Remote Claims Investigator — Specialized Insurance

Placements24; Bloemfontein; Hybrid; ZAR 360,000 - 600,000; Full time

Benefits offered by this job

Remote work

Medical aid

Retirement fund

Professional development

Job summary

Placements24 is seeking a dedicated Claims Investigator to join our expanding remote team. This role focuses on investigating a diverse range of specialized insurance claims, requiring meticulous analysis and thorough documentation from anywhere, with independent work and strict deadlines.

You will gather evidence, interview witnesses, prepare reports, collaborate with claims adjusters and legal counsel, and look for subrogation opportunities while maintaining compliance and high integrity.

Qualifications

• Minimum 3 years in insurance claims investigation or related field.
• Experience handling specialized or complex claims.
• Strong investigative, interviewing, and analytical skills.
• Clear and concise report writing abilities.

Responsibilities

• Conduct thorough investigations into specialized insurance claims, including liability, property damage, and potential fraud indicators.
• Gather and analyze evidence, interview witnesses and claimants, and collect relevant documentation.
• Prepare comprehensive investigation reports detailing findings, analysis, and recommendations.
• Maintain accurate and up-to-date case files using company-provided systems.
• Collaborate with claims adjusters, underwriters, and legal counsel to ensure claims are handled appropriately.
• Identify potential subrogation opportunities.
• Ensure compliance with company policies, procedures, and regulatory requirements throughout the investigation process.
• Manage a caseload effectively, prioritizing tasks and meeting deadlines.
• Communicate investigation progress and findings clearly to relevant stakeholders.
• Continuously develop knowledge of insurance products, claims handling best practices, and investigative techniques.

Skills

Investigative skills

Analytical thinking

Report writing

Remote work

Time management

Tools

Claims management software

MS Office

Job description

Placements24 is seeking a dedicated Claims Investigator to join our expanding remote team. This role focuses on investigating a diverse range of specialized insurance claims, requiring meticulous analysis and thorough documentation from anywhere, with independent work and strict deadlines.

You will gather evidence, interview witnesses, prepare reports, collaborate with claims adjusters and legal counsel, and look for subrogation opportunities while maintaining compliance and high integrity.