Claims Investigator Protection Officer

Curriculum Vitae

P van der Merwe

PERSONAL INFORMATION

SURNAME

van der Merwe

FULL NAMES

Pierre

RESIDENTIAL ADDRESS

*** ******* ****** *********, ******** 0182

POSTAL ADDRESS

*** ******* *****t Sinoville, Pretoria 0182

CONTACT NUMBERS Cell: 083-***-****

E-MAIL ADDRESS

adnp5v@r.postjobfree.com

NATIONALITY

South African

IDENTITY NUMBER

820-***-**** 08 7

DATE OF BIRTH

17/05/1982

LANGUAGE PROFICIENCY Afrikaans (Speak, Read & Write)

English (Speak, Read & Write)

DRIVER'S LICENCE

Code 08

HEALTH

Excellent

AVAILIBILITY 1 Months’ notice

MOTIVATION I am regarded as an honest and hardworking employee. I have the ability to learn quickly and adapt to new circumstances with ease. I am a motivated self-starter and can execute the tasks required in my job without much supervision. I am a leader wherever in whatever situation I find myself.

SKILLS

Computer Literate on: Microsoft Windows and Office (including Word, Excel, Outlook, PowerPoint and Internet Explorer);

Good Verbal & Written Communication;

Good people skills.

PERSONAL ATTRIBUTES

Cope well with stress

Good motivator

Strong leader abilities

Punctual and reliable

Trustworthy

Self-managing

SECONDARY EDUCATION

SCHOOL ATTENDED

Gerrit Maritz High School

(1996 ~ 2000)

HIGHEST STANDARD PASSED Matric (Grade 12)

SUBJECTS PASSED Afrikaans;

English;

Biology;

Woodwork;

Geography;

Business Economics.

FURTHER EDUCATION (QUALIFICATIONS & TRAINING)

REGULATORY EXAMINATION

CERTIFICATE

RE 5 & RE1 (Key Individual)

FAIS COMMERCIAL AND

PERSONAL LINES CREDITS

INSTITUDE ATTENDED

Full FAIS Qualification (Commercial and Personnel Lines) - 150 Credits FJW Financial Services (Accredited with INSETA)

INSTITUTE ATTENDED

Private Security Industry Regulating Authority

(November 2006)

TRAINING OBTAINED Grade B – Cash in Transit

INSTITUTE ATTENDED

Safety & Security Sector Education and Training Authority – SASSETA

(October 2006)

TRAINING OBTAINED Use of:

Rifle (NQF Level 4);

Shotgun (NQF Level 4);

Hand Machine Carbine (NQF Level 4);

Hand Gun (NQF Level 4)

INSTITUTE ATTENDED

SBV Services (Pty) Ltd.

(February 2006)

TRAINING OBTAINED Use of:

Rifle (10750);

Shotgun (10754);

Hand Machine Carbine (10756);

Hand Gun (10748).

EMPLOYMENT HISTORY

King Price Insurance

Position:

Claims Investigation Team Manager

Dates of employment: April 2015 ~ Current

Responsibilities:

Preparing and presenting management information and reports as and when required

Conducting disciplinary related hearings/meetings

Authorising and rejecting of claims

Daily stats analysis

Identifying claims for investigation and underwriting

Providing guidelines on claims which are being investigated

Overseeing claims captured and investigated in a multi skill space (Contents, All Risk, Building, Vehicle Accident, Vehicle Theft/Hi Jack, Fire)

Overseeing fraudulent claims investigations

Ensure that all business processes are followed within the team

Hosting the claims meetings

Conducting final interviews with clients with regards to discrepancies on claims

Manage team measures and incentive criteria

Oversee and ensure achievement and maintenance of all claims processing standards within established guidelines within the team

Daily motivation of my team/investigators

Identifying possible candidates and conducting job interviews for any vacancies within the claims space

Attending management meetings

Ensuring performance issues are identified and resolved accurately and timeously and implementing action plans to proactively manage any foreseeable issues

Identifying and implementing operational efficiencies and development of

‘best practice’ relating to policies and procedures

Overall management of complete and sound claim settlements, legal reviews and investigations in accordance with company policies, values and procedures.

Deal with and resolving of customer complaints relating to an investigation and or claims process

Identify a need and contribute towards the overall strategy and link it to the setting of standards, targets and overall objectives

Provide training to claims commanders/consultants with regards to product specific needs as well as the successful streamlining of a claims process

Implementing strategic action plans and managing CAT situations

Representing King Price at SAIA by serving on the Property and Related Insurance Steering Committee

Identifying and sourcing of appropriate service providers who complies with set standards to serve on the board of service providers – More specifically focusing on the Non-Motor SP’s (Contents, All-Risk, Buildings)

Assisting developers and underwriters on factors to be considered as high to low risks in terms of underwriting criteria on the acceptance of polices and possible endorsements on active risks

Providing continuous advise of appropriate scripting to be added and or removed by sales or client care whenever a policy is amended in whatever way

