Fraud Investigations Specialist - Insurance

Placements24; Vereeniging; Híbrido; ZAR 350.000 - 700.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical aid

Provident fund

Annual bonus

Training opportunities

Employee assistance program

Paid annual leave

Hybrid work model

Descripción de la vacante

Placements24 is assisting a leading insurance provider in Vereeniging, Gauteng to recruit a meticulous Fraud Investigations Specialist. You will identify, investigate, and prevent fraudulent insurance claims, partnering with law enforcement and legal counsel.

Hybrid work combines office-based investigations with remote analytics in the Vereeniging area, offering opportunities to contribute to loss prevention and ongoing improvements in fraud detection processes.

Formación

• Proven experience in fraud investigation, preferably in the insurance industry or related fields.
• Strong understanding of insurance claims processes and common fraud schemes.
• Excellent analytical, research, and interviewing skills.
• Meticulous attention to detail and ability to interpret complex information.

Responsabilidades

• Conduct investigations into suspected fraudulent insurance claims across lines of business.
• Gather and analyze evidence, including claim files and financial records.
• Interview claimants, witnesses, and other parties involved.
• Prepare detailed investigation reports with findings and recommendations.
• Collaborate with law enforcement, legal counsel, and stakeholders as needed.
• Identify patterns to develop proactive prevention strategies.
• Utilize investigative tools and databases to gather intelligence.
• Maintain confidential case files and documentation.
• Provide training on fraud prevention to internal staff.
• Contribute to ongoing improvement of detection and investigation processes.

Conocimientos

Fraud investigation

Analytical skills

Interviewing

Report writing

Communication

Discretion

Independent work

Herramientas

Investigative databases

Analytical tools

Descripción del empleo

About the Role Our client, a leading insurance provider, is actively seeking a meticulous and perceptive Fraud Investigations Specialist to join their dedicated team in Vereeniging, Gauteng . This role is crucial in safeguarding the company's assets by identifying, investigating, and preventing fraudulent insurance claims. The successful candidate will possess sharp analytical skills, a keen eye for detail, and a thorough understanding of insurance fraud schemes and investigation techniques. This position offers a dynamic work environment where you can contribute significantly to loss prevention efforts. The hybrid work arrangement allows for a flexible approach to work, balancing office-based investigations with remote analysis in the Vereeniging area.

Key Responsibilities

• Conduct thorough investigations into suspected fraudulent insurance claims across various lines of business.
• Gather and analyze evidence, including claim files, financial records, and external data.
• Interview claimants, witnesses, and other parties involved in suspicious claims.
• Prepare detailed investigation reports documenting findings, conclusions, and recommendations.
• Collaborate with law enforcement agencies, legal counsel, and other stakeholders as needed.
• Identify patterns and trends in fraudulent activity to proactively develop prevention strategies.
• Utilize specialized investigative tools and databases to gather intelligence.
• Maintain accurate and confidential case files and documentation.
• Provide training and awareness sessions on fraud prevention to internal staff.
• Contribute to the continuous improvement of fraud detection and investigation processes.

Requirements

• Proven experience in fraud investigation, preferably within the insurance industry or a related field (e.g., law enforcement, corporate investigations).
• Strong understanding of insurance claims processes and common fraud schemes.
• Excellent analytical, research, and interviewing skills.
• Meticulous attention to detail and ability to interpret complex information.
• Proficiency in using investigative databases and analytical tools.
• Strong written and verbal communication skills, with the ability to produce clear and concise reports.
• High level of integrity, discretion, and professionalism.
• Ability to work independently and manage a caseload effectively.
• Experience with a hybrid work model and proficiency in relevant office software.
• Residing in or able to commute to Vereeniging, Gauteng for hybrid work.

Benefits

• Our client offers a competitive salary package, commensurate with experience and expertise.
• This includes a comprehensive medical aid plan, a provident fund, and potential annual bonuses based on performance.
• The company is committed to professional development, offering training opportunities to enhance investigative skills and career progression.
• Employees enjoy a supportive work environment in Vereeniging , with opportunities to make a real impact in combating financial crime.
• The hybrid work model promotes a healthy work-life balance.
• Additional benefits include access to employee assistance programs and paid annual leave.