OFFICER: VERIFICATION AND VALIDATION

Location: Pretoria

Salary: R434 656.00 per annum

Purpose of the Job

To ensure a valid & legitimate claim is being filed.

Duties & Responsibilities

Verification and Validation of claims
•    Apply sound legal (RAF Act and Regulations to Act, Case Law) knowledge on daily basis to validate claims.
•    Search for and applying relevant Case Law when possible and necessary.
•    Applies relevant third-party principles and RAF procedures.
•    Check duplicate claims and linked claims, follow up with the relevant Claims Handler and/or CAFS if duplicate/similar claims occur. 
•    Verify data and information with Home Affairs, HPCSA, SAPS, E-Natis (print result of Home Affairs check and put on file).
•    Check for prescription of claim on contact Postal Services where needed.
•    Complete checklist to be filed and make necessary notes to Senior & Claims staff.
•    Split Loss of Support/Funeral Claims where needed (locus standi issues).
•    Maintains and update necessary registers on a regular basis as per procedure manual.
•    Always keep proper file notes by indicating content, date.
•    Ensure that all tasks necessary for the effective up to date office are done where possible and reasonable considering the file counts.
•    Perform additional work-related tasks as instructed by immediate superiors (acting on behalf of Senior, assisting Registration Dept. with the completing of file covers, making photocopies of file contents.

Raising objections for invalid claims
•    If non-compliance, raise objection.

Checking compliance with the RAF Act 56 of 1996 as amended
•    Compliance with RAF policies, procedures and legislation.
•    Ensure consistent application of policies and procedures within the team

Technical and behavioral competencies required
•    Personal mastery.
•    Emotional wisdom.
•    Ethics and governance.
•    Customer orientation and customer focus.
•    Computer literacy.
•    Knowledge of Law, Litigation and MVA procedures.
•    Exceptional Communication (Written, Verbal, listening).
•    Sound decision making abilities.
•    Assertiveness.
•    Professionalism.
•    Negotiation skills.
•    Good organisational skills.
•    Analytical thinking and problem-solving skills.

Desired Experience & Qualification

•    NQF 7(Bachelor’s Degree or Advanced Diploma) in Law or related qualification.
•    Relevant 3 years’ experience in Claims Handling environment.
•    Experience in Office Management.

Package & Remuneration

R434 656.00 per annum, negotiable.

Additional Information

NB:  
The Road Accident Fund subscribes to the principles of employment equity and preference will be given to People with Disabilities.

•    Applicants who have not received any correspondence from us within six weeks from the closing date can consider themselves unsuccessful.

•    Security Vetting shall be conducted on all prospective employees.

•    It is the applicants’ responsibility to have foreign qualification evaluated by the South African Qualification Authority (SAQA) and to provide proof of such evaluation.

Click here to apply

All the best with your applications