Fraud Investigator

Placements24; East End (United States Virgin Islands); Hybrid; USD 25,000 - 40,000; Full time

Benefits offered by this job

Remote work flexibility

Health benefits

Retirement benefits

Training and development

Job summary

Placements24 is seeking a sharp Fraud Investigator to join our investigations unit. This remote role serves clients across Welkom and the Free State region, focusing on identifying, investigating, and preventing insurance fraud.

You will gather evidence, analyze data, interview claimants and witnesses, and prepare detailed reports with findings. You will collaborate with legal teams and law enforcement to pursue recovery when necessary.

Qualifications

• 4+ years of fraud investigation experience, preferably in insurance.
• Strong data analysis and evidence handling skills.
• Excellent interviewing and report-writing abilities.

Responsibilities

• Conduct investigations into suspicious insurance claims to detect fraud.
• Gather and analyze evidence to build robust case files.
• Interview claimants, witnesses, and relevant parties for information and statements.
• Prepare detailed investigation reports outlining findings and recommendations.
• Collaborate with legal teams, law enforcement, and other stakeholders to pursue recovery when necessary.
• Develop and implement proactive strategies to prevent insurance fraud and educate internal teams.

Skills

Fraud investigation

Data analysis

Interviewing

Communication

Report writing

Independent work

Education

CFE certification

Job description

About the Role

Our client is looking for a sharp and diligent Fraud Investigator to join their dedicated investigations unit, operating remotely to serve clients across Welkom and the broader Free State region. In this critical role, you will be responsible for identifying, investigating, and preventing insurance fraud, protecting the company and its policyholders from financial losses. You will leverage your analytical skills and investigative techniques to uncover fraudulent activities, gather evidence, and collaborate with internal teams and external agencies to resolve cases effectively. This position demands a keen eye for detail, discretion, and a strong commitment to upholding ethical standards in the fight against insurance fraud.

Key Responsibilities

• Conduct thorough investigations into suspicious insurance claims to detect and confirm fraudulent activity.
• Gather and analyze evidence, including documentation, statements, and digital records, to build robust case files.
• Interview claimants, witnesses, and other relevant parties to obtain information and statements.
• Prepare detailed investigation reports outlining findings, conclusions, and recommendations for further action.
• Collaborate with legal teams, law enforcement, and other stakeholders to pursue recovery and prosecution when necessary.
• Develop and implement proactive strategies to prevent insurance fraud and educate internal teams on fraud detection.

Requirements

• A minimum of 4 years of experience in fraud investigation , preferably within the insurance industry.
• Proven ability to conduct complex investigations, analyze data, and identify fraudulent patterns.
• Strong understanding of investigative techniques, evidence handling, and legal procedures.
• Excellent interviewing, communication, and report-writing skills.
• Ability to work independently and manage a caseload effectively in a remote setting.
• Relevant certifications in fraud investigation (e.g., CFE) are a significant advantage.

Benefits

• Competitive salary and performance-based incentives.
• Remote work flexibility , allowing you to work from anywhere.
• Comprehensive health, wellness, and retirement benefits.
• Opportunities for advanced training in forensic accounting and investigation techniques.
• A challenging yet rewarding role focused on protecting the integrity of the insurance sector.