Participate in the consultations process on the implementation of medical claims processes.

Exception Handling

• Ensure the implementation and maintenance of a formal exception handling process within the medical management.
• Maintain the documentation and regular updating of the exception handling process.
• Maintain the implementation an unusual occurrence procedures.

Reporting

• Track and report against set objectives and targets.
• Report on emerging risks.
• Provide ad hoc reports on process improvement initiatives.
• Produce documents, briefing papers, reports and presentations.

Stakeholder Management

• Deal with/and respond to correspondence.
• Maintain healthy relationships with all stakeholders.
• Follow up and resolve all queries, following up and making recommendations on which corrective actions are appropriate.
• 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 Health Sciences /Medical related qualification.
• Registration with HPCSA/SANCA.

 
Experience

• Relevant 3 years’ experience in a Medical related environment.

 
Behavioural Competencies

• Planning, Organising and Coordinating
• Personal Mastery
• Judgement and Decision Making
• Ethics and Values
• Client Service Orientation

 
Technical Competencies

• Claims management process/ processes and systems.
• Medical product management
• Medical bill reviewing
• Medical case management
• Complex problem identification, solving and decision making
• Customer value proposition
• Strong clinical analytical capabilities
• Knowledge of motor vehicle accident legislation

 
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”.
 
The Road Accident Fund subscribes to the principles of employment equity and preference will be given to People with Disabilities.
Applicants who have not received any correspondence from us within six weeks from the closing date can consider themselves unsuccessful
Security Vetting shall be conducted on all prospective employees
It is the applicants’ responsibility to have foreign qualification evaluated by the South African Qualification Authority (SAQA) and to provide proof of such evaluation.
 
APPLY NOW »
 
 
 
 
 

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SENIOR OFFICER: FIELD CASE MANAGEMENT X4
Division:  0300
Reference No:  5155
Location:  Durban, KwaZulu Natal, ZA
Employment Type:  Fixed Term Contract
Disability (EE targeted role):  Yes
T.A.S.K Grade:  12
Job Posting Salary:  R579,259.00
Job Posting End Date:  11 Feb 2025
 
The Road Accident Fund’s mission is to provide appropriate 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.
 
Purpose of the Job: The Senior Officer: Field Case Management is responsible to driving the rehabilitation and health care needs of the injured.
 
Note: This is a 12 Month Fixed Term Contract.
 
Key Performance Areas
 
Field Case Management

• Activate an undertaking certificate and compile a case management report
• Conduct a home visit and educate the claimant on offerings of the undertaking and explain about the overall process to be followed
• Conduct follow up assessments and make recommendations on claimants needs as per the assessment
• Coordinate the referrals to service providers aligned to the claimants needs as per the undertaking certificate
• Ensure successful integration of the claimant back to the family and educate the claimant and family on the condition of the claimant
• Facilitate timely consultation with appropriate medical service providers
• Provide vocational guidance after life changing event for client and possible back to work opportunities

Rehabilitation Services

• Monitor the rehabilitation of the claimant post discharge
• Monitor the drug utilisation and application review thereof
• Assess the level of care giver and the financial implications /salary thereof 
• Determine claimant needs and facilitate reasonable recommendations for home and car modifications based on the nature of the claimant's medical condition 
• Co-ordination of admission and request the necessary authorisations as per the caregiver SOP and guidelines
• Co-ordinate and facilitate transfer to the hospital for admission
• Facilitate the appointment of caregivers between the claimant and the caregiver, provide guidance on the process
• Co-ordinate the monthly submission of time sheets for payment processing

Facilitate the accuracy and effective submission of invoices

• Ensure that accounts submitted to the fund from service providers are valid in terms of RAF guidelines and the Road Accident Fund Act
• Assess and monitor claims invoices to curb over servicing or abuse and fraudulent claims 
• Ensure that the accounts are paid timeously, according to service level agreements
• Ensure that services and treatments claimed for are accident related (related to the accident under consideration)
• Compare outcomes and cost of different therapeutic modalities and surgical techniques and the information provided is invaluable in developing guidelines for clinical management

Reporting

• Compile and update case management reports for the injured.
• Provide a report on patient care and ongoing rehabilitation.
• Reporting on the service by service providers.

