Internal Investigator at Kenya Orient Insurance Limited

Reports To: Assistant Claims Manager

Purpose of the Position: The position is responsible for oversight and management of all investigations on general liability, workers compensation, auto liability and personal injury claims.

Key Tasks, Duties and Responsibilities

• Collect, review and research on evidence/documents to analyse the overall fact pattern of claim and synthesize data into a professional report with recommendations.
• Prepare and coordinate field assignments to obtain relevant evidence and information.
• Identify and handle suspicious or problematic insurance claims while providing consultation and strategic directions through professional reports.
• Assess of investigations fee notes to ensure that they are in line with the provisions of the service level agreement.
• Prepare a monthly management report of all claims under investigations.

Requirements

• Bachelor’s Degree in related field e.g. Insurance Studies, Criminal Justice, Risk Management.
• Certificate of Insurance – Fraud Investigator
• At least 3 years’ work experience preferably in a reputable Investigator firm