Insurance Investigations Specialist

oldmutual; Polokwane; In loco; ZAR 240.000 - 360.000; Tempo pieno

Descrizione del lavoro

Old Mutual South Africa seeks an Investigator to deliver quality investigations, contain claims spend, and foster a culture of best practice within mandated responsibility.

Responsibilities include validating claims, interviewing relevant parties, retrieving conversations, requesting reports and attachments, and ensuring appropriate services and payments are coordinated. Travel to claim sites may be required as part of the role.

Competenze

• Relevant Certificate in Insurance/Investigation.
• Matric with relevant insurance/investigation certification.

Mansioni

• Handle all primary validations on the claim, including insurance checks and interviewing relevant parties.
• Retrieve and listen to the claims discussions and transcriptions if any problem is picked up.
• Request and attach accident reports, settlement letters and copies of registration documents.
• Liaise with police, witnesses and solicitors; present evidence.
• Protect the company from paying out invalid claims; assist with payments and other services.

Conoscenze

Action Planning

Claims Management

Claims Settlement

Data Compilation

Data Controls

Executing Plans

Financial Auditing

Insurance Claims Investigations

Oral Communications

Presenting Solutions

Formazione

NQF Level 5 - Higher, Advance or Occupational Certificate or equivalent

Descrizione del lavoro

Old Mutual South Africa seeks an Investigator to deliver quality investigations, contain claims spend, and foster a culture of best practice within mandated responsibility.

Responsibilities include validating claims, interviewing relevant parties, retrieving conversations, requesting reports and attachments, and ensuring appropriate services and payments are coordinated. Travel to claim sites may be required as part of the role.