Stakeholder management

• Drive the stakeholder interaction needed to facilitate the level of care
• Maintain relations with different levels of health specialist to enable smooth interactions 
• Participate in the awareness of RAF case management services in the communities 
• Communicate with all levels of stakeholders
• Participate in relevant external RAF activities and events
• Ongoing engagements with service providers

 
Qualifications

• Bachelor's Degree or Advanced Diploma in  Nursing/Allied Health Professions or related qualification
• Registration with the relevant Health Professions Council.

 
Experience

• Relevant 4 years’ experience in the Medical environment.
• Experience in Managed Healthcare environment.
• Valid code 8 driving license.

Behavioural Competencies

• Planning, Organizing and Coordinating
• Personal Mastery
• Judgement and Decision Making
• Ethics and Values
• Client Service Orientation

 
Technical Competencies

• Knowledge of ICD and CPT coding will be an advantage.
• Core specialities in the case management process.
• Knowledge of healthcare operations.
• Ability to maintain patient confidentiality.
• Full knowledge of medical tariffs, treatment plans.
• Coding standards and protocols.
• Knowledge of PFMA to be able to analyse different requirements as per the claimants.

 
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”.
 
The Road Accident Fund subscribes to the principles of employment equity and preference will be given to People with Disabilities.
Applicants who have not received any correspondence from us within six weeks from the closing date can consider themselves unsuccessful
Security Vetting shall be conducted on all prospective employees
It is the applicants’ responsibility to have foreign qualification evaluated by the South African Qualification Authority (SAQA) and to provide proof of such evaluation.
 
APPLY NOW »
 
 
 
 
 

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OFFICER: LEGAL ADMINISTRATION (X15)
Division:  Governance
Reference No:  5264
Location:  Johannesburg, Gauteng, ZA
Employment Type:  Fixed Term Contract
Disability (EE targeted role):  No
T.A.S.K Grade:  10
Job Posting Salary:  R434,656.00
Job Posting End Date:  7 Feb 2025
 
The Road Accident Fund’s mission is to provide appropriate 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.
 
NB: This is a 12-Month Fixed-Term Contract position 
 
Purpose of the job: The Officer: Legal Administration is accountable to process documentation relating to claims settlement as well as the effective coordination of processes and procedures that contribute to the efficient early settlement of claims dispute/s outside court proceedings.
 
Key Performance Areas
 
Legal Administration

• Transcribe and proof-read legal documents for settlement discussions.
• Collate all the directives and update on the case file database.
• Retrieval of information at all times as requested in the office.
• Administer process relating to the arbitration of disputes between parties.
• Briefing experts for purposes of administering the claims.
• Administer hearings sessions to ensure that all parties and present information or evidence relative to claims is obtained.
• Ensure confidentiality of all documents under control and that documentation reaches the intended recipients.
• Follow-up on outstanding matters on behalf of the Legal Administration department in the office.
• Document the proceedings and follow up on the action log relation to the settlement of the claim’s discussion.
• File all settlement agreements.

Block Settlements

• Arrange meetings for block settlements.
• Management of court documentation and filing.
• Diarise and monitor court processes.
• Narrate and provide clarity on the assessment and determination on the claims offer done

Reporting

• Contribute to the preparation and submission of reports.
• Report regularly and periodically perform necessary submissions as and when required to provide progress updates and/or inform management decisions.

Stakeholder Management

• Aid in proactive and progressive relationships with key stakeholders.
• Deal with inquiries and requests for information from both internal and external stakeholders.

 
Qualifications

• Bachelor's degree in law or equivalent.

 
Experience

• Relevant 3 years’ experience in a Legal Administration related environment.

 
Technical and behavioural competencies required

• Dispute resolution, mediation and negotiating capabilities.
• Legislation & Regulatory Knowledge including Personal Injury and Third-party compensation.
• Knowledge of laws and legislation that are applicable to the organisation.
• Knowledge of Civil proceedings in the Magistrate, Regional and High Courts of South Africa
• 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." 
 
