Insurance Claims Investigator

Placements24; Paarl; On-site; ZAR 240,000 - 320,000; Full time

Benefits offered by this job

Health and wellness benefits

Paid time off

Professional training opportunities

Job summary

Placements24 is looking for an Insurance Claims Investigator to join the Paarl team. The role focuses on verifying claim legitimacy, detecting fraud, and ensuring accurate payouts.

Investigations include gathering evidence, interviewing claimants and witnesses, and preparing comprehensive reports within the Western Cape community. Ideal candidates will have strong analytical skills, keen attention to detail, and the ability to work discreetly and professionally while upholding fairness and

Qualifications

• Previous experience in claims investigation, fraud detection, or related law enforcement.
• Strong interviewing and interrogation skills.
• Excellent analytical and critical thinking abilities.
• Proficiency in research methods and evidence gathering techniques.
• Ability to work independently and manage a caseload in the Paarl area.
• Discretion, integrity, and a commitment to confidentiality.

Responsibilities

• Investigate suspicious or complex insurance claims across various lines of business.
• Gather evidence through interviews, surveillance, document review, and database searches.
• Analyze claim details, policy provisions, and supporting documentation to determine validity.
• Prepare detailed investigative reports outlining findings, conclusions, and recommendations.
• Liaise with law enforcement agencies, legal counsel, and other relevant parties when necessary.
• Identify patterns of fraudulent activity and provide insights for fraud prevention strategies.

Skills

Interviewing skills

Analytical thinking

Research methods

Discretion & integrity

Independent work

Time management

Job description

About the Role

Our client is seeking a vigilant and thorough Insurance Claims Investigator to join their team in Paarl . This role is crucial for verifying the legitimacy of insurance claims, identifying potential fraud, and ensuring that payouts are made accurately and appropriately. You will conduct detailed investigations, gather evidence, interview claimants and witnesses, and prepare comprehensive reports. The successful candidate will possess strong analytical skills, a keen eye for detail, and the ability to operate discreetly and professionally, upholding the company's commitment to fairness and integrity within the Western Cape community.

Key Responsibilities

• Investigate suspicious or complex insurance claims across various lines of business.
• Gather evidence through interviews, surveillance, document review, and database searches.
• Analyze claim details, policy provisions, and supporting documentation to determine validity.
• Prepare detailed investigative reports outlining findings, conclusions, and recommendations.
• Liaise with law enforcement agencies, legal counsel, and other relevant parties when necessary.
• Identify patterns of fraudulent activity and provide insights for fraud prevention strategies.

Requirements

• Previous experience in claims investigation, fraud detection, or a related law enforcement role.
• Strong interviewing and interrogation skills.
• Excellent analytical and critical thinking abilities.
• Proficiency in research methods and evidence gathering techniques.
• Ability to work independently and manage a caseload effectively in the Paarl area.
• Discretion, integrity, and a commitment to confidentiality.

Benefits

• Competitive annual salary with potential for performance-based incentives.
• Provision of necessary equipment and resources for investigations.
• Comprehensive health and wellness benefits package.
• Paid time off and opportunities for specialized training in investigative techniques.
• A stable role within a reputable organization committed to ethical practices.