ROAD ACCIDENT FUND (RAF) VACANCIES

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PERSONAL ASSISTANT: HEAD
Division:  Governance
Reference No:  3751
Location:  Centurion, Gauteng, ZA
Employment Type:  Permanent
Disability (EE targeted role):  No
T.A.S.K Grade:  10
Job Posting Salary:  R434 656.00
Job Posting End Date:  23 Jan 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 Head: Assurance and Monitoring, the successful incumbent is responsible for providing an end to end effective, efficient and responsive administrative and secretarial service in the respective area.
 
Key Performance Areas
 
Provide Office Management Support in the Respective Office

• Screen phone calls, enquiries and requests, as well as handling them when appropriate.
• Identify items that need personal attention, respond to the appropriate ones directly and redirect selected emails to the direct reports or other departments for resolution.
• Facilitate the processing of memorandums for approval.
• Keep up to date with administrative changes organisationally and ensure  adherence and compliance requirements.
• Coordinate the submission of all required reports for timeous submission.
• Ensure quality standard on all the documentation prior enroute for further handling.
• Coordinate the submission of reports to and from different higher offices.

 
Provide clerical Support in the Assurance and Monitoring Office

• Process documentation with confidentiality at all times.
• Prepare travel arrangements for the department.
• Assist and coordinate departmental projects.
• Ordering stationary and office equipment.
• Create and manage purchase requisitions and ensure timeous payment of purchase orders.
• Administrate SCM or procurement related processes.

 
Correspondence and Document Management

• Act as the first point of contact in the office and ensure effective running of the office.
• Administer briefing papers, reports, charts and presentations.
• Report, review and quality assure all documents that are submitted for the units attention.
• Develop and maintain document management system (Electronic and manual).
• Handle the office filling.
• Manage internal and external correspondence on behalf of the unit.
• Track and follow up on memorandums and related documents.
• Monitor and track office budget in support of the respective area.

 
Meeting Management

• Prepare facilities for scheduled meetings, events and arrange refreshments, if required.
• Manage diary and schedule meetings and appointments.
• Take minutes in meetings as and when required.

 
Qualifications and Experience

•  A National Diploma in Public Administration/Management/Office Management/Administration or related qualification.
• A certificate in relation to the functional discipline will be an added advantage.
• At least 3 years' working experience as a Personal Assistant/ Secretary or in a similar environment of which 1 year should have been rendered to Senior Management.
• Excellent working experience in MS Office.
• SAP experience will be an added advantage.
• Excellent working experience in MS Office.
• SAP experience will be an added advantage.

 
Technical and Behavioural Competencies Required

• Planning, organizing and coordinating.
• Personal mastery.
• Emotional wisdom and decision making.
• Ethics and values.
• Excellent report writing.
• Planning and organising skills.
• Excellent professional communication (Verbal and Written).
• Knowledge of the PFMA.
• Excellent working knowledge of MS Office.
• Attention to detail and accuracy.
• Office management.
• Diary management.
• Secretarial Administration

 
 
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: PRE-ASSESSMENT X10
Division:  Claims
Reference No:  3891
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:  27 Feb 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 6 Months Fixed Term Contract
 
Purpose of the Job: The Consultant: Pre assessment is responsible for the pre assessment of prospective claims applications.
 
Key Performance Areas
 
Pre Assessment of prospective claims.

• Record all the submitted documents for prospective claims.
• Determine the benefits and the products submitted based on the submitted documents.
• Assess the submitted documents to determine compliance as per defined processes and rules.
• Apply compliance and / lodgement rules in pre assessing the prospective claim.
• Identify duplicate claims and linked claims.
• Examine the prescription of lodgement and apply prescription rules.
• Verify mortality with Home Affairs.
• Communicate the assessment outcomes to the prospective claimants.

 
Quality assurance.

• Ensure that pre assessment processes are implemented and maintained at the highest standard.
• Maintain the implementation an unusual occurrence procedures.

 
Administrative support.

• Document the acknowledged claims.
• 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 risks.
• Provide ad hoc reports on process improvement initiatives.

 
Stakeholder Management.

• Maintain healthy relationships with all stakeholders.
• 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 a related qualification.

 
Experience

• Relevant 3 years’ experience in the Claims environment.

 
Competencies
 
Behavioural:

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

 
Technical:

• Ability to differentiate different RAF Products.
• Knowledge of Motor vehicle Act.
• 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.
• Attention to details.

