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Road Accident Fund vacancies 2025 – Consultant: Medical Management X20
The Road Accident Fund (RAF) continues to be one of South Africa’s most vital public entities — protecting citizens, promoting road safety, and ensuring fair compensation for those affected by road accidents. For 2025, the RAF has officially announced an exciting opportunity for passionate health professionals: 20 Medical Management Consultant positions based in Durban, KwaZulu-Natal.
If you are a healthcare or medical professional with analytical skills and a drive for social impact, this role offers a perfect blend of medical expertise, administrative precision, and national service.
The Consultant: Medical Management X20 role is a 3-year fixed-term contract that provides competitive remuneration, meaningful work, and career growth within one of the most respected institutions in South Africa.
About the Road Accident Fund (RAF)
The Road Accident Fund is a statutory body established under the Road Accident Fund Act (1996). Its core purpose is to provide compensation to victims of road accidents in South Africa resulting in bodily injuries or death caused by negligent driving. The RAF plays a key role in providing financial protection, rehabilitation, and medical support to those affected.
With offices across the country, the RAF is not just a compensation fund — it’s a life restoration system that brings hope and stability to thousands of South Africans every year.
The organisation is known for offering career-defining opportunities, promoting diversity, and driving transformation in the workplace. Through its 2025 recruitment drive, the RAF is opening doors for medical professionals to contribute their expertise toward improving healthcare and administrative standards in road accident compensation.
Position Overview: Consultant – Medical Management X20
• Division: Operations
• Reference No.: 5996
• Location: Durban, KwaZulu-Natal
• Employment Type: Fixed Term Contract (3 Years)
• Target Group: EE-targeted role (Disability inclusive)
• Grade: T.A.S.K 11
• Annual Salary: R501,775.00
• Closing Date: 15 October 2025
The Consultant: Medical Management role is central to the Road Accident Fund’s claims processing division, specifically focusing on medical assessment, exception handling, and reporting.
As a Medical Management Consultant, you’ll ensure that all medical claims are assessed and processed in accordance with RAF clinical guidelines, ensuring fairness, accuracy, and cost-effectiveness in every decision.
This is not just a desk job — it’s an opportunity to use your clinical and analytical expertise to make a difference in the lives of road accident victims across South Africa.
Purpose of the Job
The Consultant: Medical Management is responsible for implementing medical management activities within the claims processing department. You will handle medical exception management, conduct clinical assessments, and support administrative operations that uphold the Fund’s goal of efficient and fair claims resolution.
This position requires a professional who can balance medical knowledge, ethical integrity, and administrative efficiency to ensure accurate claims adjudication and effective healthcare cost management.
Key Performance Areas (KPAs)
1. Medical Management
• Conduct comprehensive medical assessments and compile detailed injury reports for claimants.
• Review medical claims to ensure accuracy, legitimacy, and compliance with RAF clinical guidelines.
• Assess treatment quality, length of hospital stay, and level of care provided to ensure appropriate and cost-effective medical services.
• Pre-authorise medical procedures and treatment aligned with RAF-approved tariffs and protocols.
• Identify fraudulent or inflated medical claims and recommend corrective actions.
• Support cost-saving initiatives while maintaining a high standard of medical care.
• Escalate complex or multi-disciplinary cases for review and adjudication by senior medical teams.
• Participate in consultations and improvement of medical claim policies and procedures.
2. Exception Handling
• Develop and maintain a structured exception-handling framework for medical management.
• Identify unusual or irregular claim patterns and report for escalation.
• Maintain accurate documentation and logs of all exception cases for future audits.
• Collaborate with internal teams to improve process efficiency and reduce repeat exceptions.
3. Reporting and Analytics
• Compile accurate, data-driven reports that track performance against set objectives.
• Identify emerging risks and propose preventive measures.
• Prepare presentations, policy briefs, and statistical analyses for internal management meetings.
• Provide ad hoc reports supporting continuous process improvement initiatives.
4. Stakeholder Management
• Engage proactively with claimants, healthcare providers, and legal representatives.
• Maintain professional and healthy relationships with internal and external stakeholders.
• Respond to correspondence and inquiries within agreed turnaround times.
• Follow up on unresolved queries and ensure that corrective actions are implemented.
Qualifications and Experience Requirements
To qualify for the Road Accident Fund vacancies 2025 for this role, applicants must meet the following requirements:
Minimum Qualifications:
• Bachelor’s Degree or Advanced Diploma in Health Sciences or any Medical-related qualification.
