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Job Title: Counter Fraud Investigator
Location: Nottingham / Manchester / Tunbridge Wells / Whitstable/ Chesterfield (hybrid working)
Overview
Due to the continued success and expansion, we are now looking to recruit an experienced Claims Fraud Investigator to join our dynamic and forward-thinking teams.
With a strong presence in the UK motor insurance market, we specialise in niche motor cover, where our solid market knowledge and experience enables us to create highly targeted products.
The purpose of this role is to protect our customers, partners, and our business from fraud.
Key Responsibilities
Screening incoming claims referrals against known fraud indicators and other risk factors, identifying cases where investigation is required as well as providing detailed feedback on those that do not to the Claims Department to assist in improving referral quality.
- Managing fraud rings and linked claim investigations, adhering to internal and IFB protocols.
- Utilising a variety of desktop tools (CUE, MIAFTR etc.) as well as various internet checks and databases to assist with claimant profiling and to determine the direction of the investigation.
- Utilise conversation management techniques in order to further determine risk and separate honesty from inconsistency when dealing with all claimants and their representatives.
- Pursuing follow up inquiries with external parties including regulatory and licensing authorities, other insurers and law agencies.
- Providing focused instructions to, and subsequently liaising with, specialist investigative suppliers including field investigators, engineers and forensic specialists.
- Validating documents and handling sensitive data.
- Ability to assess the evolving ‘evidential picture’ of a claim in order to drive a proactive investigation and determine the correct outcome.
- Managing claims caseload, in accordance with the claims philosophy, claims handling procedures and service levels.
- Adhering to agreed personal authority limits, referring to line manager for authorisation where activity exceeds such limits.
- Responding promptly and pro-actively to incoming telephone calls and correspondence by use of telephone, e-mail and letter.
- Maintaining good file discipline and accurate reserves, together with an effective diary system which ensures that cases are reviewed on a regular basis.
- Developing and maintaining effective relationships with colleagues and business partners.
- Pro-actively managing personal training and development requirements.
- Undertaking general claims tasks, as required.
- To adhere to Company processes with regard to FCA compliance, DPA and Treating Customers Fairly, ensuring strict compliance in all these areas.
Essential Skills and Knowledge:
- Bodily injury claims handling experience.
- Investigation of suspect fraudulent RTA/bodily injury claims.
- Knowledge of Credit Hire claims.
- Knowledge and experience of numerous fraud types.