The Road Accident Fund subscribes to the principles of employment equity and preference will be given to People with Disabilities.
Applicants who have not received any correspondence from us within six weeks from the closing date can consider themselves unsuccessful
Security Vetting shall be conducted on all prospective employees
It is the applicants’ responsibility to have foreign qualification evaluated by the South African Qualification Authority (SAQA) and to provide proof of such evaluation.
 
APPLY NOW »
 
 
 
 
 
 

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CONSULTANT: MEDICAL MANAGEMENT
Division:  Operations
Reference No:  5277
Location: Menlo Park, Gauteng, ZA
Employment Type:  Fixed Term Contract
Disability (EE targeted role):  Yes
T.A.S.K Grade:  11
Job Posting Salary:  R501,775.00
Job Posting End Date:  11 Feb 2025
The Road Accident Fund’s mission is to provide appropriate 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.
 
Purpose of the Job: The Consultant: Medical Management is responsible to implement the medical management activities, medical exception handling and providing administration support in claims processing.
 
Key Performance Areas
 
Medical Management

• Conduct medical assessment and compile injury assessment reports.
• Conduct assessments and bill reviews on submitted claims, focusing on the appropriate level of care, the length of stay and quality of care.
• Incorporate tariffs, cost savings initiative recording and treatment protocol to ensure that all service providers adhere to the rules and the tariff as guided by the RAF and/or any that is considered reasonable.
• Pre-authorise submitted claims aligned to RAF clinical guidelines including the RAF formulary treatment protocols and related tariffs.
• Escalation of complex cases for multi-disciplinary review and adjudication.
• Participate in the consultations process on the implementation of medical claims processes.

Exception Handling

• Ensure the implementation and maintenance of a formal exception handling process within the medical management.
• Maintain the documentation and regular updating of the exception handling process.
• Maintain the implementation an unusual occurrence procedures.

Reporting

• Track and report against set objectives and targets.
• Report on emerging risks.
• Provide ad-hoc reports on process improvement initiatives.
• Produce documents, briefing papers, reports and presentations.

Stakeholder Management

• Deal with/and respond to correspondence.
• Maintain healthy relationships with all stakeholders.
• Follow up and making recommendations on which corrective actions are appropriate.
• 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 and Experience

• Bachelor’s Degree/Advanced Diploma in Health Sciences/Medical related qualification.
• Registration with HPCSA/SANCA.
• Relevant 3 years’ experience in A Medical related environment.

 

Technical Competencies Required

• Claims management process/processes and systems.
• Medical product management.
• Medical bill reviewing
• Medical case management

 
Behavioural Competencies Required

• Planning, Organising and Coordinating
• Personal mastery
• Judgment 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”.
 
The Road Accident Fund subscribes to the principles of employment equity and preference will be given to People with Disabilities.
Applicants who have not received any correspondence from us within six weeks from the closing date can consider themselves unsuccessful
Security Vetting shall be conducted on all prospective employees
It is the applicants’ responsibility to have foreign qualification evaluated by the South African Qualification Authority (SAQA) and to provide proof of such evaluation.
 
APPLY NOW »
 
 
 
 

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ADMINISTRATIVE ASSISTANT
Division:  Operations
Reference No:  5303
Location: Menlo Park, Gauteng, ZA
Employment Type:  Fixed Term Contract
Disability (EE targeted role):  No
T.A.S.K Grade:  06
Job Posting Salary:  R244,732.00
Job Posting End Date:  11 Feb 2025
The Road Accident Fund’s mission is to provide appropriate 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.
 
Purpose: The ADMINISTRATIVE ASSISTANT: EXTERNAL LITIGATION is responsible assist the Professional Assistant with all administrative functions related to the ILS.
 
