To investigate, analyse and determine the extent of the insurance company’s liability concerning loss or damages to clients insured assets.
The Investigator also identifies fraudulent activity or foul play by examining the information gathered during the valuation process.
Ensure that upon receipt of the instruction, to arrange appointment for assessment and interview clients where needed to verify the details of the incident. Capture all the information in a professional manner and within the agreed time limits on the line of business system.
Follow agreed process to carry out the inspection of the insured and ensure that extent of the loss and/or damage is determined and to collect evidence if required. Ensure that all policies and procedures are followed with regards to the inspection/investigation process and the correct documentation is completed.
Make contact with the relevant stakeholders and/or service providers in gathering all information required to complete the claim.
Compile comprehensive report and attach all relevant evidence and to present to claims forum in case of proposed rejection and act only as per the agreed mandate.
Focus to deliver quality reports and to drive the agreed targets in terms of savings ratio, as agreed with account managers.
Required Knowledge, Experience and Skills:
2-3 years’ experience in the insurance industry
At least 2 years experience in investigations
SAPS exposure and/or background preferred
Certificate/diploma in risk management or forensics will serve as an advantage.