Thokozani Msibi

Career – SAPS Detective, Crime Investigator, Claims Investigator, Claims Assessor, Loss Adjuster with 10 years of experience in the South African Police Service and eleven years' in the private sector doing insurance fraud investigation. Collecting other party's details and information for litigation, claims consultant and policy services. Extended, diverse exposure both conducting, supervising crime prevention and investigating serious crime, organized crime, official corruption and insurance related corruption.

Perform special operations and suspect raids. I have been involved with insurance related type of fraud investigation. I have also been involved in life insurance claims fraud investigation as well. I also worked as a Road Accident Fund Claims Investigator.

Visiting the scenes and gathering physical evidence by means of photography and other techniques. Finalize all reports and administration (reports, scanning, photographs).

Claims Investigator at OUTsurance (2020-11 – 2025-12)

• Validate all incidents and claims.
• Meeting with clients, witnesses, SAPS officials, etc.
• Trace and provide information for the other party for litigation.
• Finalize all reports and administration (reports, scanning, photographs)
• Make the decision – Reject or settle all administration and telephonic queries arising around that.
• Handling and resolving all queries and problems from service provider and clients.
• Dealing with clients on all levels in a competent, efficient and professional manner.

Police Detective at South African Police Service (2016-10 – 2020-11)

Detective Services

• My duties included investigating all criminal cases ranging from Theft, Housebreaking and Fraud.
• Obtaining sworn statements from complainants and witnesses.
• Arresting of suspects and securing attendance at court by serving summons.
• Testifying at Court against the accused and opposing bail.
• Attending crime scenes and gathering evidence, conducting ID parades as well as providing general crime prevention.
• Perform special operations and suspect raids
• Prepare and compile dockets for prosecution through thorough investigation.
• Compiling of statistics.

Claims Investigator at JOINT SHELF ACCIDENT SPECIALIST (2014-12 – 2016-09)

• Investigate suspicious insurance claims.
• Gathering facts on issues in question through open-ended interviewing and statement taking from the witnesses, claimants and other role players as required by the Road Accident Fund.
• Obtaining and preserving physical and documentary evidence to support investigations.
• Visiting the scenes and gathering physical evidence by means of photography and other techniques
• Preparing reports

Claims Investigator at CENSEO (2010-09 – 2013-09)

• Investigate suspicious insurance claims.
• Gathering facts on issues in question through open-ended interviewing and statement taking from the witnesses, claimants and other role players.
• Obtaining and preserving physical and documentary evidence to support investigations.
• Specializing in life insurance claims investigations.

Claims Assessor at SIAS (OUTsurance) (2010-01 – 2010-08)

• Validate all incidents and claims.
• Meeting with clients, witnesses, SAPS officials, etc.
• Trace and provide information for the other party for litigation.
• Finalize all reports and administration (reports, scanning, photographs)
• Make the decision – Reject or settle all administration and telephonic queries arising around that.
• Handling and resolving all queries and problems from service provider and clients.
• Dealing with clients on all levels in a competent, efficient and professional manner.

Loss Adjustor at TELESURE (2007-04 – 2009-12)

• Underwriting of claims, establish the value of the loss and to determine the validity of the claim through investigation.
• Communicate with clients and other various sources and compilation of reports through computer systems.
• Keep client updated of the progress on the claim as well as informing the client of the finalization of the claim.
• To perform administration tasks such as such as to determine the physical and the moral risk, updating the cover as well as maximizing policy sale, purchase replacement vehicles with various dealerships.
• Responsible to perform at extremely high level to achieve customer satisfaction.

Police Detective at South African Police Service (2002-08 – 2007-04)

Detective Services

• My duties included investigating all criminal cases ranging from Domestic Violence to Armed Robbery, Murder and Fraud.
• Obtaining sworn statements from complainants and witnesses.
• Arresting of suspects and securing attendance at court by serving summons.
• Testifying at Court against the accused and opposing bail.
• Attending crime scenes and gathering evidence, conducting ID parades as well as providing general crime prevention.
• Prepare and compile dockets for prosecution through thorough investigation.
• Compiling of statistics.

Matric – Thokoza High School (1992)

Diploma in Office Administration, Computer, Office Administration, Public relation (2000)