Fraud Investigator — Drive Financial Integrity

Universityinfo; South Africa; On-site; ZAR 320,000 - 450,000; Full time

Job summary

Universityinfo in Sandton is seeking an Insurance Fraud Investigator to join a vigilant and resourceful team. The role focuses on investigating insurance fraud across product lines, gathering evidence, interviewing witnesses, and preparing detailed reports to support legal or recovery actions.

The ideal candidate should have strong analytical skills, excellent observational abilities, and a minimum of 3 years of experience in fraud investigation, claims handling, or law enforcement.

Qualifications

• Strong analytical skills
• Excellent observational abilities
• Minimum of 3 years of experience in fraud investigation, claims handling, or law enforcement.

Responsibilities

• Investigate suspicious insurance claims to detect and prevent fraud.
• Gather and analyze evidence, including documents, statements, and digital records.
• Conduct interviews with claimants, witnesses, and other relevant parties.
• Prepare comprehensive investigation reports with findings and recommendations.
• Collaborate with internal departments (e.g., claims, legal) and external agencies (e.g., law enforcement) as needed.
• Maintain strict confidentiality and adhere to all legal and ethical guidelines.

Skills

Analytical skills

Job description

Insurance Fraud Investigator

Our client is seeking a vigilant and resourceful Insurance Fraud Investigator to join their dedicated team in the prestigious business hub of Sandton. This role is critical in protecting the company from financial losses due to fraudulent claims. You will be responsible for conducting thorough investigations into suspected insurance fraud across various product lines, gathering evidence, interviewing witnesses, and preparing detailed reports to support legal or recovery actions. The ideal candidate will possess strong analytical skills, excellent observational abilities, and a commitment to maintaining the integrity of the insurance process in Gauteng.

Key Responsibilities

• Investigate suspicious insurance claims to detect and prevent fraud.
• Gather and analyze evidence, including documents, statements, and digital records.
• Conduct interviews with claimants, witnesses, and other relevant parties.
• Prepare comprehensive investigation reports with findings and recommendations.
• Collaborate with internal departments (e.g., claims, legal) and external agencies (e.g., law enforcement) as needed.
• Maintain strict confidentiality and adhere to all legal and ethical guidelines.

Requirements

• Minimum of 3 years of experience in fraud investigation, claims handling, or law enforcement.
• Proven ability to conduct thorough investigations and gather evidence effectively.
• Excellent