Experience Assessor with relevant insurance/forensic/investigation experience within the Short Term Insurance Industry – specific to Commercial Insurance, required to start asap.

Minimum requirements:
• Grade 12 essential
• Full Commercial qualification (NQF4 150 credits) and RE certificate preferred
• Minimum 2-3 years insurance/investigation, forensic experience required
• Minimum 5 years work experience in a similar role required
• Short Term Insurance knowledge essential
• Forensic investigative knowledge required
• Basic legal understanding required
• Investigative procedure and techniques – paper cars/hidden numbers, etc
• Must be willing to travel
• Own reliable transport required


Responsibilities:
• Contribute to the organisation goals by generating maximum savings, preventing fraud and managing expenditure
• Validate claims by using expert abilities in various fields of investigation
• Accurate administration and underwriting of claims
• Validation of claims by investigating, applying expertise, utilising resources (police, suppliers, etc) and interview customers and 3rd parties
• Enable effective costing of claimed items through professional investigation of claims
• Maintain acceptable claims expenditure ration (rejections, savings, etc) by validating and investigating claims accurately and in accordance with SLA’s
• Contributing to optimise work practice and procedures by maintaining an acceptable workload
• Uphold agreed SLA’s and ensure customer satisfaction
• Build, maintain and manage relationships with service providers and suppliers, colleagues and other stakeholders
• Deliver on TCF principles in alignment with regulatory requirements
• Daily check in – feedback and updates
• Validate facts on the road
• Investigate merits indentified
• Feedback by short interval controls
• Provide clarity on escalated complaints
• Record evidence relevant to investigation

Recognising that diversity is the key to excellence, our client especially encourages members of designated groups to apply.
If you have not heard from us within a 2 week period, please deem your application as unsuccessful.