Insurance Investigator

Placements24; Windsor Park (TN); On-site; USD 55,000 - 90,000; Full time

Benefits offered by this job

Competitive salary

Performance rewards

Training opportunities

Medical aid

Challenging role

Integrity culture

Job summary

Placements24 is seeking an Insurance Investigator to join its fraud detection unit in East London. You will investigate suspicious claims, gather evidence, interview relevant parties, and prepare detailed reports to determine claim validity and mitigate losses for the company.

The ideal candidate has proven investigative experience, strong knowledge of fraud schemes, excellent interviewing and analytical skills, and high integrity in handling confidential information within a fast-paced

Qualifications

• Proven experience as an Insurance Investigator or in a similar investigative role.
• Strong understanding of insurance claims processes and common fraud schemes.
• Excellent interviewing, observational, and analytical skills.
• Ability to write clear, concise, and objective investigative reports.
• Proficiency in utilizing investigative tools and databases.
• High degree of integrity, discretion, and professionalism.

Responsibilities

• Investigate suspicious insurance claims across various lines of business.
• Gather and analyze evidence, including documents, statements, and other relevant data.
• Conduct interviews with claimants, witnesses, and other relevant parties.
• Prepare comprehensive investigation reports detailing findings and recommendations.
• Liaise with law enforcement agencies and legal counsel when necessary.
• Identify patterns and trends in fraudulent activities to enhance detection methods.
• Maintain strict confidentiality and adherence to all legal and ethical guidelines.

Skills

Investigation experience

Insurance claims knowledge

Interviewing skills

Analytical skills

Report writing

Investigative tools

Integrity & professionalism

Tools

Investigative databases

Job description

About the Role

Our client is seeking a sharp and observant Insurance Investigator to join their fraud detection and prevention unit in East London . You will be responsible for investigating suspicious insurance claims, gathering evidence, interviewing relevant parties, and preparing detailed reports to determine the validity of claims and mitigate financial losses for the company. This role demands a keen eye for detail, strong analytical skills, and integrity. Become a vital part of a proactive team dedicated to upholding ethical standards and protecting the company's assets, within a supportive environment in the Eastern Cape.

Key Responsibilities

• Investigate suspicious insurance claims across various lines of business.
• Gather and analyze evidence, including documents, statements, and other relevant data.
• Conduct interviews with claimants, witnesses, and other relevant parties.
• Prepare comprehensive investigation reports detailing findings and recommendations.
• Liaise with law enforcement agencies and legal counsel when necessary.
• Identify patterns and trends in fraudulent activities to enhance detection methods.
• Maintain strict confidentiality and adherence to all legal and ethical guidelines.

Requirements

• Proven experience as an Insurance Investigator or in a similar investigative role.
• Strong understanding of insurance claims processes and common fraud schemes.
• Excellent interviewing, observational, and analytical skills.
• Ability to write clear, concise, and objective investigative reports.
• Proficiency in utilizing investigative tools and databases.
• High degree of integrity, discretion, and professionalism.

Benefits

• Competitive salary and potential for performance-based rewards.
• Training and development opportunities in fraud investigation techniques.
• Opportunity to work in a challenging and impactful role in East London .
• Standard employee benefits including medical aid.
• A dynamic work environment focused on integrity and risk mitigation.