BI Investigator
MiWay Insurance Limited · KwaZulu-Natal
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- The Investigator role is a pivotal, field-based role within our organization, responsible for the rigorous, objective investigation of high-complexity insurance claims. Serving as the primary link between the corporate claims department and the physical site of an incident, the Investigator plays a critical role in upholding the integrity of our insurance products and protecting the company against financial leakage.
- This position is specifically designed to handle a diverse portfolio encompassing of Business/Commercial Insurance liability, property damage, and commercial indemnity. The successful candidate will be expected to operate independently, maintaining a high degree of mobility and professional discretion.
What will make you successful in this role?
Minimum Qualification Required
- Grade 12 / SAQA Accredited Equivalent Essential
- VDQ Vehicle Damage Quantifier Qualification Preferred
- Mechanical Engineering / Panel beating N2/ N3 level / Advantageous
Minimum Experience
- 2 - 4 years' work experience in the following Advantageous:
- 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
Operations Management & Field Mobility
- Manage the daily assessment schedule across the designated KZN area to ensure maximum efficiency and compliance with turn around-time TAT targets.
- Carry out operational tasks by following established processes, ensuring all site visits and assessments are accurately logged.
- Make fair, honest, and accurate cost-related decisions through the vehicle claim lifecycle at the point of assessment.
- Accurate quantification, identification, and validation of vehicles based on physical inspection
Customer Service
- Provide a quality service to customers
- Dealing with complex queries and investigating and resolving customer problems.
- Consistently provide service in accordance with the pre-agreed service and functional standards.
Client & Customer Management External
- Help manage clients by carrying out standard activities and providing support to others.
- Effectively engage with the customers and deliver service that goes beyond what is expected more than just the claim.
- Effectively build, maintain and manage relationships with service providers and customers.
Continuous Improvement
- Contribute to reviewing existing operations in own area of work and generate new ideas to assist in identifying continuous improvements.
- Conduct workload activities in most efficient and cost effective manner.
Personal Capability Building
- Develop and maintain excellent procedural or technical skills by participating in assessment and development planning activities as well as formal and informal training and coaching.
- Internal knowledge and skills of industry methods and process not relying on partners / industry to advise and dictate.
- Specialise in specialist vehicle knowledge and apply skills to optimise repair cost.
Competencies Required
- Strong knowledge of vehicle repairs and insurance industry standards.
- Excellent communication and negotiation skills.
- Ability to work in a fast-paced environment and meet deadlines.
- Strong analytical and problem-solving skills.
Knowledge and Skills
- Claims approvals and rejections
- Automotive Damage Claims
- Claims Management
- Claims Reporting
- Claims settlements