PURPOSE OF THE JOB

The role holder is responsible for planning and executing investigations into accidents/incidents occurrence and detection of fraudulent claims lodged into the company.

KEY ROLES AND RESPONSIBILITIES

• Creating and maintaining good and professional relationships between the Company, the police, and other important sources of accident/incident data to facilitate the investigating officers’ queries.
• Identifying and collecting relevant evidence from accident/incident scenes.
• Managing and reporting the number of claimants allegedly injured in road traffic accidents involving vehicles insured by Directline Assurance Company.
• Gathering intelligence information regarding accidents/incidents and claims trends in the area of coverage.
• Detecting, reporting fraudulent claims and testifying in court when required.
• Establishing the cause of an incident and the parties involved, and working with the police to ensure that negligence is attributed to the correct parties by obtaining conclusive Police abstracts and other claim claims documents.
• Establishing the identities of the parties involved in any relevant accident/incident with the emphasis on injured persons and witnesses.
• Obtaining credible information from the police records and independent witnesses in regards to the circumstances of the accident/incident.
• Conducting investigations and submitting quality investigation reports while incorporating relevant expertise.
• Any other responsibilities will be communicated to the Officer from time to time.

PERSON SPECIFICATIONS

Academic & Professional Qualifications

• University Degree/Diploma in Criminology & Security Studies, Fraud Detection or equivalent from an institution recognized by Commission for Higher Education
• Professional body membership will be an added advantage

Experience, Skills and Attributes

• MUST have at least two (2) years’ working experience in the security/investigative sector or Kenya Police Force
• Experience in the insurance industry and knowledge of Cap 405 will be advantageous
• Excellent knowledge and understanding of contemporary risk management principles and practices and reporting
• Problem solving and Solution oriented
• High integrity and ethical level
• Able to maintain utmost confidentiality of information in their possession
• Excellent analytical skills with ability to pay great attention to detail and get things done to completion.
• Excellent communication, interpersonal, negotiation, and presentation skills
• Fraud detection skills
• Self-motivated, confident and outgoing personality.

• Creating and maintaining good and professional relationships between the Company, the police, and other important sources of accident/incident data to facilitate the investigating officers’ queries.
• Identifying and collecting relevant evidence from accident/incident scenes.
• Managing and reporting the number of claimants allegedly injured in road traffic accidents involving vehicles insured by Directline Assurance Company.
• Gathering intelligence information regarding accidents/incidents and claims trends in the area of coverage.
• Detecting, reporting fraudulent claims and testifying in court when required.
• Establishing the cause of an incident and the parties involved, and working with the police to ensure that negligence is attributed to the correct parties by obtaining conclusive Police abstracts and other claim claims documents.
• Establishing the identities of the parties involved in any relevant accident/incident with the emphasis on injured persons and witnesses.
• Obtaining credible information from the police records and independent witnesses in regards to the circumstances of the accident/incident.
• Conducting investigations and submitting quality investigation reports while incorporating relevant expertise.
• Any other responsibilities will be communicated to the Officer from time to time.

• Excellent knowledge and understanding of contemporary risk management principles and practices and reporting
• Problem solving and Solution oriented
• High integrity and ethical level
• Able to maintain utmost confidentiality of information in their possession
• Excellent analytical skills with ability to pay great attention to detail and get things done to completion.
• Excellent communication, interpersonal, negotiation, and presentation skills
• Fraud detection skills
• Self-motivated, confident and outgoing personality.

• University Degree/Diploma in Criminology & Security Studies, Fraud Detection or equivalent from an institution recognized by Commission for Higher Education
• Professional body membership will be an added advantage
• MUST have at least two (2) years’ working experience in the security/investigative sector or Kenya Police Force
• Experience in the insurance industry and knowledge of Cap 405 will be advantageous