Senior Claims Investigations Leader – SIU & Fraud

Placements24; Pretoria; On-site; ZAR 1,200,000 - 2,400,000; Full time

Benefits offered by this job

Competitive executive salary package

Annual performance-based bonus

Premium medical aid coverage

Generous vacation and personal leave

Job summary

Placements24 seeks a Senior Claims Manager to head the Special Investigations Unit in Pretoria, Gauteng. You will direct investigations into fraudulent claims, policy breaches, and high-risk scenarios, while coordinating with law enforcement and legal counsel.

You will lead a team of investigators, develop strategies, and ensure regulatory and policy compliance in a high-stakes environment. Strong leadership and investigative expertise are essential for success.

Qualifications

• Minimum 10 years in insurance claims investigation or related field with leadership experience.
• Proven experience managing complex investigations and leading teams.
• Knowledge of fraud schemes, investigative techniques and legal frameworks.
• Willingness to travel within Gauteng and beyond as required for investigations.

Responsibilities

• Lead and manage the Special Investigations Unit, overseeing all aspects of claim fraud detection and investigation.
• Develop and implement comprehensive investigation strategies and protocols.
• Conduct thorough investigations into suspected fraudulent claims, policy breaches, and other irregularities.
• Manage and mentor a team of investigators, providing guidance and performance oversight.
• Liaise effectively with internal departments, legal counsel, law enforcement agencies, and external experts.
• Analyze investigation findings and prepare detailed reports with actionable recommendations.
• Ensure compliance with all relevant laws, regulations, and company policies.
• Contribute to the development and delivery of anti-fraud training programs for staff.
• Maintain the confidentiality and integrity of all investigation-related information.
• Represent the company in legal proceedings or regulatory inquiries related to investigations when required.

Skills

Leadership

Analytical thinking

Communication

Negotiation

Interpersonal skills

Problem-solving

Collaboration with law enforcement

Education

Certified Fraud Examiner (CFE)

Tools

Investigation management software

Reporting tools

Job description

Placements24 seeks a Senior Claims Manager to head the Special Investigations Unit in Pretoria, Gauteng. You will direct investigations into fraudulent claims, policy breaches, and high-risk scenarios, while coordinating with law enforcement and legal counsel.

You will lead a team of investigators, develop strategies, and ensure regulatory and policy compliance in a high-stakes environment. Strong leadership and investigative expertise are essential for success.