Claims Investigator - Motor & Accident Recovery

Placements24; Bloemfontein; Hybrid; ZAR 320,000 - 520,000; Full time

Benefits offered by this job

Medical aid

Retirement fund contribution

Training in investigations

Field and office-based duties in Welk‌

Job summary

Placements24 is seeking a diligent Claims Investigator in Welkom, Free State, to probe motor and accident insurance claims, gathering evidence and interviewing witnesses. The role involves working with claims teams and possibly law enforcement to uncover facts, assess validity, and prevent fraud.

The candidate should have a strong eye for detail, knowledge of SA traffic laws, and the ability to manage fieldwork with integrity and professionalism. A valid driver’s license is essential.

Qualifications

• 3+ years of experience in claims investigation, especially motor/accident insurance.
• Proficient in collecting evidence and witness interviewing.
• Knowledge of South African traffic laws and insurance regulations.
• Strong integrity, discretion and attention to detail.
• Proficiency with investigation tools, including digital photography.

Responsibilities

• Conduct thorough investigations into motor vehicle and accident insurance claims to ascertain facts and circumstances.
• Gather evidence, including accident scene examinations, vehicle inspections, photographic documentation, and witness statements.
• Interview claimants, witnesses, and other relevant parties in a professional and objective manner.
• Analyze police reports, repair estimates, and other relevant documentation.
• Identify discrepancies, inconsistencies, and potential indicators of fraud.
• Prepare comprehensive and detailed investigation reports with clear findings and recommendations.
• Liaise with internal claims handlers, legal teams, and external parties such as police services and repair shops.
• Maintain accurate and organized records of all investigative activities and findings.
• Adhere to ethical standards and company policies throughout all investigative processes.

Skills

Investigative techniques

Criminal justice

Interviewing skills

Tools

Digital photography

Job description

About the Role

Our client, a significant player in the South African insurance market, is seeking a diligent and detail-oriented Claims Investigator to join their team in Welkom, Free State. This role is crucial for investigating the circumstances surrounding motor and accident-related insurance claims to determine validity, detect potential fraud, and gather necessary evidence. The ideal candidate will possess excellent observational skills, a methodical approach to investigation, and the ability to conduct interviews effectively. You will work closely with the claims adjusting team and, at times, collaborate with law enforcement agencies. This position offers a great opportunity to contribute to fraud prevention and ensure fair claims handling for our policyholders in the Free State region.

Key Responsibilities

• Conduct thorough investigations into motor vehicle and accident insurance claims to ascertain facts and circumstances.
• Gather evidence, including accident scene examinations, vehicle inspections, photographic documentation, and witness statements.
• Interview claimants, witnesses, and other relevant parties in a professional and objective manner.
• Analyze police reports, repair estimates, and other relevant documentation.
• Identify discrepancies, inconsistencies, and potential indicators of fraud.
• Prepare comprehensive and detailed investigation reports with clear findings and recommendations.
• Liaise with internal claims handlers, legal teams, and external parties such as police services and repair shops.
• Maintain accurate and organized records of all investigative activities and findings.
• Adhere to ethical standards and company policies throughout all investigative processes.

Requirements

• A relevant qualification or certification in investigative techniques, criminal justice, or a related field is preferred.
• Minimum of 3 years of experience in claims investigation, particularly within the motor and accident insurance domain.
• Strong understanding of accident reconstruction principles and evidence gathering techniques.
• Excellent interviewing and interpersonal skills, with the ability to build rapport and elicit information.
• High level of integrity, discretion, and a keen eye for detail.
• Proficiency in using investigation tools and technology, including digital photography.
• Ability to work independently, manage time effectively, and prioritize tasks.
• Valid driver's license and a reliable vehicle are essential for fieldwork.
• Knowledge of relevant South African traffic laws and insurance regulations.

Benefits

• Our client provides a competitive salary package and performance-based incentives.
• Employees are eligible for comprehensive medical aid and a contribution towards a retirement fund.
• Opportunities for ongoing training in advanced investigative techniques and fraud detection are provided.
• This role offers a dynamic work environment with a blend of field and office-based duties in Welkom.
• We support a healthy work-life balance and encourage professional growth within our established organization.