Consultant: Pre-Assessment x6 needed at Road Accident Fund

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Job title : Consultant: Pre-Assessment x6

Job Location : KwaZulu-Natal, Durban

Deadline : December 21, 2024

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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 assesing 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 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 and Experience  

  • Bachelor’s Degree/Advanced Diploma in a related qualification
  • Relevant 3 years’ experience in the Claims environment.

How to Apply for this Offer

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