Investigator

Description

To provide a quality investigations service, ensure containment of claims spend and provide excellent service in setting a culture of best practice within mandated responsible.

• Investigators responsibilitiesHandle all primary validations on the claim, including previous insurance checks, interviewing relevant parties, contact SAPS etcRetrieve and listen to the claims, sales & client services conversation if any problem is picked up on the claimCalls for transcriptionsSend prejudice requests Request and attach accident reports, settlement letters and copy of registration documentsAttach prejudice request and other relevant documentationStandard validation comments / Not recorded on SOP or Iwyze documentationVisiting scenes and investigating the circumstances;Assessing a range of factual information including the claimant’s background;Checking details with policy holders, witnesses and other professionals (e.g. police);Writing reports and collating information;Presenting evidence in a forum;Protect the company from paying out invalid claims;Arranging payments and any other required services (builders, plumbers, panel beaters etc)Giving advice on claims;Liaising with solicitors and negotiating a payment;Deciding who is liable;Keeping the customers’ policy information updatedMake sure that vehicle is uplifted to an approved panel beater or Auction NationEnsure vehicle assessor is appointedThis signoff must be dealt with by the reporting ManagerMatricRelevant Certificate Insurance or Investigation

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Skills

Action Planning, Claims Management, Claims Settlement, Data Compilation, Data Controls, Executing Plans, Financial Auditing, Insurance Claims Investigations, Oral Communications, Presenting Solutions

Competencies

Business InsightCollaboratesDecision QualityDrives ResultsEnsures AccountabilityFinancial AcumenInstills TrustManages Complexity

Education

NQF Level 5 - Higher, Advance or Occupational Certificate or equivalent

Closing Date

25 October 2026 , 23:59