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ROAD ACCIDENT FUND (RAF)
 
 
 
ADMINISTRATIVE ASSISTANT
Division:  3300
Reference No:  6009
Location: Durban, Kwazulu-Natal, 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:  26 Sep 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: To provide administrative support for the Officer, Senior Officer and Team Leader to ensure that the branch is run efficiently and effectively.
 
Note: These are 36-months, fixed-term contract position
 
Key Performance Areas
 
Compliance administration.
  • Maintain up-to-date written documentation related to the department’s business activities.
  • Ensure compliance to the policies and process standards.
  • Keep abreast of internal standards and business goals to ensure adherence to sound internal control.
 
Office Coordination.
  • Assist in making follow-ups on outstanding matters.
  • Ensure all requests are handled and responded to within set timelines.
  • Assist in ensuring the availability of stationery within the department.
  • Validate and verify information and documents submitted for accurate capturing and further handling.
  • Ensure the systems/registers used are kept up to date.
  • Check for duplicate documents, requests and queries and report on them.
  • Allocate reference numbers and accurately capture related documents on different systems.
  • Allocation of matters to responsible team members.
  • Draft and send out letters to all stakeholders as required.
 
Document and Records Management.
  • Administer the records management and filling processes in line with the RAF filling plan
  • Ensure that the filing system is always up-to-date and functional.
  • Retrieval of information at all times as requested in the office.
  • Ensure confidentiality of all documents under control and that documentation reaches the intended recipients.
  • Acknowledge the receipt of documentation, apply a file number allocation, record data onto the computer system and file appropriately.
 
Meeting Support
  • Assist in making follow-ups on outstanding matters.
  • Ensure all requests are handled and responded to within set timelines.
  • Assist in ensuring the availability of stationery within the department.
  • Validate and verify information and documents submitted for accurate capturing and further handling.
  • Ensure the systems/registers used are kept up to date.
  • Check for duplicate documents, requests and queries and report on them.
  • Allocate reference numbers and accurately capture related documents on different systems.
  • Allocation of matters to responsible team members.
  • Draft and send out letters to all stakeholders as required.
  • Ensure confirmation of meetings and management of team diaries.
  • Schedule appointments with internal and external stakeholders as and when required.
 
Qualifications and Experience
  • Matric or Grade 12 certificate.
  • Relevant 1 year experience in the Medical Administrative field or similar environment.
  • Medical Field as an added advantage
 
Behavioural competencies required.
  • Planning, organization and coordinating.
  • Personal mastery.
  • Emotional wisdom and decision making.
  • Ethics and values.
  • Client service orientation
 
Technical competencies required.
  • Computer literacy in MS Word, Excel, PowerPoint.
  • Excellent planning and organizational skills.
  • Good administrative skills.
  • Ability to access the required information.
  • Writing skills.
  • Basic understanding of SCM processes.
  • Basic financial acumen.
 
 
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.
 
PLEASE APPLY HERE
 
 
 

 
 
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​CONSULTANT: MEDICAL MANAGEMENT (X24)
Division:  Claims
Reference No:  6084
Location: East London, Eastern Cape, 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:  25 Sep 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.
 
CONSULTANT: MEDICAL MANAGEMENT T.A.S.K GRADE 11 (X24)
 
Note: These are 36-month, fixed-term contract positions
 
Purpose of the job: The Consultant: Medical Management is responsible for implementing 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.
  • Preauthorize 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 of an unusual occurrence procedure.
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 and make 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
 
Technical and behavioural competencies required
  • 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
  • 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.
 
PLEASE APPLY HERE










​SENIOR OFFICER: FIELD CASE MANAGEMENT X2
Division:  3300
Reference No:  6015
Location:  Durban, Kwazulu-Natal, ZA
Employment Type:  Permanent
Disability (EE targeted role):  No
T.A.S.K Grade:  12
Job Posting Salary:  R579,259.00
Job Posting End Date:  23 Sep 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 for driving the rehabilitation and health care needs of the injured.
 
NB: Please note the two positions are based in the following remote areas Pietermaritzburg, Vryheid and Nqutu (Indicate the area of preference when applying the position)
 
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 the 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 and possible back to work opportunities
 
Rehabilitation Services
  • Monitor the rehabilitation of claimant post discharge.
  • Monitor the drug utilization 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.
  • Coordination of admission and request the necessary authorizations as per the caregiver SOP and guidelines.
  • Coordinate and facilitate transfer to the hospital for admission.
  • Facilitate the appointment of caregivers between the claimant and the caregiver, provide guidance on the process.
  • Coordinate 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 specialists to enable smooth interactions.
  • Patriciate 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 and Experience  
  • Bachelor’s Degree or Advanced Diploma in Nursing/ Allied Health Professions or related qualification.
  • Registration with the relevant Health Professions Council body.
  • Experience in Managed Healthcare environment.
  • Valid Code 8 Drivers License.
  • Relevant 4 years’ experience in the medical environment.
 
Behavioral competencies
  • Planning Organization and Coordinating.
  • Personal Mastery.
  • Judgment and Decision Making.
  • Ethics and Values
  • Client Service Orientation.
 
Technical Competencies
  • Core specialties 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 analyze different requirements as per the claimants
 
 
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.
 
PLEASE APPLY HERE