Remote Claims Investigator - Fraud Verification

Placements24; Bloemfontein; Hybrid; ZAR 360.000 - 600.000; Vollzeit

Benefits dieser Stelle

Remote work allowance

Fully remote work environment

Health benefits package

Professional development opportunities

Integrity-driven team

Zusammenfassung

Placements24 is seeking a sharp Claims Investigator to join a remote team serving clients across Welkom and the Free State region. You will conduct thorough investigations into insurance claims to verify information, identify potential fraud, and gather evidence to support claim resolutions.

The role requires autonomy, excellent analytical skills, and strong communication with the claims department and policyholders.

Qualifikationen

• Minimum of 3 years of experience in claims investigation, fraud detection, or related field.
• Strong understanding of insurance principles and investigative methodologies.
• Excellent observational, analytical, and critical thinking skills.
• Ability to work remotely with strong self-management.

Aufgaben

• Conduct detailed interviews with claimants, witnesses, and relevant parties.
• Gather and analyze evidence, documentation, and other pertinent information related to claims.
• Identify inconsistencies, potential fraud indicators, and areas requiring further investigation.
• Prepare comprehensive investigation reports detailing findings and recommendations.
• Liaise with internal claims handlers, legal counsel, and external agencies as needed.
• Maintain strict confidentiality and adhere to all legal and ethical standards during investigations.

Kenntnisse

Claims investigation

Fraud detection

Background checks

Report writing

Time management

Remote work

Jobbeschreibung

Placements24 is seeking a sharp Claims Investigator to join a remote team serving clients across Welkom and the Free State region. You will conduct thorough investigations into insurance claims to verify information, identify potential fraud, and gather evidence to support claim resolutions.

The role requires autonomy, excellent analytical skills, and strong communication with the claims department and policyholders.