Key Performance Areas

• Perform Duplicate and other system checks with regards to claims and payments
• Check and verify that all data on the claims system is correct
• Request files from CAFS within specified time frame
• Assist in the management of the ILS Professional Assistant’s trial diary
• Assist the Professional Assistant with trial preparation
• Administer and maintain effective and efficient movement of records

 
Competencies
 
Behavioural: 

• Personal mastery  
• Emotional wisdom  
• Ethics and governance
• Customer orientation and customer focus

 
Technical:  

• Computer literacy in MS Office,
• Word and Excel is essential. 
• Good knowledge of the Amendment Act and Regulations.
• Good knowledge of Magistrate Court Rules and Magistrate Court Act.  
• Good communication skills and telephone etiquette.
• Interpersonal Relations.  
• Cooperative.

 
Qualifications

• NQF 4(Matric or Grade 12) qualification.

 
Experience

• Relevant 1 year working experience in a similar environment.

 
The Road Accident Fund subscribes to the principles of employment equity and preference will be given to People with Disabilities.
Applicants who have not received any correspondence from us within six weeks from the closing date can consider themselves unsuccessful
Security Vetting shall be conducted on all prospective employees
It is the applicants’ responsibility to have foreign qualification evaluated by the South African Qualification Authority (SAQA) and to provide proof of such evaluation.
 
APPLY NOW »
 
 
 
 
 

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ADMINISTRATIVE ASSISTANT (DOCUMENT SERVICES) X4
Division:  Operations
Reference No:  5315
Location:  Menlo Park, Gauteng, ZA
Employment Type:  Fixed Term Contract
Disability (EE targeted role):  Yes
T.A.S.K Grade:  06
Job Posting Salary:  R244,732.00
Job Posting End Date:  11 Feb 2025
The Road Accident Fund’s mission is to provide appropriate 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.
 
Main purpose of role: To provide an efficient and effective documents management service. 
 
Key Performance Areas
Process incoming / outgoing mail and mail batching
•    Receive, register and stamp incoming correspondence.
•    Hand documents for scanning.
•    Ensure efficient and timely delivery of mail within the RAF.
•    Separate incoming documents and faxes and sort according to destination.
•    Ensure files, correspondence and all other documentation is filed according to established policy and procedure.
•    Prepare outgoing mail for posting.
•    Ensure that outgoing mail is correctly priced and franked.
•    Record details of all registered mail and Docex Tracker mail.
•    Declare monies received and capture in register
•    Prepare bulk mailing. 
•    Check addresses and ensure Docex is sent to Docex, Normal and Registered mail to the Post Office.
 
Perform a range of correspondence Management responsibilities 
•    Perform scanning & indexing.
•    Check that all mail has been verified before scanning belongs to the Junior Officer Level or above.  
•    Ensure that the copying and binding machines are maintained in working order.
•    Monitor and make sure that requests for copying or binding are executed efficiently and timeously.
•    Ensure quality of copying and binding.
•    Belongs to the Junior Officer Level or above. Messenger’s responsibility.
•    Archiving assistant’s responsibility. 
•    Ensure that mail and files are validated and prepared before scanning. 
•    Sort documents according to document class and insert separator pages between classes.
•    Ensure that all scanned mail and files are indexed and successfully released to Share Point.
•    Receive, stamp, sort, identify, scan and capture writs and summons.
•    Check documents and contact attorneys for further information or reference numbers.
•    Capture documents in register.
•    Insure items if necessary.
 
Perform Banking Indemnity Form (BIF) processing.
•    Capture and verify information recorded on the BIF.
•    Liaise with stakeholders. 
•    Contribute to Ensuring that claimants and suppliers are paid timeously by meeting turnaround times...
•    Ensure that critical timeframes is adhered to.
•    Minimize the risk of fraud exposure.
•    Adhere to BIF rules and SOP’s to ensure compliance
 
Render maintenance of Correspondence Management Infrastructure, equipment’s and material
•    Report that all mailroom-related equipment is serviced and in good working condition at all times.
•    Report on the maintenance of the franking machine in terms of technical maintenance and the loading of money. Belongs to the Admin Officer or senior Officer Level.
•    Paste the registered mail tracking stickers. Belongs to the Admin officer or senior Officer Level.
•    Perform searches and or retrieve documents from Share Point / MOSS.
•    Highlight areas of problems and make recommendations to Line management.
 
