Job title : Consultant: Pre-Assessment
Job Location : Western Cape, Cape Town
Deadline : July 27, 2024
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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 / lodgement rules in pre assessing the prospective claim.
- Identify duplicate claims and linked claims.
- Examine the prescription of lodgement and apply prescription rules.
- Verify mortality with Home Affairs.
- Communicate the assessment outcome to the prospective claimants.
Quality assurance.
- Ensure that pre assessment processes are implemented and maintained at the highest standard.
- Maintain the implementation an unusual occurrence procedures.
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 the updated on the status of a query.
- Respond to queries within the predefined turnaround times.
Qualifications
- Bachelor’s Degree/Advanced Diploma) related qualification.
Experience
- Relevant 3 years’ experience in the Claims environment.
Competencies
Behavioural:
- Planning, Organising and Coordinating.
- Personal mastery.
- Judgement and Decision Making.
- Ethics and Values
- Client Service Orientation.
- Emotional Wisdom.
- Ethics and Governance.
- Customer orientation and customer focus.
Technical:
- Ability to differentiate different RAF Products.
- Knowledge of Motor vehicle At.
- 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 details.
- Natis and cross Check systems.
How to Apply for this Offer
Interested and Qualified candidates should Click here to Apply Now
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