Note: This is a 12-month, fixed-term contract position 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/ lodgment rules in pre-accessing the prospective claim. Identify duplicate claims and linked claims. Examine the prescription of lodgment 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 standards. 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. Technical and behavioral competencies required 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 detail. 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." Note: This is a 12-month, fixed-term contract position 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/ lodgment rules in pre-accessing the prospective claim. Identify duplicate claims and linked claims. Examine the prescription of lodgment 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 standards. 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. Technical and behavioral competencies required 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 detail. 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."
