Fraud Investigator, Hybrid – Insurance Claims

Placements24; Willows (CA); Hybrid; USD 25,000 - 36,000; Full time

Benefits offered by this job

Medical aid

Provident fund

Hybrid work model

Bonuses

Job summary

Placements24 is seeking a meticulous Claims Investigator to join a fraud detection unit in Welkom. The role involves investigating potentially fraudulent insurance claims, gathering evidence, interviewing witnesses, and preparing detailed reports.

Hybrid work arrangement supported, with travel within the Welkom area as needed. Ideal candidates will have 3+ years in insurance claims investigation or fraud detection, strong analytical and interviewing skills, and proficiency in evidence

Qualifications

• Minimum 3 years of experience in insurance claims investigation or fraud detection.
• Strong analytical and interviewing skills with attention to detail.
• Proficiency in documenting evidence and writing reports.

Responsibilities

• Investigate suspicious insurance claims to identify potential fraud.
• Gather and analyze evidence from documents, statements, and digital records.
• Conduct interviews with claimants, witnesses and other parties.
• Coordinate with law enforcement, counsel and external stakeholders as needed.
• Prepare comprehensive investigation reports with findings and recommendations.
• Maintain confidential records and support claims teams with insights on fraud risks.
• Stay updated on fraud trends and testify when required.

Skills

Claims investigation

Fraud detection

Analytical thinking

Interviewing

Report writing

Insurance knowledge

Tools

Investigative software

Job description

Placements24 is seeking a meticulous Claims Investigator to join a fraud detection unit in Welkom. The role involves investigating potentially fraudulent insurance claims, gathering evidence, interviewing witnesses, and preparing detailed reports.

Hybrid work arrangement supported, with travel within the Welkom area as needed. Ideal candidates will have 3+ years in insurance claims investigation or fraud detection, strong analytical and interviewing skills, and proficiency in evidence