Job Location : Gauteng, JohannesburgDeadline : April 27, 2025Quick Recommended Links
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Investigation and Assessment of Claims lodged
- Trace insured driver / witnesses to consult and obtain statements and docket
- Ensure that a proper sketch plan of an accident scene is drawn as part of the investigation and asseessment process.
- Ensure that clear photographs of an accident scene, faces of the people interviewed, damaged vehicles and injuries to a person is taken as part of the investigation process.
- Obtain and / verify existing affidavits from different parties (e.g. claimants, witnesses, employers, etc.).
- Identify possible fraud and corruption and escalate to Forensic Investigation Department (FID).
- Testify in Court cases when a claimant is quilty and accused of fraud.
- Provide assistance in ensuring witness presence at court
- Validate supporting documents (e.g. employment details, paternity/ maternity details, SARS documents, etc.) for all related quantum investigations.
- Verify details of the claimant and those injured in an accident through Natis and Cross Check systems (e.g. ID no, contact numbers, address/s, employment details etc.)
- Verify the details of secondary vehicle/s involved in the accident to detarmine the owner/s.
- Quality check the supporting documents from stakeholders to determine the validity of the logged claim
- Validate loss of earnings
- Provide progress reports as per the internal services level agreement
- Monitor and maintain an effective filing system
- Ensure that files are correctly categorised and stored to ensure a smooth retrieval of documents
- Administer the records management and filing processes in line with the RAF filing plan
- Ensure confidentiality of all documents under control and that correspondence from the department office reaches intended recipients
- Perform File Retrieval in Archive Services
- Provide advice to different parties (e.g. claimants, witnesse, employers, etc.)
- Handle any assessments associated complaints
- Maintain relationships with internal and external stakeholders.
- NQF 7 (Bachelor's degree or Advanced Diploma) related qualification to discipline.
- Driver's License.
- Completed training as an investigator will be an added advantage.
- Being a certified fraud examiner will be an added advantage.
- Relevant 3 years' experience in a similar environment.
- Experience in merit and quantum investigations will be an added advantage.
- Insurance jobs