General assistance on the floor to either claims commanders and or investigators

Reference: Dirk Nortje 083-***-****

King Price Insurance

Position:

Non Motor / Contents Claims Investigator

Dates of employment: 01 March 2014 ~ 31 March 2015 Responsibilities:

Investigation of insurance fraud

Liaise with clients and business clients(SAPS, suppliers and other)

Appointments and Task diarizing

Assessment of short term insurance claim

Facilitation of short term insurance claims

Calculations with regard to insurance, costing and payment

Applying insurance principles to claims

Conducting of interviews with clients and witnesses

Conducting final interviews with clients with regards to discrepancies on claims

Compiling of home contents inventories

Reference: Dirk Nortje 083-***-****

MiWay Insurance

Position:

Non Motor / Contents Claims Investigator

Dates of employment: 01 March 2012 ~ February 2014 Responsibilities:

Investigation of insurance fraud

Liaise with clients and business clients(SAPS, suppliers and other)

Appointments and Task diarizing

Assessment of short term insurance claim

Facilitation of short term insurance claims

Calculations with regard to insurance, costing and payment

Applying insurance principles to claims

Conducting of interviews with clients and witnesses

Conducting final interviews with clients with regards to discrepancies on claims

Compiling of home contents inventories

Reason for leaving:

Career aspirations

Reference: Chris Hartzenberg (011) 011-***-****

SIAS (Summit Insurance

Administrative services)

Position:

Non Motor / Contents Claims Investigator

Dates of employment: 01 February 2009 – End of February 2012 Responsibilities:

Liaise with clients and business clients(SAPS, suppliers and other)

Appointments and Task diarizing

Assessment of short term insurance claim

Facilitation of short term insurance claims

Calculations with regard to insurance, costing and payments

Investigation of insurance fraud

Applying insurance principles to claims

Conducting of interviews with clients and witnesses

Conducting final interviews with clients with regards to discrepancies on claims

Compiling of home contents inventories

Reason for leaving:

Career aspirations

Reference: Sieghard Iske (082-***-****)

Combined Private

Investigations

Position:

Investigator

Dates of employment: June 2007~ February 2009

Responsibilities:

Leading investigations into copper cable theft & fright hi-jacking syndicates.

Collecting and analysing evidence on crime scenes.

Compiling of investigation reports.

Compiling of case dockets with regards to arrests made and evidence gained.

Setting up of a database with regards to:

Theft routine;

Methods being used;

Alleged suspects;

Selling points of stolen cables.

Working in close co-operation with the South African Police Force

Performing court duties such as testifying in court on the cases where suspects have been apprehended.

Photographing of crime scenes and evidence.

Compiling detailed photo album to go along with investigations.

Sourcing of informants to assist with the quelling of cable thieves and syndicates.

Analysing possible theft hot spots.

Reason for leaving:

Career aspirations

Reference: Jan Wolmerans (Cell: 083-***-****)

Active Risk Solutions

Position:

Area Manager

Dates of employment: March 2007 ~ May 2007

Responsibilities:

Monthly planning including budgets and rotation of guards.

In charge of a various number of estate’s security needs.

Safe guarding of residents and assets on estate premises.

Ensuring compliance of estate rules.

Responding to security alarms.

Monitoring and assuming responsibility for access control.

Conducting of disciplinary hearings.

Marketing of services.

Responsible for investigations where required.

General admin:

Duty rosters;

Posting of guards;

Time sheets;

Compiling of monthly reports to clients.

Investigation reports.

Client liaison.

Reason for leaving:

Unfavorable working conditions

Reference: Kobus Lottering (Cell: 083-***-****)

SBV Service Pty (Ltd.)

Position:

Assistant Senior Protection Officer

Dates of employment: December 2003 ~ February 2007 Responsibilities:

General Administration Duties.

Completing of Transport Logbooks.

Requesting Transport.

Liaison with financial institutions with regards, to o Transportation of assets

o Arrival and departure time of assets

Supervision of fellow officers which include safety procedures as well as the following of daily work procedures.

Liaising with South African Police regarding investigation of possible criminal activities.

Authority to institute possible disciplinary action if needed. Reason for leaving:

Career aspirations

Reference: Mr. D. Joubert (Tel: 012-***-****/12)

S.W.A.T Force Security

Position:

Operations Manager

Dates of employment: January 2002 ~ November 2003 Responsibilities:

Supervising and managing of senior supervisors and security guards.

Compiling duty rosters.

Liaising with clients.

Marketing of security services.

Compiling of budgets and monthly statements.

Transporting assets on behalf of clients and other financial institutions.

Conduct disciplinary hearing on behalf of the company.

Investigation into possible fraudulent activities.

Money short falls.

Late or non-delivery of assets.

Assisting in general administration

Reason for leaving:

Company was sold.

Reference: Debbie Groenewald (Cell: 072-***-****)

Contact this candidate