Remote Lead Insurance Fraud Investigator

Placements24; Stellenbosch; Remote; ZAR 1,200,000 - 1,800,000; Full time

Benefits offered by this job

Competitive salary

Comprehensive health insurance

Retirement plan with company match

Generous paid time off

Full remote work arrangement

Professional development

Equipment & tech support

Job summary

Placements24 is seeking a Lead Insurance Investigator to manage a remote investigation unit for a respected insurer. You will lead a distributed team, conduct complex fraud investigations, and implement best forensic practices to detect and prevent fraud across lines of business.

You will oversee evidence gathering, interviews, and analysis, producing detailed reports for claims handlers, legal counsel, and management.

Qualifications

• Minimum 7 years in insurance fraud investigation, including leadership.
• Proven forensic investigation techniques, evidence handling and reporting.
• Strong knowledge of insurance policies and fraud schemes.
• Excellent analytical, critical thinking and problem-solving.
• Exceptional leadership and communication skills.
• Experience working remotely and managing multiple priorities.
• Certified Fraud Examiner (CFE) preferred.
• Strong ethics and confidentiality commitment.

Responsibilities

• Lead, mentor, and manage a team of investigators with oversight on complex cases.
• Develop and execute strategies to detect and prevent insurance fraud across lines of business.
• Conduct in-depth investigations, gather evidence, interview parties, analyze data.
• Prepare detailed reports and recommendations for claims handlers and management.
• Collaborate with law enforcement and external stakeholders when needed.
• Maintain relationships with claims, legal, and underwriting teams to share intelligence.
• Refine investigation protocols and tools to improve efficiency.
• Stay updated on fraud trends, methodologies and technologies.
• Ensure investigations comply with legal requirements and policies.
• Contribute to fraud awareness training for internal departments.

Skills

Leadership

Forensic inv.

Report writing

Analytical thinking

Interviewing

Remote work

CFE

Stakeholder management

Tools

Investigation software

Job description

Placements24 is seeking a Lead Insurance Investigator to manage a remote investigation unit for a respected insurer. You will lead a distributed team, conduct complex fraud investigations, and implement best forensic practices to detect and prevent fraud across lines of business.

You will oversee evidence gathering, interviews, and analysis, producing detailed reports for claims handlers, legal counsel, and management.