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Reference: 42284873Road Accident Fund Purpose of the Job: The Consultant: Loss of Support Adjudication is responsible for the processing of claimant application with regards to loss of support. Note: This is a 12 Months Fixed Term Contract Purpose of the Job: The Consultant: Loss of Support Adjudication is responsible for the processing of claimant application with regards to loss of support. Key Performance Areas Loss of support adjudication Review the claim against the loss off support adjudication standards. Assess loss of support supporting documents and data to determine the deceased duty to support (confirming affinity) Determine deceased ability to support the dependents by assessing income supporting data/documents in line with the approved quantum. Apply applicable case laws and Statutory limit to determine the LOE quantum. Based on the findings make a determination to reject or approve. Assess actuarial reports and make a determination to whether to instruct internal actuarial team to make actuarial calculation or not. Make an offer and submit to offer management for further communication with the claimant. Quality assurance Research, analyse and review policies and laws relevant to assigned cases. Participate in the consultations process on the implementation of claims and related processes. Ensure that LOS Adjudication and processes are implemented and maintained at the highest standards. Maintain the implementation an unusual occurrence procedures. 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 risk. Provide ad hoc reports on process improvement initiatives. Stakeholder management Maintain healthy relationships with all stakeholders. Follow up and resolve all queries, following up and making recommendations on which corrective actions are appropriate. 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 related qualification to discipline. Experience Relevant 3 years' experience in claims adjudication related environment. Competencies Behavioural: Planning, Organisation and coordinating. Personal mastery. Judgement and Decision Making Ethics and values. Client service orientation. Technical: 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. 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" Apply Now

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Jobs in Go!