Claims Investigator

Placements24; Klerksdorp; Hybrid; ZAR 350,000 - 520,000; Full time

Benefits offered by this job

Company vehicle

Travel allowance

Medical aid

Retirement fund

Training opportunities

Hybrid work arrangement

Job summary

Placements24 in Klerksdorp, North West, is seeking a diligent Claims Investigator to verify insurance claims and ensure accurate payouts. You will conduct investigations, gather evidence, interview witnesses, and prepare detailed reports, upholding confidentiality and integrity throughout the process.

The role requires strong analytical and interviewing skills, the ability to manage caseloads, and a willingness to travel within the Klerksdorp area. A hybrid work arrangement is offered.

Qualifications

• Minimum 3 years of experience in claims investigation, fraud detection, or a related field in insurance.
• Strong investigative techniques and evidence-gathering abilities.
• Excellent interviewing and observational skills.
• High level of integrity, discretion, and professionalism.
• Proficient in report writing and documentation.

Responsibilities

• Conduct thorough investigations into disputed or complex insurance claims.
• Gather and analyze evidence including documents, statements, and physical evidence.
• Interview claimants, witnesses, and other relevant parties.
• Verify accuracy of claim details against policy terms.
• Prepare comprehensive investigation reports for management review.
• Identify potential fraud, misrepresentation, or non-disclosure related to claims.
• Maintain confidential records of investigative activities.
• Liaise with legal counsel, law enforcement, and external agencies as required.

Skills

Analytical thinking

Interviewing skills

Report writing

Discretion

Observational skills

Job description

About the Role

Our client is seeking a diligent and observant Claims Investigator to join their team in **Klerksdorp, North West**. This role is essential for verifying the validity and details of insurance claims, ensuring that payouts are accurate and justified. You will be responsible for conducting thorough investigations, gathering evidence, interviewing witnesses, and preparing detailed reports. The ideal candidate will possess strong analytical skills, a keen eye for detail, and the ability to maintain confidentiality and integrity throughout the investigation process. This is an excellent opportunity to contribute to the fairness and accuracy of claims handling within the **North West** region for a reputable insurance provider.

Key Responsibilities

• Conduct thorough investigations into disputed or complex insurance claims.
• Gather and analyze evidence, including documents, statements, and physical evidence.
• Interview claimants, witnesses, and other relevant parties.
• Verify the accuracy of claim details against policy terms and conditions.
• Prepare comprehensive and objective investigation reports for management review.
• Identify potential fraud, misrepresentation, or non-disclosure related to claims.
• Maintain detailed and confidential records of all investigative activities.
• Liaise with legal counsel, law enforcement, and other external agencies as required.

Requirements

• A minimum of 3 years of experience in claims investigation, fraud detection, or a related field within the insurance industry.
• Strong understanding of investigative techniques and evidence gathering.
• Excellent interviewing and observational skills.
• High level of integrity, discretion, and professionalism.
• Proficiency in report writing and documentation.
• Ability to work independently and manage caseloads effectively.
• Knowledge of insurance policies and claims procedures.
• A valid driver's license and willingness to travel within the **Klerksdorp** area.

Benefits

• Competitive salary package commensurate with experience.
• Provision for a company vehicle or travel allowance.
• Medical aid and retirement fund benefits.
• Opportunities for training in advanced investigative techniques.
• A supportive team environment in **Klerksdorp**.
• Hybrid work arrangement providing flexibility.
• Contribution to ensuring fairness and accuracy in the insurance claims process.