Senior Fraud Investigator Haywards Heath, England
Job description
We’re First Central Insurance & Technology Group (First Central for short), an award-winning innovative insurance and technology organisation, delivering market-leading motor insurance, underwriting, distribution, finance, technology and legal services.
We currently have an exciting opportunity for a Senior Fraud Investigator to join our Counter Fraud Services team in either our Haywards Heath, West Sussex or Salford Quays, Manchester office.
You will support the Claims Fraud Technical Manager in handling a personal caseload of potential fraud risks, identification, development and testing of new Claims Fraud initiatives and conduct market research to identify fraud trends in the motor sector.
Job responsibilities:
- Conduct market research by way of intelligence, suppliers and industry conferences to identify new fraud trends in the motor insurance market.
- Support in the development of new initiatives, strategies, and processes
- Provide detailed reported with recommendations following testing of a new claims fraud initiative.
- Handle a personal caseload of potential fraud risks as part of testing new initiatives, in accordance with CFS SLA’s, FCA regulations, and legislative and policy guidelines. To include desk-top handling, with direct interaction with policyholders, third parties and witnesses; extending to incorporate telephone-based interviews and written communications, and the appointment of external specialists to include investigators, law firms and motor engineers
- Development of CFS strategies to proactively investigate potential fraud risks.
- Assist the Technical Manger monitor the work state and manage caseloads to ensure that SLA’s and performance targets are achieved
- Action incoming requests from panel solicitors
- Help to manage the relationship with FCIM panel of service providers including law firms and investigators
- Provide advice and support to business areas and CFS with regard to potential fraud risks.
- Act as a mentor for Fraud Investigators and as a technical referral point.
- Process and authorise cheques on claims files as required and in accordance with authorities.
- Ensure claim files are reserved accurately and reserves amended where required
- Meet agreed fraud KPI’s and targets.
- Comply with the requirements, and act in accordance with, the Group Code of Conduct and Fitness and Propriety policies at all times
- Ensure compliance with Company Policies, Values and guidelines and other relevant standards/ regulations at all times.
- Any other reasonable duties
- Regularly meet with key stakeholders to ensure accurate data collection, cross departmental support of the initiatives in development and deployment stage.
Experience & knowledge:
- Strong motor claims and policy experience.
- Proven track record in investigating fraud risks impacting on a motor insurer.
- Claims fraud investigation and management, to include organised motor fraud.
- Experience in assisting with team management duties
- Excellent knowledge of processes and tactics used to investigate and manage insurance fraud, and a solid understanding of relevant fraud related legislation.
- Excellent knowledge of FCA requirements (including TCF) and the regulatory framework relating to general insurance.
- Sound understanding of all aspects of motor insurance.
Skills & Qualifications:
- Good communication skills, both verbal and written
- Good time management and organisation skills
- Negotiation and influencing skills.
- Strong analytical and problem solving skills, with the ability to adopt a logical approach to resolving problems.
- Strong customer service skills.
- Good numeracy and literacy skills.
- Computer literate, to include Word, Excel, PowerPoint and the internet.
- Desktop fraud investigation, to include telephone interviews.
- Appointment and management of external fraud service providers.
- Excellent report production skills.
What can we do for you?
We believe we can offer you a great working environment as we’re so passionate about our people. Here are just some of the benefits and perks that we offer…
- Fantastic training and development opportunities
- Employee benefit packages to suit your lifestyle
- Flexible working
- YOUday – we give you an extra day off to celebrate a special day
- The opportunity to take a paid day off each year to do charity work
- A health cash plan
- Help with travel expenses
- The opportunity to buy additional holiday
- Company pension scheme
- Group life assurance
- Enhanced maternity and paternity pay
- Professional subscription fees paid
Employee wellbeing is high on the agenda here too. We provide discounted membership at a local health club and access to an Employee Assistance Programme, which promotes physical and emotional wellbeing at work and at home. In addition, we provide wellbeing events throughout the year to support physical and mental health.
For further information on what we can offer and to learn more about this role, feel free to contact our dedicated Talent team.
