Desktop Investigator
3 weeks ago
Hello… an exciting new opportunity has just become available in our Life Solutions, Customer Office, Claims area. We are looking to recruit a Desktop Investigator.
Role Objectives:
To ensure that all claims referred to Claims Investigation are validated correctly by performing accurate and timeous confirmations with 3rd party individuals. Any fraudulent activities detected are to be referred to the Claims Investigation manager to validate and assign to a claim’s investigator for field investigation.
Key Responsibilities:
The key outputs required for the core function of financial crime investigation:
- Ensuring daily tasks and validation of claims are processed within the agreed service level agreement.
- Perform 3rd party verifications on all claims referred to confirm if the claim is valid/ fraudulent.
- Managing Hollard’s risk by ensuring that valid claims are paid and invalid claims are not paid.
- Managing our risk by verifying the information at sales, administration and claims stage and reporting operational risks to Compliance.
- To capture all claims referred on the Respond system for case tracking and reporting purposes.
- To perform related tasks within claims investigations as per the request of the Senior Manager and / or the Investigations Managers that support the overall objective of the claims team.
- Ensure compliance with all relevant legislation (FICA, POPIA, TCF).
- Ensure all standard claim documents are received with the required referral form for each investigation.
- Engage with fellow colleagues within the team on any ideas for continuous process improvement.
- Work closely with internal and external stakeholders.
- Assist with special projects from time to time when requested.
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Desktop Investigator
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Sandton, South Africa Hollard Recruitment Full timeJob Opportunity: Desktop InvestigatorHello, and welcome to this exciting opportunity in our Life Solutions, Customer Office, Claims area. We are seeking a skilled Desktop Investigator to join our team.Key Responsibilities:Validate claims referred to Claims Investigation by performing accurate and timely confirmations with 3rd party individuals.Identify and...
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Desktop Investigator
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