Officer: Claims Investigations (x2) Jobs

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  • Full Time
  • Durban, South Africa

Road Accident Fund

The Road Accident Fund is a state insurer that provides insurance cover to all drivers of motor vehicles in South Africa for liability incurred or damage caused by traffic collisions. It excludes liability for property damage, such as damage to vehicles, buildings, or vehicle contents.

Officer: Claims Investigations (x2)

  • Job Type: Full Time
  • Qualification: Bachelors
  • Experience: 3 years
  • Location: Eastern Cape
  • Job Field: Insurance

Purpose of the Job: The Officer: Claims Investigations is responsible for providing effective and efficient investigative support services for claims lodged against the Road Accident Fund (RAF).

Key Performance Areas

Investigation and Assessment of Claims Lodged

  • Trace the insured driver and witnesses to consult and obtain statements and dockets.
  • Draw a proper sketch plan of the accident scene as part of the investigation and assessment process.
  • Take clear photographs of the accident scene, faces of people interviewed, damaged vehicles, and injuries as part of the investigation and assessment process.
  • Obtain and verify existing affidavits from different parties, such as claimants, witnesses, and employers.
  • Identify possible fraud and corruption and escalate to the Forensic Investigation Department (FID).
  • Testify in court cases when a claimant is guilty and accused of fraud. Provide assistance to ensure witnesses are present at court.

Administrative Support

  • Validate supporting documents, such as employment details, paternity/maternity details, and SARS documents, for all related quantum investigations.
  • Verify details of the claimant and those injured in the accident through Natis and Cross Check systems, including ID number, contact numbers, address, and employment details.
  • Verify details of the secondary vehicles involved in the accident to determine the owners.
  • Quality check supporting documents from stakeholders to determine the validity of the logged claim.
  • Validate loss of earnings.
  • Provide progress reports as per the internal service level agreement.

Document and Records Management

  • Monitor and maintain an effective filing system.
  • Ensure files are correctly categorized and stored for easy retrieval of documents.
  • Administer records management and filing processes in line with the RAF filing plan.
  • Ensure confidentiality of all documents under control and that correspondence from the department office reaches intended recipients.
  • Perform file retrieval in Archive Services.

Stakeholder Management

  • Provide advice to different parties, such as claimants, witnesses, and employers.
  • Handle any assessments associated with complaints.
  • Maintain relationships with internal and external stakeholders.

Qualifications

  • NQF 7 (Bachelor’s degree or Advanced Diploma) in a related qualification to the discipline.
  • Driver’s License.
  • Completed training as an investigator will be an added advantage.
  • Being a certified fraud examiner will be an added advantage.

Experience

  • Relevant 3 years’ experience in a similar environment.
  • Experience in merit and quantum investigations will be an added advantage.

Closing Date: November 4, 2025

Method of Application: Interested and qualified candidates should apply through the Road Accident Fund careers portal.

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