Claims Investigator : Personal Lines (GP/Limpopo) MMH240510-7

Updated: May 14, 2024 08:31 PM GMT

Momentum

Polokwane

Role Purpose

To contribute to the organisational goals by investigating, negotiating and administering claims. Identify and prevent fraudulent claims and manage expenditure on settled claims.

Requirements
• Matric
• Minimum 3 years investigative experience in a short-term personal claims environment
• Completion of an investigations programme would be beneficial
• FAIS accreditation or a FAIS recognised qualification will be highly beneficial

Duties and Responsibilities
• Receive personal line claims identified by the fraud prediction model for validation
• Confirm merits of each claim through comprehensive assessment of the item and incident
• Apply the policy to ensure the loss is covered in terms of the contract
• Compile a comprehensive report on all findings and make a recommendation on a claim based on merits/evidence found during the validation process
• Refer all recommendations not within your mandate to the line manager for approval
• Irrespective of the outcome of the... More Detail