MEDICAL ADJUDICATOR (PROFESSIONAL NURSE JOB )JOB OPPORTUNITIES (X2 POSTS)
SALARY : Grade 1: R260 760 – R302 292 per annum (OSD) Grade 2: R320 703 – R8 307 per annum (OSD) Grade 3: R388 974 – R492 756 per annum (OSD)
CENTRE : Mafikeng Labour Centre – Ref No: HR 4/4/10/18 (X1 Post)
Rustenburg Labour Centre: Ref No: HR 4/4/10/19 (X1 Post)
REQUIREMENTS : Four (4) years nursing degree/three years’ diploma. Post Graduate Diploma in Occupational Health/Theatre Technique/Critical Care will be an advantage. Experience in trauma/emergency/internal medicine/general surgery/orthopaedics/theatre at the regional public or private hospital is required. Experience in medical claims processing/insurance environment will be an added advantage. Registration with the South African Nursing Council. Grade 1: 2 to 9 years’ experience gained after registration. Grade 2: 10-19 years’ experience gained after registration. Grade 3: 20 years’ experience gained after registration.
Knowledge: DoL and Compensation Fund objectives and business functions, Compensation Fund Services, Directorate or sub-directorate goals and performance requirements, Nursing legislations and or related legal as well as ethical nursing practices, Compensation Fund policies, procedures and processes, Stakeholders and customers, Customer Service (Batho Pele Principles), COIDA tariffs, Technical knowledge, PFMA and National Treasury Regulations, Public Service Act. Skills: Required Technical Proficiency, Business writing, Required IT skills, Data capturing, Data and records management, Telephone Skills and Etiquette.
DUTIES : Provide medical advice and recommendation in the acceptations of liability. Recommend the approval of medical accounts. Provide medical advice on the processing of occupational injury claims. Determine PD (Permanent Disability) and TTD (Total Temporary Disability). Assess medical accounts on occupational injury claims and OD medical accounts. ENQUIRIES : Mr S Mogakane Tel No: (018) 387 8100
APPLICATIONS : Chief Director: Provincial Operations: Private Bag X 2040, Mmabatho, 2735 or hand delivery to 2nd Floor, Provident House, University Drive, Mmabatho.
FOR ATTENTION : Sub-directorate: Human Resources Management Email for the post at Mafikeng Labour Centre: Jobs-NW8@labour.gov.za Email for the post at Rustenburg Labour Centre: Jobs-NW9@labour.gov.za