Competencies
Behavioural competencies 
•    Personal Mastery
•    Emotional Wisdom
•    Ethics and Governance
•    Customer orientation and customer focus
 
Technical Competencies 
•    Communication skills.
•    Planning & organisational. 
•    Computer literacy.
•    Team work.
•    Diversity awareness.
•    Integrity.
•    Analytical thinking
 
Required minimum education/training
•    NQF 4 (Matric or Grade 12) qualification.
 
Required minimum work experience
•    Relevant 1 year experience in an administrative environment.
 
The Road Accident Fund subscribes to the principles of employment equity and preference will be given to People with Disabilities.
Applicants who have not received any correspondence from us within six weeks from the closing date can consider themselves unsuccessful
Security Vetting shall be conducted on all prospective employees
It is the applicants’ responsibility to have foreign qualification evaluated by the South African Qualification Authority (SAQA) and to provide proof of such evaluation.
 
APPLY NOW »
 
 
 
 
 

​OFFICER: BILL REVIEW X2
Division:  Operations
Reference No:  4427
Location: Durban, Kwazulu-Natal, ZA
Employment Type:  Fixed Term Contract
Disability (EE targeted role):  Yes
T.A.S.K Grade:  10
Job Posting Salary:  R434,656.00
Job Posting End Date:  11 Feb 2025
 
The Road Accident Fund’s mission is to provide appropriate 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.
 
Purpose of the Job: Review Medical Bills
 
Note: This is a 12 Month Fixed Term Contract. (Re-advertisement)
 
Key Performance Areas
 
Audit & review medical bills.

• Analysis of claimed items/services in correlation with available tariff structures and ICD 10 /CPT 4 codes.
• Requesting motivation for unreasonable accounts
• Line by line analysis of claim items/service. Matching those appropriate tariffs/ ICD/CPT codes.
• Flagging rejected items/services.
• Recommendations to the department responsible for processing payments
• Auditing medical claims and assisting in technical aspects of bill review
• Ensure that accounts submitted to the Fund from service providers are valid in terms of RAF guidelines and the Road Accident Fund Act
• Assess and monitor claims to curb over servicing or abuse and fraudulent claims.
• Ensuring that the accounts are paid timeously according to the service level agreements.
• Ensure that the services and treatments claimed are accident related/ (related to the accident under consideration
• Reduce future healthcare cost and improve efficiencies by analyzing trends in injured person’s use of services.
• Compare outcomes and cost of different therapeutic modalities and surgical techniques and the information provided.
• Manage future healthcare costs and improve efficiencies by analyzing trends in utilization of services.
• Formal assessment of medical necessity and appropriateness of procedures the will be effective in curbing fraud and over servicing unreasonable demand of benefits from victims of road accidents.

Promote good working relations with Stake Holders

• Check and advise on tariffs used on accounts.
• Provided training on new developments.

Approve medical expenses in accordance with relevant DOA

• Authorization in accordance with mandate
• Inform service provider of payment decision.

 
Assisting in technical aspects of bill review

• Develop and manage relationships with department of health services, government dept and other key external stake holders.

Check & approve Payments.

• Receive invoices and check payment request for accuracy and correctness.

 
Determine the level of care based on functional ability.

• Analysis of medical data available e.g. Case Manager’s Reports, Clinical Records and Medico – Legal Reports

Preauthorization of procedures

• Analyse medical data to determine the need for the service.
• Timeous assessment of urgent files e.g. Road Shows

 
Qualifications and Experience

• Bachelor’s Degree or Advanced Diploma in nursing/ Allied Health Professions or related qualification
• Relevant 3 years’ experience in a medical field.
• Registration with the relevant Health Professional Council

 
Technical and behavioural competencies required.

• Computer literacy
• Ability to interpret the rules of the UPFS tariffs.
• analytical skills
• Organizational & administrative skills
• Planning and Organizing
• Decision making
• Negotiation skills
• Personal mastery
• Emotional wisdom
• Ethics and governance
• Customer orientation and customer focus

 
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”.
 
