Fraud-Detecting Claims Investigator

Placements24; Vereeniging; On-site; ZAR 420,000 - 660,000; Full time

Benefits offered by this job

Competitive salary

Annual bonus

Medical aid & retirement fund

Company vehicle & fuel allowance

Training & development

Team-oriented environment

Job summary

Placements24 in Vereeniging, Gauteng is seeking an experienced Claims Investigator specializing in fraud detection. You will rigorously examine insurance claims, gather evidence, interview parties, and prepare detailed reports to support decisions and legal action.

The role requires 4+ years in claims investigation, strong analytical skills, and knowledge of insurance policies and fraud schemes. Travel within the area may be required and professional integrity is essential.

Qualifications

• 4+ years of experience in claims investigation, preferably with a focus on fraud detection within the insurance sector.
• Experience in evidence gathering, interviewing techniques, and report writing.
• Strong understanding of insurance policies, claims procedures, and common fraudulent practices.
• Excellent analytical and critical thinking skills.

Responsibilities

• Investigate suspicious insurance claims to detect and prevent fraudulent activities.
• Gather and analyze evidence, including documentation, witness statements, and digital records.
• Conduct interviews with claimants, witnesses, and other relevant parties.
• Perform background checks and surveillance when necessary and legally permissible.
• Prepare detailed investigation reports outlining findings, evidence, and recommendations.
• Collaborate closely with claims adjusters, legal counsel, and law enforcement agencies.
• Identify emerging fraud trends and patterns to improve detection strategies.
• Maintain accurate and confidential investigation files.
• Provide expert testimony in legal proceedings when required.
• Ensure all investigations are conducted ethically and in compliance with legal regulations.

Skills

Investigative skills

Attention to detail

Analytical thinking

Interviewing techniques

Communication skills

Education

Criminal Justice or Law Enforcement qualification

Tools

Investigative databases

Job description

Placements24 in Vereeniging, Gauteng is seeking an experienced Claims Investigator specializing in fraud detection. You will rigorously examine insurance claims, gather evidence, interview parties, and prepare detailed reports to support decisions and legal action.

The role requires 4+ years in claims investigation, strong analytical skills, and knowledge of insurance policies and fraud schemes. Travel within the area may be required and professional integrity is essential.