PL Claims Investigator PE at MiWay Insurance Limited

What will you do?

Role Location: Port Elizabeth

• The Motor Claims Investigator is responsible for conducting thorough investigations into motor vehicle insurance claims to detect potential fraud, validate the authenticity of accidents or thefts, and ensure accurate and fair claims decisions. This includes technical vehicle assessments, accident scene reconstructions, fieldwork, interviews, and digital evidence gathering.
• In addition to investigative excellence, the role requires a strong commitment to customer centricity—ensuring that all interactions with, repairers, and witnesses are handled with professionalism, empathy, and integrity.
• The investigator must balance fraud risk management with the need for fair and efficient resolution of motor claims.The on-the-road investigator will conduct on-site inspections of motor vehicles and accident scenes, gathering physical evidence and interviewing relevant parties to support accurate claims decisions and mitigate fraud risk.

Minimum Requirments

• Minimum Qualification Required  
• Grade 12 / National Senior Certificate (NQF Level 4)  
• A valid driver's licence (Code B or higher)  
• A relevant diploma or degree in Law, Insurance, Risk Management, Forensics or Criminology (advantageous)  
• A forensic investigation certification (e.g. CFE) – advantageous  
• Technical qualification in Motor Mechanics or Panel Beating (advantageous)

Minimum Experience  

• 2 – 3 years of experience in short-term motor insurance claims investigations. (comprehensive, third-party, or commercial fleets)
• Proven experience in accident scene analysis and vehicle damage consistency assessments.  
• Experience working with motor-specific forensic tools, fraud indicators, and detection techniques.  
• Previous exposure to legal processes, including criminal and civil matters – preferred.  
• Field investigations and interviewing experience – essential.  
• Proven ability to write investigative and factual reports.

Deliverables include, but will not be limited to

• Conduct comprehensive investigations on motor claims flagged for potential fraud, staged accidents, or non-disclosure.  
• Perform consistency checks to verify if vehicle damage aligns with the described accident circumstances.  
• Conduct telephonic and face-to-face interviews with claimants, third parties, and witnesses.  
• Review digital evidence, including telematics data, CCTV footage, and vehicle tracking reports.  
• Cross-reference information across internal systems and external data sources (e.g., eNaTIS, industry databases, social media).  
• Prepare clear, evidence-based investigation reports with recommendations for claim settlement,repudiation, or further forensic analysis.  
• Liaise with internal stakeholders (Claims, Legal, and Underwriting) and external partners (Assessors,SAPS, and Towing services).  
• Identify emerging motor fraud patterns (e.g., paper cars, staged collisions) and contribute to fraud detection initiatives.  
• Maintain detailed, secure, and POPIA-compliant records of all investigations.  
• Meet required SLAs, performance targets, and reporting timelines.

Competencies Required

• Strong analytical, interviewing, and report-writing skills.  
• Technical knowledge of vehicle components, repair methods, and accident dynamics.  
• Knowledge of the short-term insurance regulatory and motor-legal environment (National Road Traffic Act).  
• Ability to handle conflict and manage multiple high-pressure cases concurrently.  
• High levels of integrity, discretion, and professionalism.  
• Proficient in MS Office and relevant digital investigation tools.

Deadline to apply: 09 September 2026.