 
 
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: BILL REVIEW X4
Division:  Operations
Reference No:  3904
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:  27 Feb 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 6 Months Fixed Term Contract
Purpose of the Job:  Review Medical Bills.
 
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 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 analysing trends in 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 analysing trends in utilization of services.
• Formal assessment of medical necessity and appropriateness of procedures the will be in 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 the tariffs used on accounts.
• Provided training on new developments.

 
Approve medical expenses in accordance with relevant DOA.

• Authorisation 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.

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Check & approve Payments in terms of DOA.

• 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.

 
Pre authorisation of procedures.

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

 
Qualifications

• NQF 6 (Diploma or Advanced Certificate) in Nursing or Allied Health Professions or related qualification to discipline.
• NQF 7 (Bachelor’s Degree/Advanced Diploma) in nursing/ Allied Health Professions related qualification to discipline will be an added advantage.
• Registration with the relevant Health professions council.

 
Experience

• Relevant 3 years’ experience in a medical field.

 
Competencies
 
Behavioural:

• Personal mastery
• Emotional Wisdom.
• Ethics and Governance.
• Customer orientation and customer focus.

 
Technical:

•  Computer literacy.
•  Ability to interpret the rules of the UPFS tariffs.
•  Analytical skills.
•  Organisational & Administrative skills
•  Planning and Organising
•  Decision making
•  Negotiation skills.

 
 
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:  Operations
Reference No:  3900
Location:  Cape Town, Western Cape, 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:  27 Feb 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 6 Months Fixed Term Contract
Purpose of the Job:  To manage the rehabilitation and health care needs of the injured.
 
Key Performance Areas
 
Decision making regarding quality of care.

• Assessment of ongoing medical problems of the injured after discharge in the home environment.
• Assessment of patient according to prescribed measurements.
• Assessment of burden of care and needs of the client.
• Monitors of quality of care issues
• Selection and monitoring clinical pathways.

 
Decision Making regarding collaboration.

• Facilitates collaboration of service providers with client.
• Protector of privacy and confidentiality.
• Coordination of plan of care and services.
• Facilitate caregiver’s appointments necessary for the client.
• Facilitate timely consultation with appropriate medical service providers.
• Facilitate family and clinical team communication.
• Health educator and counsellor for client and family.
• Utilization review.
• Post discharge follow-through.

 
Decision making regarding advocacy criteria.

• Conflict resolution expert and referee.
• Liaison between patient and care team.
• Negotiating and procuring resources and services from providers.
• Benefit analysis.
• Record keeping and documentation.
• Maintain patient confidentiality.

 
Decision making regarding resource utilization.

• Post discharge follow-through.
• Drug utilization review.
• Assistive devices necessary for client.
• Home alterations.
• Vehicle adaptations.
• Vocational guidance after life changing event for client.
• Placement of children in special schools.
• Back to work opportunities.

 
Decision making regarding legal & ethical criteria.

• Advise client of accident relatedness of his claim.
• Decide reasonableness and appropriateness of service.
• Advise whether altering homes and placing clients in rehab centres or institutions is appropriate.
• Advice regarding payment of care givers taking into account patient autonomy, informed choice, medical implications and burden of care.

 
Pre-authorisation of admissions.

• Arrange for hospital admission and advise patients on their benefit.

 
Assess medical Bills.

• Assessment of bills received and advise claimants of outcomes of bill review.

 
Recommend payment.

• Recommend payment of bills assessed.

 
Qualifications

• NQF 6 (Diploma or Advanced Certificate) in Nursing or Allied Health Professions or related qualification to discipline.
• NQF 7 (Bachelor’s Degree or Advanced Diploma) in nursing/ Allied Health Professions related qualification to discipline will be an added advantage.
• Registration with the relevant Health professions council
• Knowledge of ICD and CPT coding will be an advantage.
• Valid code 8 driving license.

 
Experience

• Relevant 4 years’ experience in the medical field of which 1 year is on supervisory level.
• Experience in Managed health.

 
Competencies
 
Behavioural.

•  Organisational Resilience.
• Team Resilience.
• Network and Alliances
• Personal Mastery.
• Judgement and Decision Making.
• Emotional wisdom
• Ethics and Governance.
• Customer orientation and Customer Focus.

 
Technical.

• People orientated.
• Team player.
• Adaptability, flexibility, and creativity.
• Interpersonal & communication skills.
• Strong sense of self-esteem and confidence.
• Good follow-through
• Self-directedness.
• Caring attitude and behavior
• Assertiveness skills
• Analytical skills

 
 
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 »