Summary
Overview
Work History
Education
Skills
Software
Certification
Timeline
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Veronica Duarte

Legal Cost Officer
Pretoria

Summary

Experienced and professional Claims & Legal Cost Officer with over 20 years of experience in the Road Accident Fund. Hardworking and passionate with strong organizational and adaptable skills in order to assist in achievement of company goals and objectives.






Overview

54
54
years of professional experience
10
10
years of post-secondary education
4
4
Certifications
3
3
Languages

Work History

Legal Cost Officer (Attorney & Client)

Road Accident Fund
Pretoria
08.2022 - Current
  • Commenced working in Attorney & Client Department as Legal Cost Officer on 1 August 2022
  • Ensure non duplicate payment of bills
  • Create spreadsheets using Microsoft Excel for daily, weekly and monthly reporting pertaining to Attorney & Client Bills attended to
  • Loading of High & Magistrate taxed Court Bills on system for payment
  • Peruse marked bills to ensure correct VAT tariff applied by attorney/tax consultant and Officer having marked Bill
  • Attend to Deleted status Bills
  • Ensure correct banking details of attorney have been captured by assistant


Legal Cost Officer Assessor Department (PROJECT)

Road Accident Fund
Pretoria
11.2021 - 07.2022
  • Ensuring attendance, investigation & feedback to all Excel queries lists submitted by numerous Assessor firms
  • Attendance to all invoices submitted
  • Request payment of Invoice after Investigated and all documents inspected
  • Actively listened and communicated with assessors in order to handle possible concerns, provide information and guidance
  • Attended virtual team meetings with assessor firms when requested in order to enhance productivity
  • Attended to all instructions given by Panel Management, Manager, Senior and provided feedback herein
  • Liaised with erstwhile panel attorneys to obtain information due to assessors not being able to communicate with panel attorneys
  • Saved RAF funds by returning duplicate Invoices; non payment of Invoices where Investigations were done without Vendor ticket issued for assessor by RAF ; non payment of Prescribed Invoices
  • Further funds saved by correcting Invoices with incorrect fee structure which were not submitted in accordance with SLA during its subsistence
  • Ensuring correct application on Invoices pertaining to VAT
  • Requested Invoices from Iron Mountain and Metro File in order to assist where possible with Vendor tickets as well as avoidance of duplicate payments
  • Provided all assessor firms with detailed, updated spreadsheets each fortnight as well as upon demand
  • Efficient Time Managment: Assisted File Closure department in requesting files from Metro File; Filing Checklists completed & placing notes on claims view pertaining to date checklists filed on physical files
  • Prepared variety of different written communications, reports and documents for Manager and Senior pertaining to progress report in finalization of Assessor Invoices & department.

File Closure Officer

Road Accident Fund
Pretoria
04.2021 - 10.2021
  • Contracted to File Closure as from 12 April 2021 as per Employee Performance Contract
  • (Assessor department ceased to exist & was dissolved on 12 April 2021. Despite cessation, assessors had not submitted all invoices;Assessor queries and Invoices delegated to author to attend to in conjunction with File Closure Department )
  • Receive and record files to be assessed within File Closure department
  • Update status of allocated files on claims view system upon Finalization of file
  • Update status of allocated files on claims view system upon changing status of file to Undertaking status
  • Keep daily statistics of activities on work allocated, assessed and finalized
  • Submit daily statistics as required by management pertaining assessments and finalizations
  • Maintain accurate record of files finalized
  • Complete & File physical checklists on physical files
  • Request physical files from Metro file on daily basis to peruse file, complete checklist and place on physical file
  • Carried out day-to-day duties efficiently within File Closure department whilst assisting in Assessor department

Pre Screen files to ensure they belong to the correct branch of the RAF

Legal Cost Officer Assessor Department

Road Accident Fund
Pretoria
07.2018 - 04.2021
  • Effective assessment of RAF Panel assessors Invoices
  • Applying correct annual tariff on Invoices received
  • Prevention of duplicate payments
  • Attending to all RAF Panel assessor queries for dept as per instruction of Senior and Manageress
  • Adhering to SLA signed between Assessor panelist and Road Accident Fund
  • Print Reconciliation reports on a monthly basis for Assessors
  • Acting Senior in Assessor department when Senior on annual leave or unforeseen circumstances
  • Intense perusal of Investigated reports annexed to Invoice to ensure correct tariff applied by assessor
  • Maintain turnaround time of capturing assessor Invoices for payment
  • Adhere to turnaround time for attending to assessor queries
  • Proved successful working within tight deadlines and fast-paced atmosphere.
  • Communicate with assessors, telephonically and per email pertaining to queries from RAF
  • Collaborated with team members to achieve target results.