• Must be registered with HPCSA or SANCA.
Experience:
• Minimum of 3 years’ experience in a medical or healthcare-related environment, preferably in claims management, hospital billing, or medical auditing.
Required Skills and Competencies
The RAF seeks candidates who possess both professional expertise and strong interpersonal abilities. Ideal candidates will demonstrate the following:
Behavioral Competencies
• Exceptional planning, organization, and coordination skills.
• Strong decision-making and analytical thinking abilities.
• A deep sense of ethics, integrity, and accountability.
• Outstanding client service orientation and emotional intelligence.
• Ability to perform under pressure and manage competing priorities.
Technical Competencies
• In-depth knowledge of medical claims management processes.
• Familiarity with tariff structures, RAF treatment protocols, and formularies.
• Strong understanding of medical product management and bill reviewing.
• Knowledge of motor vehicle accident legislation.
• Proficiency in data analysis, documentation, and process optimization.
• Ability to use clinical insights to identify complex problems and recommend solutions.
Why You Should Apply for the Road Accident Fund Vacancies 2025
Working at the Road Accident Fund offers more than just a salary — it’s an opportunity to make a meaningful contribution to South African society.
Here’s why this opportunity stands out:
• Purposeful Work: You’ll be part of an organisation that restores lives and livelihoods after tragic road incidents.
• Professional Growth: RAF supports employee development through continuous training and leadership opportunities.
• Attractive Compensation: With an annual package of R501,775, you’ll earn competitively while serving your community.
• Stability and Security: The 3-year fixed-term contract provides job security and professional experience within a national institution.
• Inclusive Culture: RAF promotes diversity and inclusion, especially for candidates living with disabilities.
• National Impact: Your work will directly influence the fairness, efficiency, and integrity of South Africa’s road accident compensation system.
About the Durban Operations Division
The Durban office of the Road Accident Fund serves as a critical hub for claims processing and medical management within the KwaZulu-Natal province. As a Consultant: Medical Management, you’ll be part of a dynamic operations team that ensures all claims are assessed in line with legal and medical standards.
You’ll collaborate closely with medical assessors, claims officers, and administrative staff, working together to uphold RAF’s commitment to fairness, transparency, and client satisfaction.
What You’ll Learn in This Role
The Consultant: Medical Management X20 role is not only about applying existing knowledge — it’s about continuous learning.
Here’s what you can expect to gain during your tenure:
• Mastery of medical claims auditing and exception handling systems.
• Practical exposure to case management and clinical review processes.
• Advanced understanding of healthcare cost control and tariff compliance.
• Insights into South African road accident legislation and its medical implications.
• Experience working in a fast-paced government environment with national impact.
The Role’s Impact on South Africa’s Healthcare System
The Road Accident Fund vacancies 2025 — especially this medical management position — represent more than employment; they symbolize transformation in how medical claims are handled.
Every claim you process ensures that accident victims receive fair and timely compensation. Your assessments and recommendations directly impact the quality of care victims receive and the financial sustainability of the Fund.
By joining this team, you contribute to a more efficient, equitable, and compassionate healthcare reimbursement ecosystem.
Application Guidelines: How to Apply
Applicants must strictly follow the Road Accident Fund’s online application procedure.
Steps to Apply:
• Visit the official RAF careers portal or click the link provided under the “Apply Here” section.
• Complete all required fields on the online form accurately.
• Upload the following supporting documents:
• Detailed CV
• Certified copies of your ID, qualifications, and driver’s licence
• Proof of HPCSA/SANCA registration
• Ensure that all sections are completed — incomplete applications will be disqualified.
• Submit only one (1) application per candidate.
• The RAF does not accept emailed or hand-delivered applications.
Closing Date: 15 October 2025
Applicants who do not receive feedback within four weeks after the closing date should consider their application unsuccessful.
Employment Equity Commitment
The Road Accident Fund is an equal opportunity employer and is committed to the principles of Employment Equity. Preference will be given to candidates from designated groups and individuals with disabilities, in line with RAF’s Employment Equity Plan.
Final Thoughts
If you are a registered healthcare professional looking to transition into a strategic medical role with real social impact, then the Consultant: Medical Management X20 position at the Road Accident Fund is a career move worth making.
This opportunity will allow you to combine your clinical expertise with administrative leadership, contribute to national healing, and shape the future of medical claims management in South Africa.
Apply now for one of the most impactful Road Accident Fund vacancies 2025 — and become part of a mission that truly changes lives.
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