Claims Officer X3

The Road Accident Fund’s mission is to provide appropriate cover to all road users within the borders of South Africa; to rehabilitate and compensate persons injured as a result of motor vehicle accidents in a timely and caring manner; and to actively promote safe use of our roads.

NOTE :THIS IS AN EIGHTEEN (18) MONTHS FIXED TERM CONRACT 

Purpose: The CLAIMS OFFICER  is responsible to provide support to the  Manager in the provision and management of the  RAF litigated matters in the hands of the  RAF Attorneys.

Key Performance Areas

Conduct Preliminary assessment of litigated files

• Investigate, evaluate and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to cotribute to a reduced legal costs ratio.
• Report complex, severe exposure claims for reinsurance purposes.
• Assessment and settlement of loss of earnings.
• Ensure efficient and cost effective finalization of claims through settlement negotiations.
• Perform assessment of merits and quantum.
• Assess general damages in terms of old and new Act.
• Assess settlement of loss of support.
• Assess settlement of funeral expenses.
• Assess settlement of medical expenses. 
• Block settlement. 
• Appoint assessors for merits and quantum verification.
• Loading of court orders.
• Perform writs assessment and reporting.
• Perform approval of offers.
• Perform bridge assessment and reporting. 

Escalate matters with litigious disputes to pleadings processes

•  Verify and analyze data used in settling litigated claims to ensure that there is a litigious dispute and that decisions for further litigation process are made according to company practices, policies and procedures.

Provide RAF Attorneys with file contents for trial preparation

• Confer with RAF  Attorney’s legal counsel on the litigation strategy to be embarked on in preparation of trial and receive requests for approval in terms of the delegation of authority. 
• Ensure high court practice notes are followed.
• Evaluate outstanding information.
• Assess claims for possible settlement.
• Evaluate expert medico legal reports.
• Follow up on outstanding information until all documents has been received.
• Repetitive diarising on 6th weekly basis.

Report on trial outcomes and out of court settlements

• Examine claims investigated by RAF Attorneys; further investigate questionable claims to determine whether to authorize settlements or tenders.

Qualification 

• Four (4) years Degree in Law or equivalent
• Admission as an Attorney of the High Court or Advocate.

Experience 

• Relevant 3 years experience in the claims /litigation environment 

Behavioural Competency 

• Personal mastery.
• Emotional wisdom.
• Ethics and governance.
• Customer orientation and customer focus.

Technical Competency

• Knowledge/ Skills in court rules and litigation.
• A good understanding of the organisation's litigation infrastructure, services provided and customers/users.
• A good understanding of the organization’s business to contribute or are to contribute to the RAF litigation processes.
• Statistical, numerical and analytical principles and processes.
• Excellent communication skills orally and in writing.
• Awareness of RAF vision and Strategic /business objectives.
• Experience of Microsoft Word, Excel and Outlook

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.