Accomplished Contents / Motor Investigator and Assessor with extensive experience in insurance investigations, specialising in non-motor, motor, and business motor claims. Demonstrates expertise in investigative research, risk assessment, and claims analysis, with a proven track record of objectively obtaining and analysing evidence to finalise claims efficiently. Notable for comprehensive assessments of armed robberies, burglaries, and various insurance claims while liaising effectively with legal representatives and law enforcement agencies. Career includes leadership roles such as National Technical Manager at Tempest Car Hire and Claims Manager at EuropCar, showcasing a strong ability to manage teams and drive operational success. Committed to leveraging skills in evidence collection and analysis to combat insurance fraud and enhance organisational integrity. Accomplished Contents Investigator and Assessor with extensive experience in insurance investigations. Demonstrates expertise in investigative research, risk assessment, and claims analysis, delivering thorough assessments of complex claims while collaborating with legal representatives and law enforcement. Leads teams to drive operational success and addresses insurance fraud, ensuring organisational integrity.
Overview
34
34
years of professional experience
Work History
Contents Investigator / Assessor
MiWAy Insurance
02.2020 - Current
To objectively obtain all facts (we do not obtain evidence towards a specific goal)
Insurance Investigations / Assessing: non motor, Motor & business Motor claims
Contents Investigator / Assessor
SIAS / FRSTIA / OUTsurance
Benoni
02.2013 - 02.2019
To objectively obtain all facts (we do not obtain evidence towards a specific goal)
We obtain all evidence related to an Insurance Claim. We then determine what is relevant. Once a claim is registered with a call centre advisor, we are their eyes & ears. The quicker we verify all the facts the quicker the claim will be finalised. Should there be a variance from the version given by the client & the objective facts we obtain or gather, we will canvass this with the client & give the client the opportunity to explain the discrepancies. Should there be a new version afterwards – we will attempt to verify this.
We then present all the facts & our recommendation to a claims committee meeting (who apply their minds to the facts & make a decision) & directly to the Insurer. It is imperative that the client & all concerned give us true & complete information.
Comprehensive assessments & investigation on the following claims: Armed Robberies & Burglaries to Contents of homes / all-risk Items, namely Specified & Unspecified, Common Theft, Loss of items, Accidental Damage, Insured Perils.
Correspondence entails the following: Comprehensive assessment & validation of claims, Correspondence to all parties involved in a specific incident, Costing and payments to clients and service providers, Underwriting of all types of claims allocated on a daily basis, Finalizing of claims with clients within excellent turn-around-time.
Development opportunities: Attended & completed numerous Investigation courses offered by the company, Attended & completed Investigation & Final Interview training within the company.
Extensive experience in the following: ITC / Experian / Salvage / Complete criminal checks, Assessments of house burglaries and break-in’s as well as inventories, All risk items or contents of a vehicle stolen whilst inside the vehicle, Underwriting of all of claims related to Accidental, Theft, Robbery, etc, Intensive investigation into theft – to eliminate insurance fraud, Full background check on clients & witnesses confirming any offences reported by him/her - against him/her, IDS checks on clients, a system linked to all Major Insurers in South Africa.
Key responsibility areas: Collection & Analysis of factual evidence obtained through investigation / Reporting on findings by means of a case file or Assessment Report / Rendering technical and administrative assistance to legal representatives and judicial officers / Interviewing of witnesses & obtaining of affidavits / Liaison with management & giving assistance to colleagues less experienced in the analyses of evidence, compiling of reports, systems training, Final Interviews, etc / Liaison with law enforcement agencies, ie: SAPS, Liaison with legal section / Compilation of draft and final reports / Taking of affidavits in claim related matters / Tracing of witnesses. Capturing of Salvage info / Costing of Claims / Profiling Modus Operandi & Identification of patterns and trends regarding all vehicle syndicates & Fraud Syndicates.
Insurance Investigations / Assessing: Non motor & Motor
National Technical Manager
Tempest Car Hire
01.2013 - 01.2013
Vehicle Rental Company
Reason for Leaving: Went back to Sias
Claims Manager
EuropCar
04.2012 - 12.2012
Vehicle Rental Company
Reason for Leaving: Career Growth, offered a Job at Tempest
Team Leader
Imperial Car Rental
01.2007 - 07.2008
Vehicle Rental Company
Reason for Leaving: Career Growth, offered a Job at SIAS Assessing
Vehicle Rental Agent
Imperial Car Rental
12.2004 - 06.2006
Vehicle Rental Company
Reason for Leaving: Promoted within Company & moved to Jhb International Airport
Call Centre Agent
Imperial Car Rental
09.2001 - 12.2003
Vehicle Rental Company
Reason for Leaving: Promoted within Company & moved to Germiston
Call Centre Agent
Direct Medicines (Afrox)
01.1999 - 01.2001
Medical Supply Call Centre
Pursued opportunities for professional advancement
Stock Controller
Waltons Stationers
01.1997 - 01.1998
Stationary Company
Reason for Leaving: Career Growth
Production Supervisor
Arena Clothing
09.1992 - 05.1996
Worked in retail environment
Pursued opportunities for advancement
Education
Matric Exemption -
Arena Park Secondary
01-1991
Skills
Investigative research
Risk assessment
Claims analysis
Evidence collection
Custom
ACFE: Association of Credited Fraud Examiners, Certificates and all supporting documentation are available on request, Completed FAIS Compliance examination within the Short-Term Insurance industry, and was found to be FAIS Compliant