Remote Claims Investigator

Placements24; Centurion; Hybrid; ZAR 250,000 - 420,000; Full time

Benefits offered by this job

Health insurance

Home office allowance

Internet reimbursement

Professional training

Remote-friendly culture

Job summary

Placements24 is seeking a dedicated Remote Claims Investigator to join its fully distributed team. You will conduct investigations into insurance claims from a home office, gathering evidence, interviewing parties, and producing detailed reports to support accurate claims resolution.

This role offers autonomy, flexible hours, and opportunities for professional growth in fair claims handling nationwide, with access to advanced investigative training and ongoing career development.

Qualifications

• Proven experience in claims investigation or fraud detection.
• Ability to work independently in a remote setting.
• Strong analytical and problem-solving skills.
• Excellent written and verbal communication for interviewing and reporting.

Responsibilities

• Conduct thorough investigations of insurance claims remotely, gathering all pertinent information and documentation.
• Perform background checks and interviews with claimants, witnesses, and other relevant parties via phone, video conference, or digital communication.
• Analyze claim details, policy provisions, and investigative findings to determine liability.
• Prepare comprehensive, objective investigative reports for review by claims adjusters and management.
• Collaborate with internal claims teams and external stakeholders using digital collaboration tools.
• Maintain confidentiality and adhere to regulatory standards throughout the investigation process.

Skills

Claims investigation

Fraud detection

Remote work

Analytical thinking

Interviewing

Communication

Digital tools

Tools

Investigative databases

Office software

Video conferencing tools

Job description

About the Role

Our client is actively seeking a dedicated and proactive Remote Claims Investigator to join their fully distributed team. This position offers the opportunity to conduct comprehensive investigations into insurance claims from the comfort of your home office, utilizing advanced digital tools and communication platforms. You will be instrumental in gathering evidence, interviewing relevant parties, and preparing detailed reports to support accurate claims resolution, contributing to the company's commitment to efficient and fair claims handling nationwide. This is an ideal role for an experienced investigator seeking the flexibility and autonomy of a remote work environment without compromising on professional impact or career development.

Key Responsibilities

• Conduct thorough investigations of insurance claims, gathering all pertinent information and documentation remotely.
• Perform background checks and interviews with claimants, witnesses, and other relevant parties via phone, video conference, or digital communication.
• Analyze claim details, policy provisions, and investigative findings to determine the validity and extent of liability.
• Prepare comprehensive, objective, and well-structured investigative reports for review by claims adjusters and management.
• Collaborate effectively with internal claims teams and external stakeholders using digital collaboration tools.
• Maintain strict confidentiality and adhere to all regulatory compliance standards throughout the investigation process.

Requirements

• Proven experience in claims investigation , fraud detection, or a related investigative field.
• Demonstrated ability to work independently and manage a caseload effectively in a remote setting .
• Strong analytical, critical thinking, and problem-solving capabilities.
• Excellent written and verbal communication skills, with the ability to conduct interviews remotely.
• Proficiency in using digital communication tools, investigative databases , and standard office software.

Benefits

• Competitive annual salary and performance-based incentives.
• Comprehensive health, dental, and vision insurance coverage.
• Generous home office setup allowance and internet reimbursement.
• Opportunities for professional growth and advanced investigative training .
• A fully remote work structure promoting work-life balance and flexibility.