Senior Claims Investigator (Remote)

About the Role

Our client is looking for an experienced and highly analytical Senior Claims Investigator to join their fully remote team. This pivotal role involves conducting thorough investigations into complex and potentially fraudulent insurance claims across various lines of business. You will be responsible for gathering evidence, interviewing stakeholders, analyzing claim details, and preparing detailed reports to support claims decisions. The ideal candidate possesses exceptional deductive reasoning skills, a deep understanding of insurance fraud indicators, and the ability to work autonomously in a remote setting. This is an excellent opportunity to leverage your expertise in fraud detection and contribute significantly to protecting the company's assets while working from anywhere in South Africa .

Key Responsibilities

• Conduct comprehensive investigations into suspicious or high-value insurance claims to detect fraud.
• Gather and analyze evidence, including documentation, financial records, and witness statements.
• Conduct interviews with claimants, witnesses, and other relevant parties.
• Prepare detailed and objective investigation reports with findings and recommendations.
• Collaborate with legal counsel and law enforcement agencies when necessary.
• Stay updated on emerging fraud trends and investigative techniques relevant to the insurance sector .

Requirements

• Extensive experience as a Claims Investigator , with a significant portion focused on fraud detection.
• Proven ability to conduct complex investigations and gather credible evidence.
• Strong analytical, critical thinking, and problem-solving skills.
• Excellent interviewing and report-writing capabilities.
• Proficiency in utilizing investigative tools and databases.
• A strong understanding of insurance principles and common fraud schemes.

Benefits

• Competitive annual salary and performance-based bonuses.
• Fully remote work arrangement, providing maximum flexibility.
• Comprehensive health, dental, and vision insurance.
• Access to professional development resources and training.
• A supportive virtual team environment dedicated to combating insurance fraud.