Durban Claims Investigator: Fraud Detection Expert

Placements24; Durban; Híbrido; ZAR 360.000 - 600.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical aid

Provident fund

Life assurance

Training opportunities

Descripción de la vacante

Placements24 in Durban is seeking a diligent Claims Investigation Specialist to join its team and ensure the integrity of insurance claims. You will conduct thorough investigations into potentially fraudulent or complex claims, gather evidence, and make informed recommendations.

The ideal candidate will have strong investigative skills, meticulous attention to detail, and a solid understanding of fraud detection techniques.

Formación

• Bachelor's degree in Criminology, Law, Business Administration, or a related field.
• Minimum of 4 years of experience in insurance claims investigation, fraud detection, or a related role.
• Proven experience in conducting interviews, gathering evidence, and preparing comprehensive reports.
• Strong understanding of insurance principles and common fraud schemes.
• Excellent analytical and problem-solving skills with meticulous attention to detail.

Responsabilidades

• Investigate suspicious or potentially fraudulent insurance claims across various lines of business.
• Gather and analyze evidence, including interviewing claimants, witnesses, and other parties involved.
• Conduct background checks and review relevant documentation to verify claim details.
• Prepare detailed investigation reports outlining findings, conclusions, and recommendations.
• Collaborate with internal claims adjusters, legal counsel, and law enforcement agencies when necessary.
• Identify patterns and trends in fraudulent claims to improve detection methods.
• Maintain accurate and confidential records of all investigation activities.
• Adhere to company policies, procedures, and legal requirements in all investigative activities.
• Provide expert testimony in legal proceedings if required.
• Stay updated on industry best practices and emerging trends in fraud detection and prevention.

Conocimientos

Attention to detail

Analytical thinking

Interviewing

Communication skills

Educación

Bachelors in Criminology/Law/Business Admin

Herramientas

Investigation databases

Descripción del empleo

Placements24 in Durban is seeking a diligent Claims Investigation Specialist to join its team and ensure the integrity of insurance claims. You will conduct thorough investigations into potentially fraudulent or complex claims, gather evidence, and make informed recommendations.

The ideal candidate will have strong investigative skills, meticulous attention to detail, and a solid understanding of fraud detection techniques.