Legal Cost Officer: Party & Party Fee Analysis

Road Accident Fund
Pretoria
03.2018 - 06.2018
  • (1 March 2018 to 30 June 2018)
  • Attend to Breakdown of Bill of Cost received from Attorney
  • Check for duplicate payments
  • Verification that all necessary documents are attached to submitted bill
  • Liaise with Attorney firm to ensure Banking details are correct
  • Liaise with Attorney firm requesting outstanding documents where required
  • Ensure that Correspondent attorney bill is annexed to Attorney bill
  • Loading of bills on system for payment

Legal Cost Officer; Assessor Department

Road Accident Fund
Pretoria
04.2016 - 02.2018
  • Senior & author Commence Assessor department upon Management Instruction
  • Book boardroom upon instruction of Senior, after senior confirms date of meeting/s to be held with individual assessor firms
  • Work with assessors to understand needs and provide excellent service
  • Attend meeting with senior as P.A & type Minutes of Meeting
  • Effective assessment of RAF Panel assessor invoices
  • Ensure Prevention of duplicate payments
  • Study submitted reports from assessor in order to ensure that correct tariff applied
  • Capture invoices for payment and submit same to Senior
  • Maintain turnaround time of capturing assessor Invoices for payment
  • Adhering to Service Level Agreement signed between Assessor panelist and Road Accident Fund
  • Prevention of wasteful expenditure
  • Communicate with assessors, telephonically and per email pertaining to queries
  • Collaborated with Senior Officer to achieve target results
  • Proved successful working within tight deadlines and fast-paced atmosphere
  • Exceeded goals through effective task prioritization

File Closure Officer

Road Accident Fund
Pretoria
04.2013 - 03.2016
  • Receive and record files to be assessed within File Closure department
  • Pre Screen files to ensure they belong to the correct branch of the RAF
  • Update status of allocated files on claims view system upon Finalization of file
  • Keep daily statistics of activities on work allocated, assessed and finalized
  • Submit daily statistics as required by management pertaining assessments and finalizations
  • Maintain accurate record of files finalized
  • Complete physical checklists of files Finalized to assistants for Filing on physical files
  • Collaborated with team members to achieve target results.
  • Proved successful working within tight deadlines and fast-paced atmosphere.



Officer Litigation Department

Road Accident Fund
Pretoria
07.2010 - 03.2013
  • SUMMARY OF EXPERIENCE
  • Objection to validity & repudiation of claim where applicable
  • Appoint relevant experts when/where necessary (Actuary, Panel attorney, Assessor, Medical experts)
  • Attend to Court orders received, removed from Roll, postponements
  • Assess validity of claim & email offer to attorney for Acceptance , revision or rejection
  • Utilize the pro forma standard letter upon instruction panel attorney at to which plea should be raised where Regulation 3 on General damages has been incorrectly pursued though the Litigation process
  • Assistant to check for duplicate claims
  • Forward file to Medical department Bill Reviewer where necessary
  • Load offer of acceptance and request payment on system
  • Drafting of Undertaking
  • Assistant to forward file contents to panel attorney appointed
  • Diarize : trials, pre trials (to follow up on daily basis )
  • Time and desk management imperative
  • Delegate all summons received to assistant for filing on claimant file
  • Prepare spreadsheet of all trials & pre-trials for month for own records and records of Senior Officer
  • Prepare spreadsheet for senior of outcome of settled trial matters, Offers accepted, claims repudiated on weekly basis
  • Discuss all trials above R100 000.00 timeous with Senior & Manager

Officer : Claims (ID 2)

Road Accident Fund
Pretoria
06.2004 - 07.2008
  • SUMMARY OF EXPERIENCE
  • Merit and quantum investigation
  • Drafting of Undertakings
  • Objection to validity & repudiation of claim where applicable
  • Prepare quantum Offer for attorney based on injuries sustained & apply relevant apportionment where applicable
  • Forward physical files to Summons department upon receipt of summons
  • Telephonic and email correspondence with claimant attorneys
  • Request documents from attorney where necessary
  • Load offer for payment upon acceptance and /or revised offer where applicable
  • Update claim view notes
  • Diarize claim files allocated to author to attend to on daily basis
  • Assistant to check for possible duplicate claims lodged
  • Assistant to request AR & docket from SAPS & Hospital records
  • Time and desk management imperative
  • Delegate all summons received to assistant for filing on claimant file
  • Prepare spreadsheet of all trials & pre-trials for month for own records and records of Senior Officer
  • Prepare spreadsheet for senior of outcome of settled trial matters, Offers accepted, claims repudiated on weekly basis


