Assistant Investigator

Summary

Reporting to the Head of Special Investigations, the Assistant Investigator will be responsible for screening claims for fraud and providing support to the Special Investigators as well as leading desktop investigations into suspected fraudulent insurance claims. The Assistant Investigator plays a critical role in supporting investigative processes and contributing to the efficiency, accuracy, and success of the Special Investigations Unit (SIU).

Responsibilities

• • Assessing evidence within claims files to determine if the claim needs escalating to investigation or can be dealt with in the normal claims process.
• • Identify and record any fraud indicators which are included within the claim.
• • Undertake database and internet searches to assist in making the triage decisions
• • Review and analyse any claims which score adversely
• • Audit claims files to see if fraud indicators have been missed.
• • Use rules to run exception reports that may indicate suspicion under the guidance of the Head of Investigations.
• • Provide support to Special Investigators in accordance with BCIC’s systems and procedures
• • Ensure key performance indicators (KPIs) and service levels are adhered to
• • Create investigation plans with clear objectives
• • Conduct Desktop Investigations and gather evidence on suspected fraudulent claims for motor theft, accident and personal injury
• • Assessing evidence including intelligence, police reports, medical reports, and engineering evidence to identify inconsistencies to facilitate an informed decision on liability
• • Produce high quality written reports, advice, and recommendations.
• • Work collaboratively with colleagues in the Special Investigation Unit
• • Appoint service providers (e.g. forensic services) where necessary
• • Participate in training on fraud related matters, processes and procedures to assist in the development of new team members
• • Advise Underwriters of any anomalies or unusual features of claims and make recommendations in relation to any risks
• • Perform other related duties as assigned, within the scope of practice

Required Skills

• • Proficiency in conducting physical and electronic surveillance to gather evidence.
• • Skilled in implementing systems for the detection and investigation of fraud
• • Proficient in advanced investigation methods, including surveillance, interviewing and evidence collection
• • Skilled in analysing data to identify patterns, anomalies and potential fraudulent activities
• • Proficiency in conducting background checks, asset searches, and public record inquiries.
• • Competence in preparing comprehensive and clear investigative reports.
• • Working knowledge of general insurance products and services

Qualifications

• • A post-secondary Diploma in Business Administration, Insurance or related field
• • A minimum of two (2) years’ working experience in the Insurance or Investigations Industry
• • Other relevant qualifications such as Certified Fraud Examiner are desirable

Additional Information and Instructions

Please submit your curriculum vitae no later than 5:00 pm on Friday, February 28, 2025, via email to careers@bcicjamaica.com. We appreciate your decision to apply, however, we will only contact those who are selected for an interview. Thank you for your interest in joining Team BCIC.

About British Caribbean Insurance Company Limited (BCIC)

British Caribbean Insurance Company Limited (BCIC) is the #1 General Insurer in Jamaica! We foster a learning environment in which our people thrive, performance excels and business grows! We know that the right employees are the key to our success – so we are looking for two Assistant Investigators to join our team and help us achieve our vision.

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