Fraud Investigator - Insurance

Placements24; Klerksdorp; Hybrid; ZAR 240,000 - 480,000; Full time

Benefits offered by this job

Hybrid work arrangement

Health and wellness benefits

Training and development opportunities

Job summary

Placements24 is seeking a sharp Fraud Investigator to join our client's Special Investigations Unit in Klerksdorp. You will detect, investigate, and help prevent fraudulent insurance claims, coordinating with internal teams and external agencies to mitigate losses.

The role requires meticulous attention to detail, strong analytical abilities, and discretion. You will work on complex cases in a supportive, professional environment and play a key part in protecting the company's assets.

Qualifications

• Proven experience in fraud investigation, preferably within the insurance industry.
• Strong understanding of insurance claim processes and fraud schemes.
• Excellent interviewing, investigative, and analytical skills.
• Ability to work independently, manage multiple cases, and meet deadlines.
• Knowledge of relevant laws and regulations pertaining to fraud investigation.

Responsibilities

• Conduct thorough investigations into suspected fraudulent insurance claims, gathering evidence and interviewing relevant parties.
• Analyze claim data and patterns to identify potential fraud indicators and red flags.
• Prepare detailed investigation reports, documenting findings and providing recommendations for action.
• Collaborate with claims adjusters, legal counsel, and law enforcement agencies as necessary.
• Develop and implement proactive strategies to detect and prevent insurance fraud.
• Maintain confidentiality and adhere to all legal and ethical standards during investigations.

Skills

Fraud investigation

Analytical skills

Interviewing skills

Independent work

Job description

About the Role

Our client is looking for a sharp and persistent Fraud Investigator to join their dedicated Special Investigations Unit in Klerksdorp. You will be responsible for detecting, investigating, and preventing fraudulent insurance claims, working closely with internal teams and external agencies to mitigate losses. This role demands a keen eye for detail, strong analytical abilities, and discretion. It's a critical position for maintaining the integrity of the company's operations and protecting its assets, offering the chance to work on complex cases within a supportive and professional team environment.

Key Responsibilities

• Conduct thorough investigations into suspected fraudulent insurance claims, gathering evidence and interviewing relevant parties.
• Analyze claim data and patterns to identify potential fraud indicators and red flags.
• Prepare detailed investigation reports, documenting findings and providing recommendations for action.
• Collaborate with claims adjusters, legal counsel, and law enforcement agencies as necessary.
• Develop and implement proactive strategies to detect and prevent insurance fraud.
• Maintain confidentiality and adhere to all legal and ethical standards during investigations.

Requirements

• Proven experience in fraud investigation, preferably within the insurance industry.
• Strong understanding of insurance claim processes and fraud schemes.
• Excellent interviewing, investigative, and analytical skills.
• Ability to work independently, manage multiple cases, and meet deadlines.
• Knowledge of relevant laws and regulations pertaining to fraud investigation.

Benefits

• Competitive salary with potential for performance-based incentives.
• Hybrid work arrangement providing flexibility.
• Comprehensive health and wellness benefits.
• Training and development opportunities in forensic investigation techniques.
• A challenging and rewarding role protecting the company from financial crime.