RAF: Claims Officer - Determination T.A.S.K (Pretoria)


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 the safe use of our roads.

The Organisation requires the services of qualified individuals for the following positions on an Eighteen (18) Months Fixed Term Contract. The position will be based at the Pretoria Regional Office. THIS IS AN INTERNAL AND EXTERNAL ADVERTISEMEN CLAIMS OFFICER: DETERMINATION T.A.S.K GRADE 10 (X25)ORC-24092021-PTA LOCATION: Pretoria CLOSING DATE & TIME: 10/5/2021 11:55 PM Purpose of the Job: To provide claims handling to ensure prompt and fair settlement of claims.

Key Performance Areas Estimate value of loss in terms of DOA. · Review documentation or determine further documentation needed. · Scrutinize all claims documentation (e.g. Pay slips etc.). · Determine and estimate quantum of claims.

Quantify benefits and prepare offer. · If no expert is required, calculate the value of benefits · Loss of support/earnings calculation on advice of the Assessor and/or Senior Assessor · Provide details of income and fringe benefits in major sectors. · Determine contingency deductions to be applied. · Interpretation on the cap limit under the Amendment Act. · Assess the funeral account and award benefit in terms of ARAF Act. · Communicating and explaining offers to claimants. · Attending to queries with claimants. · Knowledge of rules of collateral and accelerated benefits. · Factor in contingencies, also consider merits allocated. · Prepare offer as approved by the assessor or senior assessor. · Consider any prior payments/interim payments/WCC/Social grants/EIL under the advisement or approval of the assessor or senior assessor. · Obtain approval in terms of delegation and send out offer. · If accepted, request payment. · If not accepted, revise the offer. · If summons served, refer matter to Litigation.

Qualifications & Experience · NQF 7(Bachelor’s Degree or Advanced Diploma) related qualification to discipline. · Relevant 3 years experience in claims environment.

Technical & behavioral Competencies required · Personal mastery. · Emotional Wisdom. · Ethics and governance. · Customer orientation and customer focus. · Detail orientated and analytical thinker. · Decision making. · Negotiation skills. · Time Management. · Leadership skills. · Communication (written and verbal). · Computer literacy

Road Accident Fund Values · Integrity, · Compassion, · Accountability, · Respect, · Excellence

Remuneration A total cost to company of minimum remuneration package applicable to this position is R349 998.00 Per annum and will be negotiable commensurate with experience.

Closing date: 05 October 2021 APPLICATIONS CAN BE FORWARDED FOR ATTENTION OF THE RECRUITMENT OFFICER AT: Gadifeled.recruitment@raf.co.za

INSTRUCTIONS TO PROSPECTIVE APPLICANTS 1. Indicate the name and the reference number for the position you are applying for on the subject line 2. Do not submit copies of qualifications and ID as these will be requested from shortlisted candidates on the interview date 3. Submit a short CV with a maximum of 5 pages 4. Please indicate your current salary and salary expectations if considered for the position. The Road Accident Fund subscribes to the principles of employment equity and preference will be given to groups who are underrepresented in terms of our Employment Equity Plan Please note that the prospective employees will be subjected to security vetting NB: Applicants who have not received any correspondence from us within six weeks from the closing date can consider themselves unsuccessful

NB: It is the applicant’s responsibility to have foreign qualifications evaluated by the South African Qualifications Authority (SAQA) and to provide proof of such evalua

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