Purpose of the Job: To be responsible for the processing and adjudication of death product claim
NB: This is a 12 Month's Fixed Term Contract Position Purpose of the Job: To be responsible for the processing and adjudication of death product claim
NB: This is a 12 Month's Fixed Term Contract Position Key Performance Areas Funeral adjudication Review the claim against the funeral adjudication standards Apply funeral benefit adjudication rules to determine quantum Generate funeral product offer using relevant offer template Obtain approval in line with DOA Research Analyse and review policies and laws relevant to assigned cases. After approval communicate the offer to the claimant through offer management Quality Assurance Participate in the consultations process on the implementation of claims and related processes Ensure that claims and processes are implemented and maintained at the highest standards. Maintain the implementation an unusual occurrence procedures Quality assure the funeral adjudication claims before they can be progressed to the phase of claims processing 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 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 and Experience Bachelor's Degree/Advanced Diploma in a related qualification Relevant 3 years' experience in a claims adjudication related environment. Technical and behavioral competencies required Planning, Organizing and Coordinating Personal Mastery Judgement and Decision Making Ethics and Values Client Service Orientation 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. Road Accident Fund Values Integrity Compassion Accountability Respect Excellence 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"