Insurance Investigator

Placements24; Soweto; Sur place; ZAR 360 000 - 560 000; Plein temps

Avantages offerts par ce poste

Medical aid

Retirement benefits

Professional development

Wellness support

Employee assistance program

Résumé du poste

Placements24 seeks an Insurance Investigator to join its fraud detection unit in Soweto. The role focuses on identifying and investigating suspicious insurance claims to prevent fraud and protect assets.

You will gather evidence, interview claimants and witnesses, and prepare detailed reports to support decision-making. The ideal candidate will have strong analytical skills, integrity, and the ability to conduct discreet investigations within legal and ethical boundaries.

Qualifications

• Experience in insurance investigation or related field.
• Strong analytical and interviewing skills.
• Ability to work independently and manage multiple cases.

Responsabilités

• Conduct comprehensive investigations into potentially fraudulent insurance claims across various lines of business.
• Gather and analyze evidence, including documentation, statements, and third-party information.
• Conduct interviews with claimants, witnesses, and other relevant parties in a professional and objective manner.
• Prepare detailed and accurate investigation reports, outlining findings and recommendations.
• Collaborate with claims handlers, legal teams, and law enforcement agencies as needed.
• Maintain confidentiality and adhere to strict legal and ethical guidelines throughout investigations.

Connaissances

Investigative skills

Analytical thinking

Interviewing skills

Communication skills

Integrity and discretion

Description du poste

About the Role

Our client is seeking a sharp and observant Insurance Investigator to join their fraud detection unit in Soweto. This role is dedicated to identifying and investigating suspicious insurance claims to prevent fraudulent activities and protect the company's assets. You will conduct thorough investigations, gather evidence, interview claimants and witnesses, and prepare detailed reports to support decision-making. The ideal candidate possesses excellent analytical skills, a keen eye for detail, integrity, and the ability to conduct discreet and thorough investigations within legal and ethical boundaries.

Key Responsibilities

• Conduct comprehensive investigations into potentially fraudulent insurance claims across various lines of business.
• Gather and analyze evidence, including documentation, statements, and third-party information.
• Conduct interviews with claimants, witnesses, and other relevant parties in a professional and objective manner.
• Prepare detailed and accurate investigation reports, outlining findings and recommendations.
• Collaborate with claims handlers, legal teams, and law enforcement agencies as needed.
• Maintain confidentiality and adhere to strict legal and ethical guidelines throughout investigations.

Requirements

• Previous experience in insurance investigation, law enforcement, or a related field is required.
• Strong investigative, analytical, and critical thinking skills.
• Excellent interviewing and communication skills, both written and verbal.
• High level of integrity, discretion, and ethical conduct.
• Knowledge of insurance claim processes and common fraud schemes.
• Ability to work independently and manage multiple cases effectively.

Benefits

• Competitive annual salary commensurate with experience and qualifications.
• Comprehensive medical aid and retirement benefits package.
• Opportunities for professional development and specialized training in fraud investigation techniques.
• A supportive team environment within a stable insurance organization located in Soweto.
• Employee assistance programs and wellness support.