Vacant Jobs at MiWay Insurance Limited

What will you do?

• The Merit Desktop Investigator plays a critical role in safeguarding the insurer from fraudulent, inflated, or misrepresented claims through effective desktop-based investigation.
• This role requires strong analytical acumen, attention to detail, and the ability to make well-supported merit decisions without the need for physical fieldwork. The incumbent will evaluate commercial and personal lines claims to ensure validity, policy compliance, and fairness to all parties.

What will make you successful in this role?

Minimum Qualification Required

• Grade 12 / SAQA Accredited Equivalent 
• Mechanical Engineering / Panel beating N2/ N3 level 

Minimum Experience

• 2 - 4 years’ work experience in the following
• Workshop / Motor Industry experience
• Front line / client relationship experience in a panel beating environment.
• Practical panel beating, spray painting, mechanical and electrical experience.
• Assessing experience at a short-term insurer
• Estimating in a panel beating environment

Deliverables include, but will not be limited to

• Conduct detailed desktop-based merit assessments of claims across personal and commercial lines, identifying red flags or anomalies.
• Analyse policy wording, claims documentation, incident details, and supporting evidence to determine the validity of the claim.
• Engage with claimants, brokers, service providers, internal assessors, and third parties via phone, email, and digital platforms to gather required information.
• Draft clear, defensible, and objective investigative reports with recommendations on repudiation, settlement, or escalation.
• Identify potential fraud indicators and refer or escalate complex matters to field investigators or the Forensic Team.
• Liaise with legal, underwriting, or recoveries departments where needed to finalise the claim outcome.
• Maintain accurate and detailed records on all investigations using case management tools or claim systems.
• Stay up to date with insurance fraud trends, regulatory frameworks, and investigative best practices.
• Contribute to fraud prevention strategies by identifying modus operandi, and suggesting control enhancements.

Competencies Required

• Analytical Thinking
• Attention to Detail
• Ethical Judgement & Integrity
• Decision-Making Ability
• Communication Skills
• Problem Solving
• Accountability & Ownership
• Collaboration
• Resilience

Qualification and Experience

• Preferably a qualified panel beater with specialised knowledge to accurately assess damage.

Knowledge and Skills

• Automotive Damage Claims
• Claims Management
• Claims Reporting
• Claims approvals and rejections
• Claims settlements

 Deadline to apply: 22 October 2025.

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What will you do?

• Manages individuals within a team e.g. call centre agents / consultants within the communication centre. Ensures that the team reaches target by monitoring individual performance on a constant basis.
• Very knowledgeable on all aspects of the products, processes and systems. Mentors team and gives constant real-time support in terms of query resolution.

Minimum Qualifications and Experience

Minimum Qualification 

• Completed Grade 12 / Matric / NQF 4
• Tertiary qualification NQF 5

Minimum Experience

• 5 years experience in the Financial Service Industry as a Sales Team Manager