Officer : Claims Investigations (x2)
Road Accident FundEast London, Eastern Cape, South Africa2 days ago
Job descriptionEnsure 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 / or 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 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 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 Handle any assessment associated with complaints. Maintain relationships with internal and external stakeholders. 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. Relevant 3 years’ experience in a similar environment. Experience in merit and quantum investigations will be an added advantage. Knowledge of Natis and Cross Check systems. Ability to obtain appropriate affidavits. Report writing skills. Computer literacy (MS Office and SAP). Attention to detail and accuracy. General Administration and document management. Personal Mastery Emotional Wisdom. Ethics and Governance. Customer orientation and Customer focus.
Overview
Division : Claims
Reference No : 6300
Location : East London, Eastern Cape, ZA
Employment Type : Permanent
Disability (EE targeted role) : No
T.A.S.K Grade : 10
Job Posting Salary : R434,656.00
Job Posting End Date : 4 Nov 2025
The Road Accident Fund’s mission is to provide timely and equitable assistance to those affected by motor vehicle accidents through the provision of appropriate social benefits to ensure financial relief and recovery for qualifying individuals.
Purpose
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.
Validate supporting documents (e.g. employment details, paternity / maternity details, SARS documents, etc.) for all related quantum investigations.
Monitor and maintain an effective filing system.
Provide advice to different parties (e.g. claimants, witnesses, employers, etc.).
Qualifications
Experience
Technical And Behavioral Competencies
Notes
NB : RAF offers Total Employment Cost packages with no additional contributions from the Employer; successful candidates are required to structure their packages in a manner that will suit their needs.
The Road Accident Fund subscribes to the principles of employment equity and preference will be given to People with Disabilities.
Applicants who have not received any correspondence from us within six weeks from the closing date can consider themselves unsuccessful.
Security Vetting shall be conducted on all prospective employees.
It is the applicants’ responsibility to have foreign qualification evaluated by the South African Qualification Authority (SAQA) and to provide proof of such evaluation.
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X2 • East London, Eastern Cape, South Africa
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