Key Performance Areas

Provide Leadership in the Claims Assurance Management

• Ensure that claims assurance is effectively conducted and finalised in accordance with defined processes and procedures, and timelines.
• Ensure all required supporting information is attached to claims assurance requests before processing.
• Ensure all claims assurance requests are reviewed in a timely and correct manner.
• Ensure that complete diary notes are made on the Claims Assurance Management System on a daily basis.
• Ensure that proper records are kept for all claims assurance requests received.
• Liaise with external attorneys, medical and other experts where applicable.

Provide Legal Advice

• Provide legal advice to the RAF on litigated claims and direct claims as appropriate.
• Ensure that deviation from policy or process on claims is documented and reported.
• Provide training to business to optimise claims processing.

Policy Review and Implementation

• Contribute to the development and implementation of departmental policy, procedures and processes.
• Keep up to date with effective policy and practice execution strategies.

Reporting

• Prepare and submit public relations reports as and when required to provide progress updates and/or inform management decisions.
• Develop reports/ policies/ procedures and guide the process through the alignment of the documents to the overall RAF’s strategy.
• Develop functional reporting systems, for management, projects or performance reporting.

Stakeholder Management

• Facilitate and manage communication with relevant internal and external stakeholders and proactively and progressively manage the relationships.
• Communicate with all levels of stakeholder contact.

Qualifications and Experience

• Bachelor’s Degree in Law or equivalent.
• Relevant 5 – 7 years’ experience in a Litigation related environment.
• Business sector experience – preferably in a parastatal organisation.