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Claims Fraud Investigator

GerrardWhite
Job LocationTunbridge Wells
EducationNot Mentioned
Salary30,000 - 35,000 per annum
IndustryNot Mentioned
Functional AreaNot Mentioned
Job TypePermanent , full-time

Job Description

Claims Fraud Investigator - Motor InsuranceSalary: £30,000-£35,000 depending on experienceHours: 35 hours per week, Monday-FridayLocations: Chesterfield, Manchester, Nottingham, and Tunbridge Wells.Hybrid: 3 days remote, 2 days office-basedOverviewMy client is a leading and expanding insurance group looking to recruit experienced Claims Fraud Investigators to join their dynamic and forward-thinking teams.The main purpose of this role is to proactively screen and investigate a portfolio of suspect motor accident claims.As a Fraud Investigator, you will be responsible for screening incoming claims referrals against known fraud indicators and other risk factors and identifying cases where an investigation is required.Responsibilities

  • Screening incoming claims referrals and identifying cases that require further investigation
  • 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.
  • Utilise conversation management techniques 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 and liaising with specialist investigative suppliers including field investigators, engineers, and forensic specialists.
  • Validating documents.
  • Adhering to agreed personal authority limits, referring to line manager for authorisation where activity exceeds such limits.
  • Responding promptly and proactively 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 ensuring that cases are reviewed on a regular basis.
  • Provide detailed feedback to the Claims Departments on claims that do NOT need investigation to assist with referral quality.
  • 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.
Skills Required
  • The ability to assess the evolving evidential picture of a claim to drive a proactive investigation and determine the correct outcome.
  • Bodily injury claims handling experience
  • Investigation of suspect fraudulent RTA/bodily injury claims.
Benefits
  • 25 days annual leave + bank holidays!
  • 5% pension contribution scheme
  • Healthcare benefits
  • Life assurance
  • Discounts on over 250 big retail brands

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