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Officer : Claims Investigations x4

Officer : Claims Investigations x4

Road Accident FundDurban, ZA
11 days ago
Job description

Job title : Officer : Claims Investigations x4

Job Location : KwaZulu-Natal, Durban

Deadline : November 08, 2025

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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 is 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 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 check 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 assessments associated 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.
  • Law / Legal  jobs
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    Officer • Durban, ZA

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