Claims Validation Officer - London, United Kingdom - Saga

Saga
Saga
Verified Company
London, United Kingdom

1 month ago

Tom O´Connor

Posted by:

Tom O´Connor

beBee Recruiter
Description
Job Introduction

Please note this role is Hybrid with occasional visits to our Sandwich and Ashford office
Our people are everything to us. The way they deliver exceptional experiences every day for our customers, for their colleagues. The way they own what they do. Their 'Why's it like that?' curiosity. How they always think of others and work together to get things done. For us, for you, make do will never do. Good enough? Not even close. Come and do the best work of your life alongside lovely colleagues. Come to Saga.

And right now, we are looking for a Claims Validation Officer to join Saga's Claims Fraud Team.

You will be responsible for the investigation of potentially fraudulent claims and ensure that genuine claims are cleared back to the claims' teams at the earliest opportunity, keeping costs to a minimum.

Also to ensure that appropriate investigations are carried out where required.


And in return, you can look forward to all the responsibility and involvement of an integral role, providing you with a rewarding and fast-paced career with an excellent benefits package.

If this is of interest to you then we would be keen to hear from you

Main Responsibilities

  • Desk based investigation of insurance claims and other suspected fraudulent insurance activity.
  • Utilise investigative and data search tools to investigate suspected fraudulent activity.
  • Conduct investigative interviews to identify and confirm irregularities in claims activity.
  • Collect and analyse information and recommend appropriate action.
  • Collate information on fraudulent activity, and produce witness statements for escalation to law firms, law enforcement agencies and Insurance Industry bodies and companies.
  • Ensure that claims, policy systems and company intelligence records are accurate and reliable.
  • Ensure that a consistent ratio of incoming claims against settled claims is achieved.
  • Negotiate and settle claims within your personal authority limit without referral.
  • Achieve consistent financial savings results.
  • Work closely with other members of the Claims Validation Team to recommend developments to the fraud detection and prevention systems and to assist in implementing these developments.
  • Act as a referral point for others in the business who need support and decisions made upon claims and other incidents that have suspicious aspects to them.
  • Contribute proportionally to the team's achievement of all its targets.
  • Excellent customer skills and the ability to spot and challenge unusual (and fraudulent) behaviour.
  • Ability to manage own workload.
  • Strong communication skills.
  • Problem solver.
  • Attention to detail.
  • Proficient in Office, particularly Word and Excel.
  • Good knowledge and understanding of insurance claims handling and claims negotiation.
  • Some claims validation experience.
  • Good standard of secondary education.

Our Saga Values:

  • Precision Pace
  • Always owning and making things happen.


  • Empathy

  • Always aware of others.


  • Curiosity

  • Always asking why.


  • Collaboration

  • Always one team, the Saga team
About The Company

Over the past 70 years we have become the UK's specialist provider of products and services to people aged over 50 in the UK.

The Saga brand has become one of the most recognised and trusted brands amongst UK consumers in this demographic, recognised for its high quality products and exceptional standards of service.

These include cruises and holidays, insurance, personal finance and the Saga Magazine.


At Saga we are committed to treating all employees fairly and to offering equal opportunities in all aspects of employment and advancement.

We value diversity not just because it is the right thing to do, but because diverse teams perform better.


_Saga does not accept agency CVs unless specifically engaged on the role by the Talent Acquisition Team. Please do not forward CVs to our recruiters, employees or any other company location. Saga will not be responsible for any fees related to CVs received in this unsolicited manner._
LI-Remote"

Package Description
The standard benefits when you join Saga include:

  • Remote working available where possible
  • 25 days annual leave plus bank holidays, with the choice to buy a further 5 days annual leave per year
  • Workplace Pension
  • AXA Be Supported
  • A range of reductions and offers from leading retailers, travel groups and entertainment companies
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