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Claims, Fraud & Leakage Specialist

Job LocationCroydon
EducationNot Mentioned
Salary24,150 per annum, OTE
IndustryNot Mentioned
Functional AreaNot Mentioned
Job TypePermanent , full-time Work from home

Job Description

Plus 1.5K Annual BonusThis role can be worked remotley on a permanent basis.To provide a professional and proactive approach in fraud and leakage management, ensuring best practice methods are adhered to at all times.Ensure all activities are carried out in a professional and timely manner with the objective to seek finalisation and closure of fraud files, identify and resolve leakage points within an appropriate time period and that the business objectives for fraudand leakage are realised.Actively schedule and conduct operational audits across your area of responsibility, ensuring compliance with company policies and ISO standards.Ensure all communications with our Business Partners, customers, other insurers or third-parties meet our professional standards at all times.Engage with others and collaborate to achieve the company vision.HOURSBased on 35 hours per week. Monday to Friday. Between the hours of 0800 and 1800 on a shift basis.

  • To proactively manage each referral or identified case, including taking ownership and handling any investigations deemed necessary on the cases, ensuring that the fastest & most effective method of communication is used, where possible making proactivedecisions at every opportunity.
  • To monitor all aspects of any investigation by ensuring that all services are provided at the agreed time.
  • Ensuring a diary system is in place to make sure any follow up, reminders or chasers are actioned.
  • Assess any potential fraudulent file in accordance with policy terms and conditions, within specified service levels and in line with department procedures.
  • Conduct scheduled leakage reviews in line with company agreed processes and provide feedback/reports to your manager and the managers of the area you are responsible for .
  • To ensure that the relevant Supervisor/Manager is informed of any service failure or potential problem identified during your analysis.
  • To schedule and conduct operational control reviews across your area, ensuring that the company, Group Policies and ISO standards are being adhered to.
  • Produce highly detailed reports on operational reviews of all findings, good or bad, with a view to share best practice across the business.
  • Work with the operational managers to address any identified shortfalls and manage through to resolution.

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