Job title : Officer : Claims Investigations (x2)
Job Location : Eastern Cape,
Deadline : November 11, 2025
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Purpose of the job : The OFFICER : CLAIMS INVESTIGATIONS is responsible for effectively and efficiently providing investigative support services for claims lodged against the Road Accident Fund (RAF).
Key Performance Areas
Investigation and assessment of Claims lodged
Trace insured driver / witnesses to consult and obtain statements and docket.Ensure that a proper sketch plan of an accident scene is drawn as part of the investigation and assessment process.Ensure that clear photographs of an accident scene, faces of the people interviewed, damaged vehicles and injuries to a person are taken as part of the investigation and assessment process.Obtain and / verify existing affidavits from different parties (e.g. claimants, witnesses, employers, etc.).Identify possible fraud and corruption and escalate to the Forensic Investigation Department (FID).Testify in court cases when a claimant is guilty and accused of fraud.Provide assistance in ensuring witness presence at court.Administrative support
Validate supporting documents (e.g. employment details, paternity / maternity details, SARS documents, etc.) for all related quantum investigations.Verify details of the claimant and those injured in an accident through Natis and Cross Check systems (e.g. ID no, contact numbers, address / s, employment details, etc.)Verify the details of the secondary vehicle / s involved in the accident to determine the owner / s.Quality checks the supporting documents from stakeholders to determine the validity of the logged claim.Validate loss of earnings.Provide progress reports as per the internal service level agreementDocument and records Management
Monitor and maintain an effective filing system.Ensure that files are correctly categorised and stored to ensure a smooth retrieval of documents.Administer the records management and filling processes in line with the RAF filling plan.Ensure confidentiality of all documents under control and that correspondence from the department office reaches intended recipients.Perform File Retrieval in Archive Services.Stakeholder Management
Provide advice to different parties (e.g. claimants, witnesses, employers, etc.).Handle any assessment associated with complaints.Maintain relationships with internal and external stakeholders.Qualifications
NQF 7 (bachelor's degree or Advanced Diploma) related qualification to discipline.Driver’s License.Completed training as an investigator will be an added advantage.Being a certified fraud examiner will be an added advantageExperience
Relevant 3 years’ experience in a similar environment.Experience in merit and quantum investigations will be an added advantage.Closing Date : November 4, 2025
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