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Counter Fraud Investigator

Job LocationChesterfield
EducationNot Mentioned
Salary25,000 - 32,000 per annum
IndustryNot Mentioned
Functional AreaNot Mentioned
Job TypePermanent , full-time

Job Description

Do you want to progress your career in a large, multiband company that will offer you a secure, full-time role with room for developmentDo you want to work for a professional and progressive company that really focuses on its employeesDo you have a passion for delivering excellent serviceI am working with a fantastic, forward-thinking, and rapidly growing company that is looking for someone with an equally fantastic personality.The main purpose of this role is to pro-actively screen and investigate portfolio of suspect motor accident claims.

  • Screening incoming RTA referrals against known fraud indicators and other risk factors, identifying cases where investigation is required.
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  • Managing fraud rings and linked claim investigation, 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.
  • Telephonic interviewing of claimants utilising specialist cognitive interviewing and conversation management techniques in order to further determine risk and separate honesty from inconsistency.
  • 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.
  • Assessing the completed evidential picture in order to determine the correct outcome for the claim.
  • Managing claims caseload, in accordance with the Markerstudy 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.
  • Ensuring compliance with all regulatory requirements (including "treating customers fairly" principles).
  • 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
  • Bodily injury claims handling experience
  • Investigation of suspect fraudulent RTA/bodily injury claims.
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