Insurance Investigator

Placements24; Randburg; On-site; ZAR 420,000 - 650,000; Full time

Benefits offered by this job

Competitive salary

Performance bonuses

Medical aid

Pension fund

Professional development opportunities

Job summary

Placements24 in Randburg, Gauteng seeks an Insurance Investigator to join its fraud detection team. The role involves conducting thorough investigations into suspicious insurance claims, gathering evidence, interviewing involved parties, and preparing detailed reports to support claim decisions and potential legal action.

The ideal candidate has a degree in Criminal Justice or related field, at least 4 years of insurance investigation experience, strong analytical skills, integrity, and the

Qualifications

• Bachelor’s degree in Criminal Justice, Criminology, Law, or related field.
• 4+ years in insurance investigation, fraud detection, or related role.
• Proven experience in evidence gathering, interviewing, and report writing.
• Strong understanding of insurance principles and common fraud schemes.
• Excellent analytical, critical thinking, and problem-solving skills.
• High integrity, discretion, and objectivity.
• Ability to work independently and manage time effectively.
• Valid driver’s license and willingness for field investigations in Randburg area.

Responsibilities

• Conduct investigations into suspicious insurance claims across lines of business.
• Gather and analyze evidence, review claim files, documentation, and policy details.
• Interview claimants, witnesses, and other relevant parties to obtain information.
• Identify indicators of potential fraud and develop investigative strategies.
• Prepare comprehensive, objective investigation reports with findings.
• Collaborate with claims adjusters, legal counsel, and law enforcement when needed.
• Maintain accurate, confidential records of all investigative activities.
• Testify in legal proceedings when required.
• Stay updated on fraud trends and investigative techniques.
• Contribute to development of fraud detection and prevention strategies.

Skills

Analytical skills

Critical thinking

Problem solving

Communication skills

Interpersonal skills

Integrity and discretion

Time management

Independence

Insurance principles knowledge

Education

Bachelor's degree in Criminal Justice, Criminology, Law, or related field

Tools

Investigative software

Office applications

Job description

About the Role

Our client is seeking a sharp and resourceful Insurance Investigator to join their fraud detection and prevention unit in Randburg, Gauteng . This critical role involves conducting thorough investigations into suspicious insurance claims to determine the validity of allegations and identify potential fraudulent activities. You will be responsible for gathering evidence, interviewing involved parties, and preparing detailed reports to support claim decisions and potential legal action. The ideal candidate will possess strong analytical skills, a keen sense of observation, and a deep understanding of investigative techniques within the insurance context. This is an excellent opportunity to contribute to the integrity of the insurance industry and work within a dedicated team in Gauteng . We are looking for an individual with integrity and a commitment to uncovering the truth. Your work will directly help protect the company and its honest policyholders from financial losses.

Key Responsibilities

• Conduct investigations into suspicious insurance claims across various lines of business.
• Gather and analyze evidence, including reviewing claim files, documentation, and policy details.
• Interview claimants, witnesses, and other relevant parties to obtain information.
• Identify indicators of potential fraud and develop investigative strategies.
• Prepare comprehensive and objective investigation reports, outlining findings and conclusions.
• Collaborate with claims adjusters, legal counsel, and law enforcement agencies when necessary.
• Maintain accurate and confidential records of all investigative activities.
• Testify in legal proceedings when required.
• Stay updated on emerging fraud trends and investigative techniques.
• Contribute to the development and refinement of fraud detection and prevention strategies.

Requirements

• Bachelor's degree in Criminal Justice, Criminology, Law, or a related field.
• Minimum of 4 years of experience in insurance investigation, fraud detection, or a related investigative role.
• Proven experience in evidence gathering, interviewing, and report writing.
• Strong understanding of insurance principles and common fraud schemes.
• Excellent analytical, critical thinking, and problem-solving skills.
• High level of integrity, discretion, and objectivity.
• Proficiency in investigative software and standard office applications.
• Strong communication and interpersonal skills.
• Ability to work independently and manage time effectively.
• A valid driver's license and willingness to conduct field investigations in and around Randburg .

Benefits

Our client offers a competitive salary, performance bonuses, and a comprehensive benefits package including medical aid, a pension fund, and opportunities for professional development. Join a stable and reputable company that values its employees and their contributions to maintaining ethical standards in the insurance sector. This role offers a chance to make a significant impact from our offices in Randburg , Gauteng .