Claims Officer x 40 at Road Accident Fund

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