Note: This is a 12-month, 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 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. 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: 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 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. 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.
