Job title : Consultant: Verification and Validation
Job Location : Eastern Cape, East London
Deadline : December 21, 2024
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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 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.
Adequate and sound quality assurance.
Ensure that verification and validation are maintained at the highest standards.
Maintain the implementation of 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
Bachelor's Degree/Advanced Diploma in a related qualification.
Experience
Relevant 3 years' experience in the Claims environment.
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