The Road Accident Fund subscribes to the principles of employment equity and preference will be given to People with Disabilities.
Applicants who have not received any correspondence from us within six weeks from the closing date can consider themselves unsuccessful
Security Vetting shall be conducted on all prospective employees
It is the applicants’ responsibility to have foreign qualification evaluated by the South African Qualification Authority (SAQA) and to provide proof of such evaluation.
 
APPLY NOW »

ADMINISTRATOR: IT GOVERNANCE
Division:  Strategy and Transformation
Reference No:  5296
Location: Centurion, Gauteng, ZA
Employment Type:  Permanent
Disability (EE targeted role): No
T.A.S.K Grade: 11
Job Posting Salary: R501,775.00
Job Posting End Date: 11 Feb 2025
The Road Accident Fund’s mission is to provide appropriate 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.
 
Purpose of the Job: Reporting to the Manager: IT Risk and Governance, the successful incumbent is responsible for implementation and monitoring of IT governance policies and procedures.
 
Key Performance Areas
 
IT Governance Administrative Duties

• Implementation of IT governance policies and frameworks to ensure they meet the organization's objectives and comply with legal and regulatory requirements.
• Support the monitoring and reporting of compliance with IT governance policies, identifying any areas of non-compliance and recommending corrective actions.
• Facilitate the IT risk management process, including risk identification, assessment, and mitigation planning.
• Coordinate with IT and business units to ensure effective implementation of IT governance practices.
• Support the IT governance training programs, educating staff on governance policies, procedures, and best practices.
• Participate in the management of IT audits, including preparation, liaison with auditors, and implementation of audit recommendations.
• Maintain up-to-date knowledge of industry trends, emerging IT governance frameworks, and regulatory requirements affecting the organization.

 
Internal and Audit Support

• Maintain procedural documentation for IT operations, ensuring clarity, accuracy, and accessibility for IT staff and relevant stakeholders.
• Validate alignment of process maps that visually depict IT workflows, including data flows, system interactions, and decision points.
• Ensure these maps are updated and reflect current practices.
• Implementation and maintenance of IT governance frameworks (such as COBIT, ITIL, or ISO/ IEC 27001), ensuring IT processes are aligned with organizational goals and compliance requirements.
• Work with internal and external auditors to provide required documentation and evidence of IT processes and controls.
• Assist in addressing audit findings and implementing recommended changes.
• Collaborate with IT teams and business stakeholders to gather information on existing procedures and requirements for new processes.
• Conduct analysis to ensure that documentation meets the needs of end-users and supports training efforts.
• Monitor current processes and documentation for improvement opportunities.
• Facilitate process improvement initiatives in collaboration with IT teams.
• Identify and document potential risks associated with IT processes.
• Contribute to the development and implementation of risk mitigation strategies.
• Create and maintain training materials based on documented procedures and processes.

 
Reporting

• Contribute to the preparation of reports for senior management and external regulators, highlighting the status of IT governance initiatives.
• Contribute to the preparation of regular IT Governance reports, compiling data for senior management and technical teams.

 
Stakeholder Management

• Support the facilitation and management of communications with relevant internal stakeholders on IT Governance matters, under the guidance of the Seniors and ICT Management.
• Provide assistance to IT operational staff regarding the maintance of the Internal Control system.

 
Qualifications and Experience

• Bachelor’s Degree/ Advanced Diploma in Information Systems/ Computer Science/ Risk Management/ Internal Audit or related qualifications.
• Certifications in IT governance frameworks (e.g., COBIT/ ITIL/ ISO/IEC 27001) will be an added advantage.
• Relevant 3 years of experience in an IT Governance, Risk Management, or IT Compliance environment.
• Experience with IT audits and the implementation of IT governance frameworks and standards.

 
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”.
 
The Road Accident Fund subscribes to the principles of employment equity and preference will be given to People with Disabilities.
Applicants who have not received any correspondence from us within six weeks from the closing date can consider themselves unsuccessful
Security Vetting shall be conducted on all prospective employees
It is the applicants’ responsibility to have foreign qualification evaluated by the South African Qualification Authority (SAQA) and to provide proof of such evaluation.
 
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