TRAFFIC Eastern Cape

Claims Assessor

Discovery Limited

Job Description

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Claims Assessor

Business Unit: Discovery Insure

Function: Forensics/Fraud/Fiduciary Services

Date: 31 Mar 2026

Key Purpose

To investigate and validate motor claims to determine validity based on the Discovery Insure contract. To correctly quantify and validate losses and serve as a mediator between clients and/or brokers. Provide feedback and support to claims consultants and foster good relationships between brokers and clients.

Areas of responsibility may include but not limited to

  • Motor claims investigation and validation, including settlement, rejection and repair within service level agreement.
  • Turn-around time and predetermined mandates.
  • Loss adjustment by correctly quantifying losses and/or verifying claimed amounts. Mediation between Insure client and/or broker.
  • Reporting on all assessed claims and making recommendations.
  • Analyse client behaviour to determine legitimacy of claims.
  • Investigate and report on fraudulent claims.
  • Perform administrative tasks and meet strict deadlines.
  • Make recommendations to prevent fraud.
  • Analyse, collecting, evaluating and handling of evidence.
  • Claims forum presenting of claims.

Education and Experience

  • Matric (Essential)
  • 5 years' minimum short term insurance claims experience (Essential)
  • 5 years' short-term insurance motor claims validations and investigations experience (Essential)
  • Interviewing techniques (Essential)
  • Investigation terminology (Essential)
  • Tertiary qualification relating to investigations and interviewing e.g. Certified Fraud Examiner (Advantageous)
  • Hold a valid driver licence
  • Willing to travel

EMPLOYMENT EQUITY
The Company's approved Employment Equity Plan and Targets will be considered as part of the recruitment process. As an Equal Opportunities employer, we actively encourage and welcome people with various disabilities to apply.

About This Role

Career insights for Claims Adjusters, Examiners, and Investigators positions

Salary Benchmark
$75,050/year
Source: O*NET (USD)
Key Skills for This Role
Reading Comprehension Active Listening Critical Thinking Speaking Judgment and Decision Making
Common Technologies
Claims processing administration and management software Microsoft Access Tropics Claims Reserve Management Zoom Datanex ClaimTrac Document management system software Hyland OnBase Enterprise Content Management Axonwave Fraud and Abuse Management System

This page incorporates data from O_NET OnLine, courtesy of the U.S. Department of Labor, Employment and Training Administration (USDOL/ETA), under the CC BY 4.0 license. O_NET is a registered trademark of USDOL/ETA. Assessify has adapted and modified the original content. Please note that USDOL/ETA has neither reviewed nor endorsed these changes.