Insurance Investigator

Placements24; Windsor Park (TN); On-site; USD 46,000 - 73,000; Full time

Benefits offered by this job

Bonuses

Medical/dental/vision

Fraud-detection training

Law enforcement exposure

Job summary

Placements24 is seeking an Insurance Investigator to join its fraud detection unit in East London. You will investigate suspicious insurance claims, gather evidence, and determine actions to deny or recover sums.

The role requires strong investigative skills, meticulous attention to detail, and high integrity. You will collaborate with law enforcement, legal teams, and claim stakeholders, with ongoing training provided.

Qualifications

• Experience as an Insurance Investigator or similar role.
• Ability to identify indicators of insurance fraud.
• Strong interviewing and evidence-gathering skills.
• Proficiency with investigative tools and methods.

Responsibilities

• Conduct thorough investigations into potentially fraudulent insurance claims across various policy types.
• Gather and analyze evidence, including reviewing documents, interviewing claimants and witnesses, and conducting surveillance where necessary.
• Identify discrepancies and red flags indicative of fraudulent activity.
• Prepare detailed investigation reports summarizing findings and providing recommendations for action.
• Liaise with law enforcement agencies, legal counsel, and other stakeholders in fraud cases.
• Maintain confidentiality and handle sensitive information with discretion.

Skills

Investigation techniques

Interviewing

Evidence gathering

Fraud detection

Analytical thinking

Job description

About the Role

Our client is seeking a sharp and resourceful Insurance Investigator to join their fraud detection and prevention unit in East London . Your primary responsibility will be to investigate suspicious insurance claims, identify potential fraud, and gather evidence to support claims denial or recovery efforts. This role requires strong investigative skills, a keen eye for detail, and an understanding of common insurance fraud schemes. You will play a vital role in protecting the company from financial losses and maintaining the integrity of its operations.

Key Responsibilities

• Conduct thorough investigations into potentially fraudulent insurance claims across various policy types.
• Gather and analyze evidence, including reviewing documents, interviewing claimants and witnesses, and conducting surveillance where necessary.
• Identify discrepancies and red flags indicative of fraudulent activity.
• Prepare detailed investigation reports summarizing findings and providing recommendations for action.
• Liaise with law enforcement agencies, legal counsel, and other stakeholders in fraud cases.
• Maintain confidentiality and handle sensitive information with discretion.

Requirements

• Previous experience as an Insurance Investigator , detective, or in a similar investigative role.
• Strong understanding of insurance policies and common fraud indicators.
• Excellent interviewing, surveillance, and evidence-gathering skills.
• Proficiency in using investigative tools and techniques.
• High level of integrity, discretion, and analytical ability.

Benefits

• Competitive salary and potential for bonuses based on successful fraud recovery.
• Comprehensive medical, dental, and vision insurance.
• Ongoing training in investigative techniques and fraud detection.
• A challenging and rewarding career protecting the company from financial crime.
• Opportunities to work with law enforcement and legal professionals.