Insurance Claims Investigator

Placements24; Klerksdorp; On-site; ZAR 300,000 - 540,000; Full time

Benefits offered by this job

Health insurance

Retirement plan

Competitive salary

Training opportunities

Job summary

Placements24 in Klerksdorp is seeking an Insurance Claims Investigator to conduct thorough investigations into complex claims and identify potential fraud. You will gather evidence, interview relevant parties, and prepare detailed reports to support decisions within a respected insurance firm.

The role requires strong analytical abilities, keen attention to detail, and the capacity to work independently across cases in the North West region.

Qualifications

• Proven experience as an Insurance Claims Investigator or in a related investigative role.
• Strong understanding of insurance claims processes and fraud detection techniques.
• Excellent interviewing, observation, and analytical skills.
• Ability to work independently, manage case files, and meet deadlines.
• Proficiency in report writing and evidence documentation.
• A valid driver’s license and willingness to travel within the Klerksdorp area are essential.

Responsibilities

• Conduct thorough investigations into insurance claims to verify facts, assess liability, and detect potential fraud.
• Interview claimants, witnesses, and other relevant parties to gather detailed information and statements.
• Collect and analyze evidence, including documents, photographs, and other pertinent materials.
• Prepare comprehensive and objective investigation reports, outlining findings and recommendations.
• Liaise with legal counsel, law enforcement, and other external agencies as required.
• Maintain strict confidentiality and adhere to ethical investigation standards throughout the process.

Skills

Investigations

Fraud detection

Interviewing

Analytical skills

Report writing

Job description

About the Role

Our client is seeking a diligent and observant Insurance Claims Investigator to bolster their team in Klerksdorp . This critical role involves conducting thorough investigations into suspicious or complex insurance claims to determine their validity and identify potential fraud. You will be responsible for gathering evidence, interviewing relevant parties, and preparing detailed reports to support decision-making processes. The ideal candidate possesses strong analytical skills, a keen eye for detail, and the ability to conduct discreet and thorough investigations in the field. This position offers the chance to work within a respected insurance company, contributing to its integrity and risk management efforts.

Key Responsibilities

• Conduct thorough investigations into insurance claims to verify facts, assess liability, and detect potential fraud.
• Interview claimants, witnesses, and other relevant parties to gather detailed information and statements.
• Collect and analyze evidence, including documents, photographs, and other pertinent materials.
• Prepare comprehensive and objective investigation reports, outlining findings and recommendations.
• Liaise with legal counsel, law enforcement, and other external agencies as required.
• Maintain strict confidentiality and adhere to ethical investigation standards throughout the process.

Requirements

• Proven experience as an Insurance Claims Investigator or in a related investigative role.
• Strong understanding of insurance claims processes and fraud detection techniques.
• Excellent interviewing, observation, and analytical skills.
• Ability to work independently, manage case files, and meet deadlines.
• Proficiency in report writing and evidence documentation.
• A valid driver's license and willingness to travel within the Klerksdorp area are essential.

Benefits

• Competitive annual salary and potential for performance-based incentives.
• Opportunity to work in a key investigative role within the insurance sector in North West .
• Comprehensive health insurance and retirement planning benefits.
• Training and development opportunities in investigative techniques.
• A professional and ethical work environment dedicated to fair claim resolution.