Specialist Investigator at Old Mutual

Job Description

• Old Mutual Insure is looking for a forward-thinking Specialist Investigator.
• To effectively investigate and detect fraudulent claims in order to contain claims spend and to provide excellent service in setting a culture of best practice within mandated responsibility.

You would: 

• To continuously improve SIU service and contain expenses.
• Ensure effective specialized investigation of Claims to minimise fraud.
• Determining the merits of the claim - fraudulent versus legitimate.
• Report findings of investigation in an effective and unbiased manner.
• Conduct presentations on fraud awareness – Red Flags.
• Ensure the timeous identification, if possible, of fraudulent claims, resulting in monetary savings for the company.
• Ensure data is quality controlled.
• Effectively communicate and give feedback to clients, staff, and call centre as required.
• Analyse query and complaints trends and suggest solutions.
• Prepare periodic reports and presentations on project progress, issues and progress against timeline reports/updates.

Non-negotiable:

• 5 year investigation experience within the financial / insurance sector
• Knowledge of Criminal procedure Act (51 of 1977) as advantageous
• Insurance qualification – Preferable
• SAPS Detective course
• Certified Fraud Examiner – CFE – Advantageous
• Knowledge of policy wordings, conditions and application thereof  - Preferable

The Recruitment process: 

• TA Interview: This will be a discussion with a member of the TA Team to give you an understanding of our business, our culture & values and more context on the role. It will also allow up the opportunity to get to know you a little better, and ensure OMI can meet your needs
• Panel Interview: This will be with 2 members of the senior leadership of the data team and 1 member of the HC leadership team
• Technical & Psychometric Assessments: These will depend on the role and will sometimes happen concurrently with MIE & Internal Verification
• Final Feedback
   

Closing Date:19 June 2024