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ROAD ACCIDENT FUND (RAF)
 
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OFFICER: CLAIMS INVESTIGATION X2
Division:  Claims
Reference No:  3878
Location:  Cape Town, Western Cape, 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:  5 Mar 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.
 
Purpose of the Job: The Officer Claims Investigations is responsible for effectively and efficiently providing investigative support services for claims lodged against the Road Accident Fund (RAF)
 
Key Performance Areas
 
Investigation and assessment of claims lodged.
  • Trace insured driver / witnesses to consult and obtain statements and docket.
  • Ensure that a proper sketch plan of an accident scene is drawn as part of the investigation and assessment process.
  • Ensure that clear photographs of an accident scene, faces of the people interviewed, damaged vehicles and injuries to a person is taken as part of the investigation and assessment process.
  • Obtain / and verify existing affidavits from different parties (e.g. claimants, witnesses, employers, etc.).
  •  Identify possible fraud and corruption and escalate to Forensic Investigation Department (FID).
  • Testify in court cases when claimant is guilty and accused of fraud.
  • Provide assistance in ensuring witness presence at court.
 
Administrative support.
  • Validate supporting documents (e.g. employment details, paternity/maternity details, SARS documents, etc.) for all related quantum investigations.
  • Verify details of the claimant and those injured in an accident through Natis and Cross Check systems (e.g. ID no, contact numbers, address/S, employment details etc.).
  • Verify the details of the secondary vehicle/s involved in the accident to determine the owner/s.
  • Quality check the supporting documents from the stakeholders to determine the validity of the logged claim.
  • Validate loss of earnings.
  • Provide progress reports as per the internal service level agreement.
 
Document and records Management.
  • Monitor and maintain an effective filing system.
  • Ensure that files are correctly categorised and stored to ensure a smooth retrieval of documents.
  • Administer the records management and filing processes in line with the RAF filing plan.
  • Ensure confidentiality of all documents under control and that correspondence from the department office reaches intended recipients.
  • Perform File Retrieval in Archive Services.
 
Stakeholder Management.
  •  Provide advice to different parties (e.g. claimants, witnesses, employers, etc.)
  •  Handle any assessments associated complaints.
  •  Maintain relationships with internal and external stakeholders.
 
Qualifications
  • NQF 7 (Bachelor’s Degree/Advanced Diploma) related qualification to discipline.
  • Driver’s License
  • Completed training as an investigator will be an added advantage.
  • Being a certified fraud examiner will be an added advantage.
 
Experience
  • Relevant 3 years’ experience in a similar environment.
  • Experience in merit and quantum investigations will be an added advantage.
 
Competencies
 
Behavioural:
  • Personal mastery.
  • Emotional Wisdom.
  • Ethics and Governance.
  • Customer orientation and customer focus.
 
Technical:
  • Knowledge of Natis and cross Check systems.
  • Ability to obtain appropriate affidavits.
  • Report writing skills.
  • Computer literacy (MS office and SAP).
  • Attention to detail and accuracy.
  • General Administration and document management.
 
 
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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CONSULTANT: LOSS OF SUPPORT ADJUDICATION
Division:  Claims
Reference No:  3889
Location:  Cape Town, Western Cape, 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:  5 Mar 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 12 Months Fixed Term Contract
 
Purpose of the Job: The Consultant:  Loss of Support Adjudication is responsible for the processing of claimant application with regards to loss of support.
 
Key Performance Areas
 
Loss of support adjudication
  • Review the claim against the loss off support adjudication standards.
  • Assess loss of support supporting documents and data to determine the deceased duty to support (confirming affinity)
  • Determine deceased ability to support the dependents by assessing income supporting data/documents in line with the approved quantum.
  • Apply applicable case laws and Statutory limit to determine the LOE quantum.
  • Based on the findings make a determination to reject or approve.
  • Assess actuarial reports and make a determination to whether to instruct internal actuarial team to make actuarial calculation or not.
  • Make an offer and submit to offer management for further communication with the claimant.
 
Quality assurance
  • Research, analyse and review policies and laws relevant to assigned cases.
  • Participate in the consultations process on the implementation of claims and related processes.
  • Ensure that LOS Adjudication and processes are implemented and maintained at the highest standards.
  • Maintain the implementation an unusual occurrence procedures.
 
Administrative support
  • 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 risk.
  • Provide ad hoc reports on process improvement initiatives.
 
Stakeholder management
  • 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 related qualification to discipline.
 
Experience
  • Relevant 3 years’ experience in claims adjudication related environment.
 
Competencies
 
Behavioural:
  • Planning, Organisation and coordinating.
  • Personal mastery.
  • Judgement and Decision Making
  • Ethics and values.
  • Client service orientation.
 
Technical:
  • Claims management process/processes and systems.
  • 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.
 
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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OFFICER CAPITAL PAYMENT X 5
Division:  3300
Reference No:  3868
Location:  Cape Town, Western Cape, 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:  5 Mar 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.
NB: This is a 12 Months Fixed Term Contract Position
Purpose of the Job: To request capital payment.
 
Key Performance Areas
To request of capital payments
  • Request payments in terms of block settlement agreements.
  • Request payments in respect of capital for claimants and/or their representatives.
  • Request time frames within which payments are to be effected in terms of the court order.
  • Prevent delays in requesting payments.
  • Identify fraudulent payments and advise Forensics.
  • Identify and record interim payments to prevent duplicate payments.
  • Compile a schedule of files where settled or capital payment is to be requested.
  • Check and prevent duplicate payments.
  • Follow up on delayed/pending payments.
 
