Insurance Claims Investigator

Placements24; Richards Bay; Hybrid; ZAR 360.000 - 480.000; Vollzeit

Benefits dieser Stelle

Medical aid contributions

Provident fund

Travel allowances

Paid time off

Zusammenfassung

Placements24 is seeking an Insurance Claims Investigator for a leading insurer in Richards Bay, KwaZulu-Natal. You will verify claim legitimacy, gather evidence, and determine liability, conducting on-site inspections and witness interviews in a hybrid work setup.

You will compile detailed reports for claim adjusters, liaise with legal counsel and authorities, and identify potential fraud while maintaining thorough case files with integrity and autonomy.

Qualifikationen

• Grade 12 certificate required; diploma in Criminology or Law advantageous.
• Experience in claims investigation or related field essential.
• Strong understanding of insurance principles and claims handling.

Aufgaben

• Investigate claims to verify details and assess validity.
• Interview claimants, witnesses and relevant parties to gather statements.
• Perform on-site inspections of damaged property or scenes.
• Collect and analyze police reports, medical records and repair estimates.
• Determine liability and coverage based on policy terms and evidence.
• Prepare detailed investigation reports for adjusters and management.
• Liaise with legal counsel, authorities and other professionals as needed.
• Identify potential fraudulent activity and report it accordingly.
• Maintain accurate case files documenting all actions.

Kenntnisse

Investigative skills

Report writing

Interviewing

Observation

Communication

Independent work

Time management

Ausbildung

Grade 12

Diploma in Criminology or Law (advantage)

Jobbeschreibung

About the Role

Our client, a leading insurer, is seeking a thorough and diligent Insurance Claims Investigator to join their team in Richards Bay, KwaZulu-Natal . This role is crucial for verifying the legitimacy of insurance claims, gathering evidence, and determining liability. You will conduct on-site inspections, interview witnesses and claimants, and analyze relevant documentation to ensure accurate and fair claim settlements. The ideal candidate is a meticulous individual with strong investigative skills, integrity, and the ability to work autonomously. This hybrid position allows for flexibility, combining field investigations with office-based administrative tasks, ensuring a dynamic and engaging work experience. Join a reputable organization dedicated to upholding trust and fairness in claims handling.

Key Responsibilities

• Investigate insurance claims thoroughly to verify details and assess validity.
• Conduct interviews with claimants, witnesses, and relevant parties to gather statements and evidence.
• Perform on-site inspections of damaged property or accident scenes.
• Collect and analyze documentation such as police reports, medical records, and repair estimates.
• Determine liability and coverage based on policy terms and gathered evidence.
• Prepare detailed and comprehensive investigation reports for claim adjusters and management.
• Liaise with legal counsel, law enforcement agencies, and other relevant professionals as needed.
• Identify potential fraudulent activities and report them accordingly.
• Maintain accurate and organized case files, documenting all investigative actions taken.

Requirements

• A Grade 12 certificate is required; a diploma in Criminology, Law, or a related field is advantageous.
• Previous experience in claims investigation, law enforcement, or a related investigative field is essential.
• Strong understanding of insurance principles and claims handling processes.
• Excellent observational, analytical, and problem-solving skills.
• Proficiency in report writing and maintaining detailed records.
• Excellent interpersonal and communication skills, with the ability to conduct effective interviews.
• A valid driver's license and a reliable vehicle are mandatory for field investigations.
• Ability to work independently and manage time effectively in a hybrid work environment.
• High level of integrity and ethical conduct.

Benefits

Our client offers a competitive annual salary, supplemented by potential performance-based bonuses. Employees benefit from medical aid contributions, a provident fund, and opportunities for professional development within the claims department. The hybrid work model provides a good work-life balance. You will be part of a supportive team and contribute to the integrity of the insurance claims process. Our client also provides travel allowances for field investigations and paid time off. This role offers a challenging yet rewarding career path in the insurance sector, focusing on critical investigative work.