Location: Johannesburg, Gauteng, ZA
Job Type Classification: Permanent
Closing Date: Not Specified
Salary: R434,656.00
PURPOSE OF THE JOB:
For claims filed against the Road Accident Fund (RAF), the Officer: Claims Investigations is in charge of delivering effective and efficient investigative support services.
KEY PERFORMANCE AREAS:
Investigation and Assessment of Claims lodged
- Track down witnesses and the insured driver to speak with them and get their statements and documents.
- As part of the investigation and assessment process, make sure that an accurate sketch plan of the accident scene is created.
- As part of the investigative process, make sure that crisp photos of the accident scene, the faces of the people interviewed, any damaged cars, and any injuries sustained by anyone are taken.
- Obtain and/or confirm pre-existing affidavits from various parties, such as employers, witnesses, and claimants.
- Report any suspected corruption or fraud to the Forensic Investigation Department (FID).
- When a claimant is suspected of fraud and is quilty, testify in court.
- Assist in making sure witnesses appear in court.
Administrative Support:
- Verify all relevant quantum investigations’ supporting documentation, such as job records, paternity and maternity records, SARS records, etc.
- Use the Natis and Cross Check systems to confirm the claimant’s and accident victims’ information (e.g. ID number, contact numbers, address or addresses, employment details, etc.).
- To identify the owner or owners, confirm the information about the secondary car or vehicles involved in the collision.
- Verify the quality of the stakeholders’ supporting documentation to ascertain the veracity of the logged claim.
- Verify the loss of profits.
- Report on developments in accordance with the internal services level agreement.
Document and Records Management:
- Observe and keep up a productive filing system.
- Maintain the confidentiality of all documents under control and make sure that correspondence from the department office reaches the intended recipients.
- Ensure that files are properly classified and stored to ensure a seamless retrieval of documents.
- Manage the records management and filing procedures in accordance with the RAF filing plan. Use Archive Services to retrieve files.
Stakeholder Management:
- Give advise to various parties, such as employers, witnesses, and claimants.
- Respond to any concerns pertaining to assessments.
- Keep up your connections with stakeholders, both internal and external.
QUALIFICATIONS:
- Bachelor’s degree or advanced diploma,
- or NQF 7, is a discipline-related qualification.
- A driver’s license. An additional benefit will be having finished investigatory training.
- An additional benefit will be being a certified fraud examiner.
Experience:
- Associated with three years of experience in a comparable setting.
- Experience in quantum and merit investigations will be beneficial..
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CLAIMS INVESTIGATION OFFICERS X3