Claims Fraud Investigator - Chesterfield, United Kingdom - GerrardWhite

GerrardWhite

Verified Company

Chesterfield, United Kingdom

2 weeks ago

Posted by:

Tom O´Connor

beBee Recruiter

Description

Claims Fraud Investigator - Motor Insurance

Hours:35 hours per week, Monday-Friday

Salary:
Competitive

Locations:
Chesterfield, Manchester, Nottingham, and Tunbridge Wells.

Hybrid: 3 days remote, 2 days office-based

Overview

My 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 followup 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.
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