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Officer : Claims Investigations (x2)

Officer : Claims Investigations (x2)

Road Accident FundZA
8 days ago
Job description

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 agreement
  • Document 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 advantage
  • Experience

  • 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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