Fraud Invesitgator

Job Description

One of the worlds largest and leading technology insurance firms is seeking Fraud Investigators to work within its Claims Investigation Team. This is a fantastic opportunity open to applicants across the United Kingdom to be at the forefront of the globalleading organisation.Structure of the Role:Role: Fraud InvestigatorLocation: Remote/WFHSalary: £30,000 per annumType: PermanentWork Pattern: Rotational shift basis - See below40 hours per week across 5 days8 hours per day between the hours of 8 am -7 pm Monday-Friday/9 am-6 pm Saturday & SundayWorking 2 weekends per monthThe role:

• To assess claims efficiently and fairly to ensure that legitimate claims covered by the policy are processed with minimum delay.
• To ensure that any escalated claims denied because they are not covered by the policy, are done so fairly in accordance with the agreed business rules.
• To contribute to fraud reduction by denying claims that, through an objective assessment of the evidence, are a reasonable indication of fraud according to the agreed business rules.

Main Duties:

• To ensure that customers are always treated fairly and in accordance with the core values of the organisation.
• To ensure that Asurion responds to claims as the customer would reasonably expect of the policy.
• To assess claims that have been escalated for adjudication, against agreed business rules and using a range of tools.
• To record evidence and decision making, within the tools provided, which supports an adjudication decision.
• To update customer records promptly to ensure that company staff who have contact with customers have all the right information to be able to inform the customer accurately and take appropriate action.
• To hold investigation conversations with customers to clarify information as necessary prior to approving or denying a claim.
• To contact customers primarily by telephone, but also by email and letter, to communicate a denial and give clear reasons.

Key Competencies:

• Demonstrates a good cultural fit against values and beliefs as well as Partner brands.
• Projects a professional image of self and the organization.
• A positive attitude towards work, including “Rolling up sleeves”.
• Always pays due regard to the interests of Asurion’s customers, taking appropriate action and escalating where necessary.
• Demonstrates a good understanding of the concept of treating customers fairly and strives to deliver fair outcomes.
• Is aware of Asurion’s responsibilities in protecting customers’ personal data, including payment card information, and acts accordingly.
• Maintains an understanding of the customer journey for Claims, including when a claim may be escalated for adjudication.
• Has an up-to-date understanding of the policy Terms and Conditions, and how they are applied.
• Is able to show proficiency in all appropriate applications and systems following appropriate training.

Experience required

• Preferable min of 3 years previous experience of working within Claims Investigation, Insurance and Telecommunications Industry - based role
• Experience in Financial Services Industry (Preferred)
• Good investigation skills and excellent attention to detail

If you are an experienced Fraud Investigator within a FSA regulated environment, then I would love to hear from you.