Motor Claims Investigator: Fraud Detection & Fieldwork

Miway Insurance Limited; Midrand; On-site; ZAR 350,000 - 480,000; Full time

Job summary

MiWay Insurance Limited in Midrand is seeking a Motor Claims Investigator to conduct thorough investigations into motor claims, detect potential fraud, validate accidents, and ensure fair decisions. The role involves on-site vehicle inspections, fieldwork, interviews, and digital evidence gathering.

You will balance fraud risk with efficient resolutions, maintain POPIA-compliant records, and collaborate with Claims, Legal and Underwriting to meet SLAs.

Qualifications

• Grade 12 / National Senior Certificate (NQF Level 4).
• A valid driver's licence (Code B+).
• Diploma/degree in Law, Insurance, Risk Management, Forensics or Criminology (advantageous).
• Forensic investigation certification (e.g. CFE) – advantageous.
• Technical qualification in Motor Mechanics or Panel Beating (advantageous).

Responsibilities

• Conduct comprehensive investigations on motor claims flagged for potential fraud.
• Perform consistency checks to verify vehicle damage vs described accidents.
• Conduct telephonic and on-site interviews with claimants, third parties, and witnesses.
• Review digital evidence including CCTV, telematics data and tracking reports.
• Cross-reference information across internal systems and external data sources.
• Prepare clear, evidence-based investigation reports with recommendations.
• Liaise with internal stakeholders and external partners.
• Identify emerging motor fraud patterns and contribute to detection initiatives.
• Maintain secure, POPIA-compliant records of investigations.
• Meet required SLAs and reporting timelines.

Skills

Analytical thinking

Interviewing

Report writing

Customer-centric

MS Office

Education

Grade 12 / NQF4

Diploma/Degree in Law or Insurance

Forensic investigation certification

Motor mechanics qualification (adv.)

Job description

MiWay Insurance Limited in Midrand is seeking a Motor Claims Investigator to conduct thorough investigations into motor claims, detect potential fraud, validate accidents, and ensure fair decisions. The role involves on-site vehicle inspections, fieldwork, interviews, and digital evidence gathering.

You will balance fraud risk with efficient resolutions, maintain POPIA-compliant records, and collaborate with Claims, Legal and Underwriting to meet SLAs.