OFFICER: DETERMINATION
Location: Pretoria
Salary: R434 656.00 per annum
Purpose of the Job
To provide claims handling to ensures prompt and fair settlement of claims.
Duties & Responsibilities
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.
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 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 offer.
• If summons served, refer matter to litigation.
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.
Desired Experience & Qualification
• NQF 7 (Bachelor’s Degree or Advanced Diploma) related qualification to discipline.
• Relevant 3 years’ experience in claims environment.
Package & Remuneration
R434 656.00 per annum, negotiable
Additional Information
NB:
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
All the best with your applications
