Remote Insurance Fraud Investigator

Placements24; Queenstown; Hybrid; NZD 70,000 - 110,000; Full time

Benefits offered by this job

Competitive salary

Performance-based incentives

Medical aid and retirement benefits

Training in fraud detection

Fully remote work environment

Job summary

Placements24 is seeking an Insurance Fraud Investigator for a fully remote role supporting operations locally and internationally. The role focuses on detecting, investigating, and preventing fraudulent insurance claims while maintaining data integrity and working from a home office.

The ideal candidate has at least 3 years of insurance fraud experience, strong analytical and interviewing skills, and a solid understanding of insurance policies and claims processes.

Qualifications

• Minimum 3 years of insurance fraud investigation experience.
• Ability to conduct thorough investigations and evidence gathering.
• Strong analytical, interviewing, and report-writing skills.
• Knowledge of insurance policies and claims processes.

Responsibilities

• Investigate suspicious insurance claims to identify potential fraud.
• Gather and analyze evidence, including documentation, statements, and digital records.
• Conduct interviews with claimants, witnesses, and other relevant parties.
• Prepare comprehensive and detailed investigation reports for management and legal teams.
• Collaborate with law enforcement agencies and regulatory bodies when necessary.
• Develop and implement strategies to prevent insurance fraud.
• Maintain accurate and confidential investigation case files.
• Utilize investigative tools and databases to uncover fraudulent patterns.
• Testify in legal proceedings as required.
• Stay updated on fraud trends, detection techniques, and relevant legislation.

Skills

Analytical thinking

Critical thinking

Problem solving

Interviewing

Report writing

Education

Tertiary qualification

Tools

Investigative databases

Job description

Placements24 is seeking an Insurance Fraud Investigator for a fully remote role supporting operations locally and internationally. The role focuses on detecting, investigating, and preventing fraudulent insurance claims while maintaining data integrity and working from a home office.

The ideal candidate has at least 3 years of insurance fraud experience, strong analytical and interviewing skills, and a solid understanding of insurance policies and claims processes.