Officer: 2 Billion Project Verification

Road Accident Fund
Pretoria
08.2008 - 06.2009
  • October 2008 Unit Set Up for Purpose of FRAUD INVESTIGATION
  • Team Unit comprising of approximately 12 Team members (Officers and Assistants) from Claims seconded to join "Project 2 Billion" to assist Forensic Department with Investigations
  • Claims investigation not part of Project 2 Billion
  • Approximately 10 Attorney firms identified for alleged fraudulent claims
  • Objective: To detect fraud pertaining to ascertaining of unethical behavior; irregularities pertaining to claims handling , criminal activity and collusion
  • 800 Files assigned to each Officer for perusal, investigation of irregularities
  • Check done on HPSCA to establish whether doctor completing Form 1 registered as a medical practitioner
  • Perusal of signatures on Power of Attorney; Consent Form,AR form, 19(f) Affidavit
  • Communication skills utilized to communicate & interview efficiently with medical practitioners, claimants ,insured drivers etc
  • Mortality checks done
  • Provide Forensic department and Senior on a monthly basis with spreadsheet of files investigated and findings
  • Type report for irregular findings on file, attach same to Physical file to send to Forensic department


Paralegal & Third Party Consultant

Gavin Joynt Attorneys
Pretoria
08.2000 - 04.2004
  • Personal Assistant to Gavin Joynt Attorney
  • Family Law and Third Party Claim Consultant
  • Delivering legal documentation to Advocate Chambers, High Court & Magistrate Court
  • Conducted detailed client intakes , entered information into company database
  • Translation from Portuguese to English and/or Afrikaans (as per instruction)
  • Consulting with claimants injured due to motor vehicle accidents
  • Correspondence with Road Accident Fund
  • Completion of Form 1, obtaining all relevant document for valid lodgement of third party claim at Road Accident Fund
  • Making appointments for victims to attend medico legal examinations
  • Visiting scenes of motor vehicle accident/s, taking measurements & photographs
  • Drawing up claimant & witness Affidavits
  • Analyzed evidence gathering and presentation
  • Interview victims in order to assess validity of claim & to avoid irregularities

  • (Returned to RAF 1 June 2004 after CCMA Ruling April 2004 for Re-Instatement of Author at RAF due to Procedural and Substantial unfair dismissal on 1 July 2004)


Claims Handler In Training - Claims

Road Accident Fund
Pretoria
01.2000 - 06.2000


  • Merit and quantum investigation on Identified as well as Hit & Run claims
  • Contacting and tracing insured drivers to obtain telephonic statements
  • Objection to validity & repudiation of claim where applicable
  • Telephonic and email correspondence with claimant attorneys
  • Check for duplicate payments
  • Assist various Officers with ad hoc tasks whilst in training
  • Making Offers
  • Proceed with payment on acceptance of offers
  • Diarize claim files allocated to author to attend to on daily basis
  • Peruse claim file and documents lodged to check for validity of claim
  • Update claims view notes on system
  • Liaise with attorneys, SAPS, Traffic department, hospitals where necessary

Claims Assistant

Road Accident Fund (MMF)
Pretoria
03.1995 - 12.2000
  • Follow up on queries
  • Complete payment requisition on offers made by Officer
  • Drawing and filing of correspondence received
  • Updating claims system
  • Collecting and delivering files to relevant departments
  • Copying of necessary documents and sending to relevant stakeholders
  • Liaising with stakeholders
  • Time and desk managment
  • Obtain list and files from Officer on daily basis to establish whether offer can be made

Typist

Road Accident Fund (MMF)
Pretoria
03.1994 - 02.1995
  • Typing done for Management, Seniors, Officers and assistants
  • Accurately typed 62 words per minute with no errors.
  • Typing Minutes of meetings
  • Creating transcriptions of audio recordings done by Seniors and Management (transcribing)
  • Correcting of grammar, spelling errors, punctuation made by audio recordings and handwritten letters to attorneys and staff members
  • Efficient typing in English and Afrikaans (as requested)


