Saturday , June 12 2021

RAF Jobs – Sr Claims Specialist

Website Road Accident Fund

Job Description:

The SENIOR CLAIMS SPECIALIST is accountable to oversee effective and efficient administration of all claims processes and systems within the RAF to deliver a high level of customer satisfaction. The role is also expected to drive implementation of the business operating model across the RAF processing centres.

Job Responsibilities:

  • Lead the effective and efficient provisioning of actuarial support and advice to the RAF business.
  • Manage the implementation of a successful claims mediation process to minimize litigation of a claim.
  • Liaise with other departments to identify improvements in claims process and procedure.
  • Establish and maintain appropriate systems to perform claims processing, medical administration and other claims related functions.
  • Ensure claims activities at a high level, comply with organisational requirements for quality management, legal stipulations, and general duty of care.
  • Ensure that claims merits are thoroughly assessed and determination is based on accurate information.
  • Drive the provision of sound claims administration support to ensure a smooth claims experience for the claimants.
  • Manage the implementation of automated processes of direct and indirect claims handling procedures and risk management processes that will enable a smooth claims process and foster transparency for the end user.

Job Requirements:

  • Business qualification advantageous.
  • Verbal and Communication skills.
  • NQF 7 (Bachelor Degree) related qualification.
  • Data & analytical, communication, leadership, managerial and organizational skills.
  • Knowledge of claims management systems processes and administration.
  • Ability to do long-term planning, to create and manage budgets.
  • Relevant 8-10 years’ experience in the claims administration environment of which 3 (three) years must have been on management level.
  • Skilled in critical thinking, creativity in resolving unique and challenging business problems.

Job Details:

Company: Road Accident Fund

Vacancy Type: Full Time

Job Location: Sandton, ZA

Application Deadline: N/A

Apply Here