Senior Fraud Claims Investigator - Detect & Prevent

Placements24; Noord-Kaap; In loco; ZAR 900.000 - 1.300.000; Tempo pieno

Vantaggi offerti da questo lavoro

Competitive salary

Medical aid

Retirement fund contributions

Specialized fraud training

Career advancement opportunities

Professional work environment

Descrizione del lavoro

Placements24 is seeking a Senior Claims Investigator to bolster the fraud detection unit in Kimberley, Northern Cape. You will conduct in-depth investigations into potentially fraudulent insurance claims, gather evidence, and prepare reports to support claims decisions and potential legal action.

The role demands strong analytical skills, interviewing prowess, and knowledge of investigation techniques in the insurance sector.

Competenze

• A relevant qualification in criminology, law enforcement, forensics, or related field.
• Minimum 6 years of claims investigation experience, preferably fraud-focused in insurance.
• Proven evidence gathering, interviewing, and report writing experience.
• Strong analytical, observational, and integrity with discretion.

Mansioni

• Conduct discreet investigations into potentially fraudulent insurance claims.
• Analyze claim data, policy info, and docs to identify red flags.
• Interview claimants, witnesses, and relevant parties for evidence.
• Liaise with law enforcement, legal counsel, and external stakeholders as required.
• Prepare detailed investigative reports with findings and recommendations.
• Testify in legal proceedings when required.
• Develop strategies to proactively detect and prevent fraud.
• Maintain confidential records of investigations.
• Provide training to claims handlers on fraud detection.
• Stay updated on fraud trends and methodologies.

Conoscenze

Analytical thinking

Interviewing skills

Report writing

Attention to detail

Communication skills

Formazione

Criminology degree

Law enforcement qualification

Forensics degree

Strumenti

Investigative tools

Databases

Descrizione del lavoro

Placements24 is seeking a Senior Claims Investigator to bolster the fraud detection unit in Kimberley, Northern Cape. You will conduct in-depth investigations into potentially fraudulent insurance claims, gather evidence, and prepare reports to support claims decisions and potential legal action.

The role demands strong analytical skills, interviewing prowess, and knowledge of investigation techniques in the insurance sector.