Job description
This is the job
We have an exciting opportunity as a Senior Claims Fraud Investigator, you will support the Counter Fraud department in its objective of preventing and detecting claims fraud.
Through the development of departmental processes, training and implementation of change, your technical expertise will pay a key role in ensuring the Claims Validation team remains at the forefront of the evolving fraud picture.
What will I be doing?
- Directly managing a high value/technical portfolio of suspected fraudulent claims, in accordance with the claims philosophy, claims handling procedures and service levels
- Taking responsibility for end-to-end investigation and management of claims fraud referrals to achieve a cost-efficient conclusion and minimal financial loss to the company
- Managing fraud rings and linked claim investigations, adhering to internal and IFB protocols
- Acting as a point of technical expertise to help shape the teams ongoing strategy
- Carry out departmental audits to ensure best practice within the department
- Providing assistance and training to colleagues to ensure a high level of technical ability within the team
- Supporting the team leader in the delivery of change projects to ensure continual improvement
- Working closely with internal claims teams to ensure counter fraud is embedded into all processes and procedures throughout the company
What do I need?
- Thorough knowledge of insurance with a strong understanding of the principles of insurance
- Minimum 2 years’ experience in underwriting fraud investigation
- Have an in-depth understanding of the motor insurance market and how it operates and have a track record of using this knowledge to drive efficiencies
- Have an in-depth technical knowledge and the creativity to generate ideas
- Effective communication & interpersonal skills
- Stakeholder management, ability to build strong networks & influence upwards