Insurance Fraud Investigator

Placements24; Vereeniging; Hybrid; ZAR 420,000 - 600,000; Full time

Benefits offered by this job

Competitive salary

Benefits package

Fraud training

Hybrid work

Job summary

Placements24 is partnering with a leading insurer in Vereeniging to recruit an Insurance Fraud Investigator for the Special Investigations Unit. You will detect, investigate, and prevent fraudulent claims, collaborating with law enforcement and legal teams to uphold integrity.

Responsibilities include thorough casework across lines of business, interviewing witnesses, gathering evidence, analyzing data, and preparing detailed reports to guide actions. Hybrid work arrangement offered.

Qualifications

• Proven experience as an Insurance Fraud Investigator or in a related investigative role.
• Strong understanding of insurance claim processes and common fraud schemes.
• Excellent interviewing, interrogation, and evidence-gathering skills.
• Proficiency in using investigative databases and tools.
• High level of integrity, discretion, and ethical conduct.
• Ability to work independently and manage multiple complex investigations simultaneously.

Responsibilities

• Conduct thorough investigations into suspicious insurance claims across various lines of business.
• Gather evidence through interviews, surveillance, record analysis, and other investigative techniques.
• Analyze claim data and documentation to identify patterns and indicators of fraud.
• Prepare detailed investigation reports, documenting findings and recommending appropriate actions.
• Collaborate effectively with internal departments, legal counsel, and external law enforcement agencies.
• Testify in legal proceedings as required to present investigative findings.

Skills

Investigative skills

Interviewing

Evidence gathering

Data analysis

Integrity

Discretion

Tools

Investigative databases

Case management systems

Job description

About the Role

Our client is seeking a sharp and observant Insurance Fraud Investigator to join their dedicated Special Investigations Unit, operating out of Vereeniging. You will be responsible for detecting, investigating, and preventing fraudulent insurance claims, protecting the company and its honest policyholders from financial loss. This critical role requires a keen eye for detail, strong investigative skills, and a commitment to upholding the integrity of the insurance system. You will work closely with law enforcement and legal teams to ensure due diligence.

Key Responsibilities

• Conduct thorough investigations into suspicious insurance claims across various lines of business.
• Gather evidence through interviews, surveillance, record analysis, and other investigative techniques.
• Analyze claim data and documentation to identify patterns and indicators of fraud.
• Prepare detailed investigation reports, documenting findings and recommending appropriate actions.
• Collaborate effectively with internal departments, legal counsel, and external law enforcement agencies.
• Testify in legal proceedings as required to present investigative findings.

Requirements

• Proven experience as an Insurance Fraud Investigator or in a related investigative role.
• Strong understanding of insurance claim processes and common fraud schemes.
• Excellent interviewing, interrogation, and evidence-gathering skills.
• Proficiency in using investigative databases and tools.
• High level of integrity, discretion, and ethical conduct.
• Ability to work independently and manage multiple complex investigations simultaneously.

Benefits

• Competitive annual salary and performance-based incentives.
• Comprehensive medical and retirement benefits.
• Opportunities for specialized training in fraud detection and investigation techniques.
• A challenging and rewarding career in a vital field within the insurance industry.
• Hybrid work arrangement for a balanced professional life in Vereeniging.