Claims Investigator

Placements24; Randburg; Presencial; ZAR 260.000 - 450.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Annual performance bonus

Company vehicle / fuel allowance

Descripción de la vacante

Placements24 is seeking a diligent Claims Investigator to join our client’s field team in Randburg, Gauteng. The role requires proactive fieldwork, interviewing involved parties, collecting evidence, and preparing detailed reports to assist in claims assessment.

The successful candidate will conduct thorough investigations, liaise with external parties, and maintain confidentiality while adhering to strict protocols and deadlines. A valid driver’s license and reliable transport are essential.

Formación

• Degree or diploma in Criminal Justice, Law Enforcement or related field is advantageous.
• Minimum of 3 years in claims investigation, law enforcement, or similar investigative role.
• Proven ability to conduct thorough investigations and gather evidence.

Responsabilidades

• Conduct on-site investigations to determine validity of claims.
• Interview claimants, witnesses and involved parties to gather facts.
• Collect and preserve evidence: photos, documents, items.

Conocimientos

Interviews

Report writing

Attention to detail

Time management

Educación

Criminal Justice / Law Enforcement related qualification

Descripción del empleo

About the Role

Our client, a reputable insurance provider, is seeking a diligent and thorough Claims Investigator to join their dedicated team in **Randburg, Gauteng, ZA**. This is an essential field-based role requiring individuals who are proactive in gathering information and meticulously examining the circumstances surrounding insurance claims. You will be responsible for conducting detailed investigations, interviewing relevant parties, collecting evidence, and preparing comprehensive reports to assist in the claims assessment process. The ideal candidate possesses strong observational skills, integrity, and the ability to work independently while adhering to strict protocols and deadlines. This role is critical in preventing fraud and ensuring fair and accurate claim settlements for our client's policyholders.

Key Responsibilities

• Conduct on-site investigations to determine the validity and circumstances of insurance claims.
• Interview claimants, witnesses, and other involved parties to gather factual information.
• Collect and preserve evidence, including photographs, documents, and physical items.
• Examine police reports, medical records, and other relevant documentation.
• Prepare detailed, accurate, and timely investigation reports for claims adjusters and management.
• Identify potential cases of fraud, misrepresentation, or non-disclosure and report findings.
• Liaise with law enforcement agencies, medical professionals, and other external parties as required.
• Maintain confidentiality and handle sensitive information with discretion.
• Ensure adherence to company investigation protocols and ethical standards.
• Testify in legal proceedings if required.

Requirements

• A relevant qualification in Criminal Justice, Law Enforcement, or a related field is advantageous.
• Minimum of 3 years of experience in claims investigation, law enforcement, or a similar investigative role.
• Proven ability to conduct thorough investigations and gather evidence effectively.
• Strong interviewing and communication skills.
• Excellent report writing abilities with keen attention to detail.
• Proficiency in using investigative tools and techniques.
• Ability to work independently, manage time efficiently, and navigate challenging situations.
• Must possess a valid driver's license and own reliable transportation.
• Knowledge of the insurance industry and claims processes is a significant advantage.
• High level of integrity, discretion, and professionalism.

Benefits

• Competitive salary based on experience and qualifications.
• Fuel allowance and maintenance for company vehicle.
• Comprehensive medical aid and provident fund contributions.
• Opportunities for specialized training in investigative techniques.
• Annual performance bonus.
• Work in a dynamic team environment contributing to fair claims handling.
• Company-provided mobile phone and necessary equipment.
• Life insurance benefits.