Investigator

To provide a quality investigations service, ensure containment of claims spend and provide excellent service in setting a culture of best practice within mandated responsible.

Investigators responsibilities

• Handle all primary validations on the claim, including previous insurance checks, interviewing relevant parties, contact SAPS etc
• Retrieve and listen to the claims, sales & client services conversation if any problem is picked up on the claim
• Calls for transcriptions
• Send prejudice requests
• Request and attach accident reports, settlement letters and copy of registration documents
• Attach prejudice request and other relevant documentation
• Standard validation comments / Not recorded on SOP or Iwyze documentation
• Visiting scenes and investigating the circumstances;
• Assessing a range of factual information including the claimant’s background;
• Checking details with policy holders, witnesses and other professionals (e.g. police);
• Writing reports and collating information;
• Presenting evidence in a forum;
• Protect the company from paying out invalid claims;
• Arranging payments and any other required services (builders, plumbers, panel beaters etc)
• Giving advice on claims;
• Liaising with solicitors and negotiating a payment;
• Deciding who is liable;
• Keeping the customers’ policy information updated
• Make sure that vehicle is uplifted to an approved panel beater or Auction Nation
• Ensure vehicle assessor is appointed
• This signoff must be dealt with by the reporting Manager
• Matric
• Relevant Certificate Insurance or Investigation

Skills

Action Planning, Claims Management, Claims Settlement, Data Compilation, Data Controls, Executing Plans, Financial Auditing, Insurance Claims Investigations, Oral Communications, Presenting Solutions

Competencies

• Business Insight
• Collaborates
• Decision Quality
• Drives Results
• Ensures Accountability
• Financial Acumen
• Instills Trust
• Manages Complexity

Education

NQF Level 5 - Higher, Advance or Occupational Certificate or equivalent

Closing Date

25 October 2026 , 23:59

The appointment will be made from the designated group in line with the Employment Equity Plan of Old Mutual South Africa and the specific business unit in question.