Salary: Market Related

 

Experienced 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

 

If you are a SA citizen & your CV meets the above criteria, please send your CV to lourie@yazoo.co.za

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.