Remote Senior Claims Investigator

Placements24; Soweto; Híbrido; ZAR 700.000 - 1.000.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Fully remote work arrangement

Competitive salary

Health, life & disability insurance

Generous paid time off

Professional development opportunities

Supportive remote team culture

Access to advanced investigative tools

Descripción de la vacante

Placements24 is seeking a Senior Claims Investigator for a fully remote role. You will conduct complex investigations on property, casualty and liability claims, gathering evidence and interviewing stakeholders nationwide.

Ideal candidates have 6+ years in insurance claims investigation, strong analytical skills, and a track record of uncovering potential fraud. You will work autonomously from home with access to necessary tools, supporting fair claim settlements across Soweto and beyond.

Formación

• Minimum 6 years of experience in insurance claims investigation or related field.
• Proven track record handling complex or potentially fraudulent claims.
• Strong understanding of policies, procedures and investigative methodologies.
• Excellent analytical and problem-solving skills.
• Exceptional interviewing and interpersonal abilities.
• Ability to work autonomously in a remote setting.

Responsabilidades

• Conduct thorough investigations into assigned insurance claims across property, casualty and liability.
• Gather, review and analyze documents, evidence and statements.
• Interview claimants, witnesses and other parties to obtain detailed information.
• Assess claim validity based on policy terms and evidence.
• Identify potential fraud, misrepresentation, or non-disclosure.
• Prepare objective, detailed investigative reports with findings and recommendations.
• Coordinate with internal teams and external parties as needed.
• Manage caseload to ensure timely investigations and reporting.
• Maintain confidentiality and ethical standards; mentor junior investigators where possible.

Conocimientos

Investigations

Analytical thinking

Interviewing

Report writing

Remote work discipline

Educación

Bachelor's degree or related certification

Herramientas

Investigation software

Descripción del empleo

About the Role

Our client, a respected national insurance provider, is seeking a highly experienced and diligent Senior Claims Investigator to join their fully remote team. This position offers the unique advantage of working from home, contributing your expertise to claims investigations across the country. You will be responsible for conducting in-depth investigations into complex insurance claims, gathering evidence, interviewing parties involved, and preparing comprehensive reports to determine claim validity and potential fraud. The ideal candidate possesses exceptional analytical and critical thinking skills, a strong understanding of investigative techniques, and a proven ability to work autonomously. We are committed to fostering a productive remote work environment with all the necessary tools and support. If you are a detail-oriented professional with a keen eye for uncovering facts and ensuring fair claim settlements, this remote role is an excellent opportunity to advance your career in the insurance sector, impacting claims processes from Soweto and beyond.

Key Responsibilities

• Conduct thorough and complex investigations into assigned insurance claims, including property, casualty, liability, and potentially high-value claims.
• Gather and analyze all relevant documentation, evidence, and statements.
• Interview claimants, witnesses, and other relevant parties to obtain detailed information.
• Assess the validity of claims based on policy terms, evidence, and applicable laws.
• Identify and investigate potential instances of fraud, misrepresentation, or non-disclosure.
• Prepare detailed, objective, and accurate investigative reports with clear findings and recommendations.
• Liaise with internal departments (e.g., legal, underwriting) and external parties (e.g., law enforcement, experts) as needed.
• Manage assigned caseload efficiently, ensuring timely completion of investigations and reports.
• Maintain strict confidentiality and adhere to all company policies and ethical guidelines.
• Provide guidance and mentorship to less experienced investigators where applicable.

Requirements

• A minimum of 6 years of experience in insurance claims investigation, or a closely related field such as law enforcement or corporate investigations.
• Proven experience in handling complex and potentially fraudulent insurance claims.
• Strong understanding of insurance policies, claim procedures, and investigative methodologies.
• Excellent analytical, critical thinking, and problem-solving skills.
• Exceptional interviewing and interpersonal skills.
• Proficiency in report writing and documentation.
• Ability to work independently with minimal supervision in a remote setting.
• High level of integrity, discretion, and ethical conduct.
• Proficiency with investigation software and digital tools.
• A relevant degree or professional certification in a related field is advantageous.

Benefits

• Fully remote work arrangement offering maximum flexibility.
• Competitive salary and potential for performance-based bonuses.
• Comprehensive health, life, and disability insurance coverage.
• Generous paid time off and holidays.
• Opportunities for professional development and specialized training in investigative techniques.
• A supportive and collaborative remote team culture.
• Access to advanced investigative resources and technology.
• Contribute to upholding the integrity of the insurance claims process.