Insurance Fraud Investigator — Forensic Detective

Placements24; Vereeniging; On-site; ZAR 300,000 - 500,000; Full time

Benefits offered by this job

Performance bonus

Health, disability & life insurance

Training opportunities

Job summary

Placements24 is seeking a vigilant Fraud Investigator for our Vereeniging office to detect, investigate, and prevent fraudulent insurance claims. You will examine claims data, conduct interviews, and collaborate with internal and external partners to identify and prosecute fraud while protecting company assets and reputation.

The ideal candidate has at least 4 years in insurance fraud investigation, strong analytical skills, and knowledge of applicable laws.

Qualifications

• Minimum of 4 years of experience in insurance fraud investigation or related field.
• Proven ability to analyze complex financial and insurance data to identify fraudulent patterns.
• Strong interviewing and interrogation skills.
• Excellent report writing and documentation abilities.
• Knowledge of relevant laws and regulations pertaining to fraud investigation.
• Discretion, integrity, and strong ethical conduct.

Responsibilities

• Investigate suspicious insurance claims to determine the extent and nature of potential fraud.
• Gather evidence through interviews, document analysis, database searches, and surveillance.
• Prepare detailed investigative reports, including findings, evidence, and recommendations for action.
• Collaborate with legal counsel, law enforcement, and other stakeholders to pursue legal action when necessary.
• Develop and implement strategies to prevent insurance fraud and improve detection methods.
• Maintain confidentiality and adhere to all legal and ethical standards during investigations.

Skills

Fraud investigation

Data analysis

Interviewing

Job description

Placements24 is seeking a vigilant Fraud Investigator for our Vereeniging office to detect, investigate, and prevent fraudulent insurance claims. You will examine claims data, conduct interviews, and collaborate with internal and external partners to identify and prosecute fraud while protecting company assets and reputation.

The ideal candidate has at least 4 years in insurance fraud investigation, strong analytical skills, and knowledge of applicable laws.