Insurance Claims Investigator

Placements24; Benoni; Hybrid; ZAR 180,000 - 300,000; Full time

Benefits offered by this job

Hybrid work arrangement

Medical, dental & vision insurance

Retirement savings plan

Job summary

Placements24 in Benoni is seeking an Insurance Claims Investigator to verify claims, gather evidence, and prepare reports for adjusters within a hybrid work model combining on-site fieldwork and office analysis.

You will liaise with law enforcement and legal counsel, travel for fieldwork when required, and uphold fairness to policyholders while protecting company interests. Strong observational and analytical skills are essential.

Qualifications

• Previous experience as an Insurance Claims Investigator, private investigator, or law enforcement role.
• Strong understanding of insurance claims processes and investigation techniques.
• Excellent observation, analytical, and critical thinking skills.
• Proficiency in conducting interviews and gathering evidence from various sources.
• Ability to work independently, manage time effectively, and travel for fieldwork.

Responsibilities

• Conduct thorough investigations into suspicious or complex insurance claims across various lines of business.
• Gather and analyze evidence, including interviews, scene assessments, documentation review, and public records searches.
• Prepare detailed, objective, and timely investigation reports for claims adjusters and management.
• Identify potential fraud indicators and recommend appropriate actions based on findings.
• Liaise with law enforcement, legal counsel, and other external parties as needed during investigations.
• Maintain accurate and confidential records of all investigative activities.

Skills

Observation

Analytical thinking

Interviewing

Evidence gathering

Time management

Field travel

Job description

Our client is looking for a proactive and thorough Insurance Claims Investigator to join their team in Benoni. This role is essential for verifying the validity and circumstances of insurance claims, ensuring the company's interests are protected while upholding fairness to policyholders. You will conduct detailed investigations, gather evidence, and prepare comprehensive reports to support claim decisions. Operating within a hybrid model, this position requires a blend of on-site fieldwork and office-based analysis, offering flexibility and engagement within the dynamic insurance landscape of Benoni.

Key Responsibilities

• Conduct thorough investigations into suspicious or complex insurance claims across various lines of business.
• Gather and analyze evidence, including interviews, scene assessments, documentation review, and public records searches.
• Prepare detailed, objective, and timely investigation reports for claims adjusters and management.
• Identify potential fraud indicators and recommend appropriate actions based on findings.
• Liaise with law enforcement, legal counsel, and other external parties as needed during investigations.
• Maintain accurate and confidential records of all investigative activities.

Requirements

• Previous experience as an Insurance Claims Investigator, private investigator, or law enforcement role.
• Strong understanding of insurance claims processes and investigation techniques.
• Excellent observation, analytical, and critical thinking skills.
• Proficiency in conducting interviews and gathering evidence from various sources.
• Ability to work independently, manage time effectively, and travel as required for fieldwork.
• Comfortable working within a hybrid model in the Benoni area.

Benefits

• Competitive salary and performance-based bonus opportunities.
• Hybrid work arrangement providing flexibility and balance.
• Comprehensive medical, dental, and vision insurance plans.
• Retirement savings plan with employer contributions.
• Opportunities for specialized training and professional development in investigative techniques.