Officer Determination x10

Division:  Operations

Reference No:  3643

Location:  

Durban, Kwazulu-Natal, ZA

Employment Type:  Fixed Term Contract

Disability (EE targeted role):  No

T.A.S.K Grade:  10

Job Posting Salary:  R434,656.00

Job Posting End Date:  19 Dec 2023

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.

Purpose of the Job: To provide claims handling to ensure prompt and fair settlement of claims.

Key Performance Areas

To estimate value of loss in terms of DOA

  • Review documentation or determine further documentation needed.
  • Scrutinize claims documentation (e.g. payslips, etc.)
  • Determine and estimate quantum of claims.

To liaise with panel of experts for expert advice

  • Consider experts reports particularly actuarial calculations.
  • Instruct the relevant experts to quantify the benefits e.g. actuary, industrial psychologists on the advice of and approval of the assessor and/or senior assessor.

To quantify benefits and make appropriate offers.

  • 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 the 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.

To provide claims assistance during road shows

  • Drawing files for road shows.
  • Liaise with claimants to attend the road show.

Qualifications & Experience

  •  NQF 7 Bachelor’s Degree or Advanced Diploma qualification
  •  Relevant 3 years’ experience in claims experience

Technical and 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

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.

Click here to apply

All the best with your applications

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