Provide customer services to clients of the RAF
  • Attend to queries from both internal and external stakeholders.
  • Provide advice and guidance to Claims sections in respect of duplicate or dummy files.
  • Identify referrals to Recourse and Recoveries.
  • Request termination of mandates where necessary before effecting payments.
 
Collate and compile statistics as required
  • Record and maintain statistics on Payments requests.
  • Monitor and report on failed payments.
  • Keep daily stats of activities on work allocated and work to be done.
  • Submit daily, weekly and monthly stats as required.
 
Render advisory responsibilities
  • Attend to queries from stakeholders pertaining to capital payments outstanding.
  • Provide feedback on payments to claims sections and attorneys.
 
Provide office administrative services
  • Pre-screen files to ensure that they belong to the correct department of the RAF.
  • Validate that the correct banking details are loaded on the system prior to requesting payment.
  • Verify and validate that the payment is requested to the correct payee.
  • Receive and record files where capital payments are to be requested after concluding the validation process.
  • Updating the information on the files to correlate with the claims system iro claim number, link number, claimants and attorneys details.
  • Compile lists of finalized files to be forwarded to CAFS.
  • Request and return files from CAFS and claims when required.
  • Attend to queries.
  • Update the status and allocation of files on claims view system.
  • Maintain accurate records of files where capital payments are to be requested.
  • Keep records of movement of all files.  
 
Qualifications and Experience
  • NQF 7 (Bachelor’s Degree or Advanced Diploma) related qualification to discipline.
  • Relevant 3 years’ experience in claims system, MVA procedures and knowledge of court processes environment.
 
Technical and Behavioral competencies required
  • Communication (written, verbal and listening skills).
  • Customer service orientation.
  • Professionalism.
  • Good organizational skills.
  • Problem solving skills.
  • Interpersonal Relations.
  • Team Player.
  • Planning and organizing.
  • Analytical thinking.
  • Conflict management.
  • Decision making skills.
  • Personal mastery
  • Emotional wisdom
  • Ethics and governance
  • Customer orientation and customer focus
 
 
NB: “RAF offers Total Employment Cost packages with no contributions from the Employer, successful candidates are required to structure their packages in 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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SENIOR OFFICER: CONTRACT MANAGEMENT
Division:  Finance
Reference No:  3883
Location:   Centurion, Gauteng, ZA
Employment Type:  Permanent
Disability (EE targeted role):  Yes
T.A.S.K Grade:  12
Job Posting Salary:  R579,259.00
Job Posting End Date:  5 Mar 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.
 
Purpose of the Job: Reporting to the Manager: Contract Management, the successful incumbent is accountable for the co-ordination and administration of contracts.
 
Key Performance Areas
Manage and Monitor Process of Complete and Accurate Repository of all Contracts
  • All contracts must be recorded in a template of contracts.
  • All contracts must be stored in a safe location.
  • Maintain contract master records to ensure all information is correct and up to date, ensuring that all contracts are correctly logged in the system and filed appropriately.
 
Manage Process of Full Alignment Between Physical and System Records (Contract Master)
  • Weekly alignment between physical records and system records.
  • Record and facilitate the resolution of contract queries and requests.
  • Filing of document hard copies, including as appropriate, archiving and destruction, in accordance with Data Protection/ POPI.
 
Manage of Audit Issues in Terms of Availability of Supporting Source Documents for Change Requests
  • All documents must be fully auditable with an audit trail of changes.
  • Ensure all contract record changes are complaint to agreed process/ procedure and backed by relevant source documents to support audits.
  • Ensure strict compliance to procedures for all changes requests (contract records).
  • Co-ordinate contractual changes, updates and ensure a clear audit trail for source documents.
 
Reporting
  • report on all contract changes.
  • Report on all contacts and % of use spend.
  • Report on contract expiry dates.
  • Contribute to the preparation and submission of Regulation reports.
  • Aid in the development of functional reporting systems, for management, project or performance reporting.
  • Report regularly and periodically performs 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.
  • Aid in the maintenance of relationships with service providers.
 
People Management
  • Ensure that good employee relations are maintained.
  • Provide ongoing operational support to employees.
 
Promote Strong Customer Service Orientation and Delivery
  • SLA assessment and customer (All BU’s) feedback on rating.
  • Dealing and resolving process and customer queries in an expedient and competent manner – 100% resolution within the timelines for each case.
 
Qualifications and Experience
  • Bachelor’s Degree/ Advanced Diploma in Supply Chain Management/ Legal/ Contract Management related qualification.
  • Member of Chartered Institute of Purchasing and Supply (CIPS) would be an added advantage.
  • Relevant 4 years’ experience in a Supply Chain Management Contract administration of which 1 year must have been on a supervisory level.
  • Experience with SAP Procurement module or similar ERP system.
 
Technical and Behavioral Competencies Required
  • Planning, organising and coordinating.
  • Personal mastery.
  • Judgment and decision making.
  • Ethics and values.
  • Client service orientation.
  • Strong understanding of and strong commitment to good corporate governance, SCM regulations and laws and other regulatory requirements including the PFMA.
  • Knowledge of the PPPFA, supply chain regulations from National Treasury, BBBEE.
  • Good written and verbal communication skills.
  • Good level of literacy and numeracy.
  • Ability to analyse information effectively.
  • Working experience with SAP procurement module and other accounting tools.
 
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 »