Credit Control Officer

Stannic
Pretoria
02.1990 - 09.1993
  • Followed prescribed scripts and maintained friendly but firm attitude with full knowledge of contractual requirements and legal remedies
  • Attending to all customer queries
  • Track ongoing repayments & maintain contact with customers if they moved or missed payment of installment
  • Researched accounts and completed due diligence to resolve collection problems.
  • Contacted customers to collect outstanding payments negotiated installment methods.
  • Performed administrative tasks such as recordkeeping, making telephonic contact and writing correspondence
  • Performed administrative tasks such as recordkeeping, writing correspondence and gathering materials.
  • Contacted customers to collect outstanding payments negotiated installment methods.


Logistic Administrator

Wheat Board
Pretoria
07.1987 - 01.1998
  • Identifying type of transportation used by Wheat farmers to transport wheat from Farms to Co Operations
  • Establishing distances traveled for delivery as well as mode of transport used. Utilization of physical maps to calculate exact distance traveled by farmer for conveyance of wheat to Co operation
  • Payment for travel expenses incurred calculated by identifying mode of transport used being either rail road or truck
  • Truck transportation expenses incurred calculated on diesel or petrol prices; rail road calculated on rail road transportation cost
  • Payment amount calculated & handed to data capturers to capture for Finance department to re-imburse costs incurred for conveyance of wheat to farmer.


Bank Clerk

South African Permanent Building Society
Kuruman, Northern Cape
05.1984 - 05.1996
  • 5 (Five) Staff Members
  • Opening of new banking accounts
  • Recording transactions ; balancing money deposited and money withdrawn on daily basis as a teller
  • Reconciling Ledger accounts manually
  • Keeping all customers personal information confidential
  • Assisting and advising pertaining to Home Loans and different types of investments available
  • Promoting the Building Society (bank) products and services to customers
  • Processed customer transactions promptly, minimizing wait times.
  • Answered customer inquiries regarding account balances, transaction history, services charges and interest rates

Education

High School Diploma -

Kimberley Girls' High School
Kimberley, South Africa
01.1978 - 12.1982

Higher Certificate In Law

UNISA
Pretoria, South Africa
10.2017 - Current

Skills

Time and skill managment

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Software

Power Point

Word

Excel

SharePoint

Spreadsheets

MS Office

Certification

[Law of Third-Party Compensation], Pretoria University] - [March-May 1996]

Timeline

[Quality Customer Service] Training - [September 2022]

09-2022

Legal Cost Officer (Attorney & Client)

Road Accident Fund
08.2022 - Current

[Report Writing] Training - [April 2022]

04-2022

Legal Cost Officer Assessor Department (PROJECT)

Road Accident Fund
11.2021 - 07.2022

File Closure Officer

Road Accident Fund
04.2021 - 10.2021

Legal Cost Officer Assessor Department

Road Accident Fund
07.2018 - 04.2021

Legal Cost Officer: Party & Party Fee Analysis

Road Accident Fund
03.2018 - 06.2018

Higher Certificate In Law

UNISA
10.2017 - Current

Legal Cost Officer; Assessor Department

Road Accident Fund
04.2016 - 02.2018

[Emotional Intelligence] Training - [March 2015]

03-2015

File Closure Officer

Road Accident Fund
04.2013 - 03.2016

Officer Litigation Department

Road Accident Fund
07.2010 - 03.2013

Officer: 2 Billion Project Verification

Road Accident Fund
08.2008 - 06.2009

Officer : Claims (ID 2)

Road Accident Fund
06.2004 - 07.2008

Paralegal & Third Party Consultant

Gavin Joynt Attorneys
08.2000 - 04.2004

Claims Handler In Training - Claims

Road Accident Fund
01.2000 - 06.2000

[Law of Third-Party Compensation], Pretoria University] - [March-May 1996]

03-1996

Claims Assistant

Road Accident Fund (MMF)
03.1995 - 12.2000

Typist

Road Accident Fund (MMF)
03.1994 - 02.1995

Credit Control Officer

Stannic
02.1990 - 09.1993

Logistic Administrator

Wheat Board
07.1987 - 01.1998

Bank Clerk

South African Permanent Building Society
05.1984 - 05.1996

High School Diploma -

Kimberley Girls' High School
01.1978 - 12.1982
Veronica DuarteLegal Cost Officer