NB: This is a 12 Month’s Fixed Term Contract Position
Purpose of the Job: The Consultant: Verification and Validation is responsible for the verification and validation of registered claims
Key Performance Areas
Verification and Validation
- Apply sound legal (RAF Act and Regulations to Act, Case Law) knowledge on daily basis to validate claims.
- Search for and apply relevant Case Law when during verification and validation
- Determine the need to call in the injured for questioning in line with the RAF act.
- Apply RAF procedures to validate the claims.
- Assess duplicate claims to address mandates and minimise further processing of duplicate claims
- Examine and apply the prescription of rules at the claim and product level
- Verify data and information with relevant stakeholders
- Assess the validity of death benefits products to determine locus standi.
Quality assurance
- Maintain and update necessary reporting standards as per standard operating procedure.
- Ensure that verification and validation are maintained at the highest standards.
- Maintain the implementation an unusual occurrence procedure.
Administrative support
- Document the acknowledge pre-assessed 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.
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
Reporting
- Track and report against set objectives and targets
- Report on emerging risks
- Provide ad hoc reports on process improvement initiatives.
Qualifications and Experience
- Bachelor’s degree/Advanced diploma in a related qualification.
- Relevant 3 years’ experience in the Claims environment
Technical and behavioral competencies required
- Planning. Organising and Coordinating
- Personal Mastery
- Judgement and Decision Making
- Ethics and Values
- Client Service Orientation
- 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
Road Accident Fund Values
- Integrity
- Compassion
- Accountability
- Respect
- Excellence
- Empathy
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”
NB: This is a 12 Month’s Fixed Term Contract Position
Purpose of the Job: The Consultant: Verification and Validation is responsible for the verification and validation of registered claims
