Claims Investigator

Placements24; East End (United States Virgin Islands); Hybrid; USD 17,000 - 25,000; Full time

Benefits offered by this job

Travel allowances

Hybrid work model

Health, dental, and vision insurance

Pension fund contribution

Life insurance

Professional development opportunities

Job summary

Placements24 in Welkom, Free State, is seeking a detail-oriented Claims Investigator. You will thoroughly investigate insurance claims to determine validity, gather evidence, interview parties, and prepare detailed reports to support claim decisions.

This hybrid role combines fieldwork with office analysis. The ideal candidate has 3+ years in claims investigation, solid insurance knowledge, strong interviewing and analytical skills, and a valid driver's license.

Qualifications

• 3+ years of experience in claims investigation or related fields (e.g., law enforcement, loss adjusting).
• Strong understanding of insurance principles and practices.
• Excellent interviewing, observational, and analytical skills.
• Ability to travel as required for investigations.
• Proficiency in report writing and documentation.
• A valid driver’s license and a clean driving record are essential.

Responsibilities

• Conduct comprehensive investigations into submitted insurance claims to verify facts and assess liability.
• Gather and analyze evidence, including accident reports, witness statements, and medical records.
• Interview claimants, witnesses, and other relevant parties to obtain detailed information.
• Prepare detailed investigation reports outlining findings, conclusions, and recommendations.
• Identify and report any instances of suspected fraud or misrepresentation.
• Collaborate with claims adjusters and legal counsel on complex or contested claims.

Skills

Industry knowledge

Interviewing

Analytical thinking

Time management

Report writing

Driving license

Job description

About the Role

Our client is looking for a detail-oriented and resourceful Claims Investigator to join their team in Welkom . In this role, you will be responsible for thoroughly investigating insurance claims to determine their validity and ensure compliance with policy terms and conditions. You will gather evidence, interview relevant parties, and prepare detailed reports to support claim decisions. This hybrid position allows for flexibility, combining fieldwork with office-based analysis, and is key to upholding the integrity of the claims process for our client in the Free State .

Key Responsibilities

• Conduct comprehensive investigations into submitted insurance claims to verify facts and assess liability.
• Gather and analyze evidence, including accident reports, witness statements, and medical records.
• Interview claimants, witnesses, and other relevant parties to obtain detailed information.
• Prepare detailed investigation reports outlining findings, conclusions, and recommendations.
• Identify and report any instances of suspected fraud or misrepresentation.
• Collaborate with claims adjusters and legal counsel on complex or contested claims.

Requirements

• Minimum of 3 years of experience in claims investigation or a related field (e.g., law enforcement, loss adjusting).
• Strong understanding of insurance principles and practices.
• Excellent interviewing, observational, and analytical skills.
• Ability to work independently, manage time effectively, and travel as required for investigations.
• Proficiency in report writing and documentation.
• A valid driver's license and a clean driving record are essential.

Benefits

• Competitive annual salary and travel allowances.
• Hybrid work model offering a balance between fieldwork and office work.
• Comprehensive health, dental, and vision insurance.
• Pension fund contribution and life insurance benefits.
• Opportunities for professional development and specialized training in investigation techniques.