Remote Insurance Claims Investigator—Fraud Detection Expert

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

Benefits offered by this job

Fully remote work

Performance bonuses

Home office allowance

Medical and dental benefits

Retirement savings plan

Specialized training in fraud investig

Job summary

Placements24 is seeking an Insurance Claims Investigator for a fully remote role in South Africa. The position focuses on investigating suspicious claims across insurance lines, gathering evidence, interviewing relevant parties, and preparing detailed reports to detect and deter fraud.

The ideal candidate has strong analytical abilities, sharp attention to detail, excellent interviewing techniques, and a solid understanding of investigative procedures within the insurance context.

Qualifications

• 3+ years in insurance claims investigation or related field.
• Knowledge of insurance principles and fraud schemes.
• Proven interview and evidence-gathering skills.
• Ability to work independently in a remote role.

Responsibilities

• Investigate suspicious claims for fraud indicators.
• Gather evidence from documents, statements and digital data.
• Interview claimants, witnesses, and parties involved.
• Prepare detailed investigation reports with findings.
• Coordinate with police or legal teams as needed.
• Identify patterns to enhance fraud detection.
• Maintain confidential case files and records.
• Testify in proceedings if required.
• Stay updated on fraud techniques and best practices.
• Support internal controls and training programs.

Skills

Investigation

Interviewing

Analytical thinking

Fraud detection

Remote work

Ethical conduct

Education

Criminal Justice degree

Forensics background

Tools

Case management software

Digital forensics tools

Job description

Placements24 is seeking an Insurance Claims Investigator for a fully remote role in South Africa. The position focuses on investigating suspicious claims across insurance lines, gathering evidence, interviewing relevant parties, and preparing detailed reports to detect and deter fraud.

The ideal candidate has strong analytical abilities, sharp attention to detail, excellent interviewing techniques, and a solid understanding of investigative procedures within the insurance context.