Listing Reference: 5694
Listing Status: Applications Open
Position Summary
Company: Road Accident Fund (RAF)
Industry: Public Sector / Insurance / Claims
Job Category: Claims and Pre-Assessment
Location: Menlo Park, Pretoria, Gauteng, South Africa
Contract Type: Fixed-Term Contract (24 months)
Remuneration: R434,656.00 per annum
EE Position: Yes – This is a disability-targeted Employment Equity role
Closing Date: 3 June 2025
Introduction
The Road Accident Fund (RAF) invites applicants living with disabilities to apply for the Consultant: Pre-Assessment positions. This is a key opportunity for 11 individuals to join the RAF’s Pretoria-based Claims Division on a fixed-term contract of 24 months. The RAF is a critical institution serving the public by compensating and rehabilitating individuals injured in motor vehicle accidents across South Africa. If you are passionate about client service, claims processing, and making a real impact on people’s lives, this position is your gateway to a fulfilling career.
Job Description
The role of Consultant: Pre-Assessment is focused on the pre-assessment phase of the RAF claims process. The successful candidates will review, evaluate, and pre-assess claims to determine eligibility and compliance with RAF requirements before full lodgement. The role demands diligence, attention to detail, and the ability to communicate outcomes clearly to stakeholders.
The successful incumbents will:
- Record and track submitted documents for each prospective claim
- Verify compliance and eligibility based on the Motor Vehicle Accident Act
- Identify any duplicate or linked claims
- Assess claim prescription timelines and validate status with Home Affairs
- Communicate decisions and next steps to claimants efficiently and compassionately
Ideal Candidate
The ideal applicant will have:
- A disability as defined by South African employment equity guidelines
- A completed Bachelor’s Degree or Advanced Diploma in a relevant field
- A minimum of 3 years’ experience in a claims or insurance-related environment
- A strong understanding of legislation, ethics, and the public service environment
Candidates must be self-driven, resilient, and committed to excellence in public service delivery. A deep sense of empathy, professionalism, and integrity will set top candidates apart.
Role Responsibility
Duties and responsibilities will include:
Pre-Assessment of Claims
- Capture and record incoming documentation for prospective claims
- Assess benefits and products applicable to each claim
- Ensure claims meet pre-defined compliance standards
- Identify duplicates, linked claims, or non-compliance issues
- Apply prescription rules and cross-check with Home Affairs for claimant status
- Communicate assessment decisions to claimants professionally and timeously
Quality Assurance
- Uphold high standards throughout pre-assessment processes
- Maintain accurate documentation in compliance with RAF standards
- Implement and report on unusual case occurrences
Administrative Support
- Assist in preparing and typing reports, letters, memos, and presentations
- Organize and maintain accurate records of claims acknowledged
- Respond to internal and external correspondence in a timely manner
Reporting
- Provide regular updates on claim volumes and statuses
- Identify and report on process improvements and emerging risk areas
- Track performance against set key performance indicators (KPIs)
Stakeholder Management
- Build and maintain positive relationships with both internal and external stakeholders
- Provide clear, empathetic updates to claimants and stakeholders
- Ensure feedback loops are timely and constructive
Skills and Attributes
To excel in this role, applicants should possess:
- Deep understanding of RAF products and processes
- Solid knowledge of the Motor Vehicle Act and Motor Vehicle Accident Legislation
- Excellent judgment and decision-making abilities
- Exceptional communication and interpersonal skills
- Client-centric approach with the ability to manage complex claim scenarios
- Strong organizational and time management skills
- Analytical thinking and attention to detail
- Adaptability and resilience under pressure
- Personal integrity and ethical conduct
- Fluency in English (additional languages are a plus)
- Intermediate to advanced computer skills in MS Word, Excel, and Outlook
Technical Competencies
- Familiarity with PFMA and claims legislation
- Ability to analyze documents and ensure legal compliance
- Competency in identifying risk and fraudulent claims
- Experience in managing correspondence and document workflows
How to Apply
If you meet the minimum criteria and are passionate about serving road accident victims with empathy and efficiency:
- Prepare your detailed CV
- Include certified copies of your qualifications and ID
- Submit proof of disability (if applicable)
- Ensure SAQA evaluations are included for foreign qualifications
- Apply by the closing date: 3 June 2025
Important Notices
- Only shortlisted candidates will be contacted within six weeks of the closing date
- The RAF reserves the right not to appoint if a suitable candidate is not found
- Candidates will be subjected to security vetting and criminal checks
- Preference will be given to candidates living with disabilities in line with RAF’s Employment Equity objectives
Conclusion
This is your opportunity to become a part of a national mission to bring justice, dignity, and compensation to road accident victims. If you have the required experience, technical expertise, and a compassionate approach to public service, apply today and become a vital part of the Road Accident Fund’s claims transformation journey.