Remote Claims Investigator

Placements24; Durban; Hybrid; ZAR 360,000 - 480,000; Full time

Benefits offered by this job

Fully remote work

Equipment provided

Health insurance

Job summary

Placements24 is seeking a diligent Remote Claims Investigator to join our expanding claims team in a remote-first role. You will thoroughly investigate insurance claims, gather evidence, conduct interviews, and prepare reports to support settlements from your home office.

This role emphasizes autonomy, confidentiality, and strong digital collaboration with adjusters and legal counsel. A proven track record in claims investigation and excellent remote communication are essential, with a valid

Qualifications

• Experience in claims investigation within the insurance sector.
• Strong analytical and critical thinking abilities.
• Excellent remote communication and interviewing skills.
• Ability to manage a caseload independently from home.
• Proficiency with digital investigation tools and databases.

Responsibilities

• Conduct investigations to determine claim validity and potential fraud.
• Gather and analyze evidence including statements and reports.
• Conduct remote interviews via video or phone.
• Prepare investigation reports detailing findings and recommendations.
• Collaborate with adjusters, legal counsel, and other departments.
• Maintain confidentiality and adhere to ethical standards while working remotely.

Skills

Claims investigation

Analytical skills

Remote communication

Time management

Ethical standards

Tools

Investigation tools

Job description

About the Role

Our client is seeking a diligent and resourceful Remote Claims Investigator to join their expanding claims department, operating entirely from a remote-first environment. This role is vital for thoroughly investigating insurance claims, gathering evidence, conducting interviews, and making informed recommendations on claim validity and settlement. You will be empowered to manage your workload efficiently and leverage technology to conduct comprehensive investigations without the need for a physical office presence. This position offers the flexibility of working from anywhere, contributing to a culture of trust, autonomy, and high performance within the remote team, ensuring efficient claim resolution across Durban and beyond.

Key Responsibilities

• Conduct detailed investigations into various types of insurance claims to determine validity and potential fraud.
• Gather and analyze evidence, including witness statements, police reports, and relevant documentation.
• Conduct remote interviews with claimants, witnesses, and involved parties via video conferencing or phone.
• Prepare comprehensive investigation reports detailing findings, conclusions, and recommendations for claim settlement.
• Collaborate virtually with claims adjusters, legal counsel, and other internal departments to ensure efficient claim resolution.
• Adhere to strict confidentiality and ethical standards throughout the investigation process, working from your designated remote location.

Requirements

• Proven experience as a Claims Investigator or in a similar investigative role within the insurance sector.
• Strong analytical and critical thinking skills, with an aptitude for meticulous fact-finding.
• Excellent remote communication and interviewing skills, utilizing various digital platforms effectively.
• Ability to manage a caseload independently and meet strict deadlines while working from home.
• Proficiency with digital investigation tools, databases, and standard office software.
• A valid driver's license and a clean criminal record are beneficial for field interactions, although primarily remote.

Benefits

• Competitive salary and potential for performance-based bonuses.
• Fully remote position offering unparalleled flexibility and work-life balance.
• Provision of necessary equipment and software for remote work.
• Comprehensive health, dental, and vision insurance plans.
• Opportunities for professional growth and specialized training in investigative techniques.