Claim Officer X40

40 Claims Officers

Branch: Operations

Reference Number: 5766

ZA, Gauteng, Menlo Park

Kind of Employment: Fixed-Term Contract

Disability (EE targeted role): No

10 is the T.A.S.K grade.

Salary for the Position: R434,656.00

Posting End Date: July 8, 2025

The goal of the Road Accident Fund is to actively encourage the safe usage of our roads, offer adequate coverage to all road users inside South Africa's borders, and rehabilitate and compensate victims of motor vehicle accidents in a timely and compassionate manner.

KEEP IN MIND that the duration of this fixed-term agreement is 18 months.

x10 Payment Hub, x10 Settlement Hub, x5 Determination, x5 Mediation, x5 Litigation, x5 Merits and x5 Adjudication Departments

Objective: The CLAIMS OFFICER is in charge of assisting the Manager in the supply and administration of the RAF litigated cases that are currently handled by the RAF Attorneys.

Major Performance Fields

Carry out Initial evaluation of cases that have been litigated

Employ technical expertise and interpersonal abilities to analyze, assess, and resolve claims in order to facilitate the fair and quick resolution of cases and aid in lowering the proportion of legal expenses.

Reinsurance purposes should be reported for claims involving complicated and serious exposures.

Determining and settling income loss.

Through settlement discussions, make sure the claims are finalized in an efficient and cost-effective manner.

Assess the quantum and merits.

Use the old and new Act to evaluate general damages.

Determine if the loss of support has been resolved.

Determine how funeral costs were paid.

Determine how medical costs are settled.

establishment of blocks.

Choose assessors for assessing quantum and merits.

Court order loading.

Carry out writ evaluation and reporting.

Approve offers.

Carry out bridge evaluations and reports.

Use the pleading procedure to escalate litigation arguments.

Confirm and evaluate the data used to resolve contested claims to make sure there is a litigious issue and that choices regarding the next steps in the litigation process are made in accordance with business practices, policies, and procedures.

Give file contents to RAF Attorneys so they may prepare for trial.

Obtain requests for approval regarding the delegation of authority and confer with the RAF Attorney's legal counsel on the litigation plan to be followed in advance of the trial.

Make sure that high court practice rules are adhered to.

Assess exceptional facts.

Evaluate allegations for potential resolution.

Assess reports written by medical legal experts.

Keep track of any missing data until every document has been received.

On a weekly basis, keep a diary of recurring events.

report the results of the trial and any out-of-court settlements

Examine claims investigated by RAF lawyers; conduct further investigations into dubious claims to ascertain if a settlement or bid should be approved.

Eligibility

Four (4) years A degree in law or its equivalent

be admitted as an attorney or advocate of the High Court.

Experience

3 years of relevant experience in the claims/litigation industry

Behavioral Proficiency

Mastering oneself.

Emotional intelligence.

Ethics and administration.

Customer orientation and attention.

Technical proficiency

Understanding of legal procedures and court regulations.

A thorough knowledge of the organization's legal system, the services it offers, and its clientele and users.

A strong grasp of the organization's business to contribute to or are to contribute to the RAF legal proceedings.

numerical, analytical and statistical principles and procedures.

Exceptional verbal and written communication abilities.

Understanding of the RAF vision and its strategic/business goals.

Knowledge of Microsoft Word, Excel, and Outlook:

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