Counter Fraud Investigator - Manchester, United Kingdom - Vermelo RPO

Vermelo RPO
Vermelo RPO
Verified Company
Manchester, United Kingdom

3 weeks ago

Tom O´Connor

Posted by:

Tom O´Connor

beBee Recruiter
Description

Job Title:
Counter Fraud Investigator


Location:
UK-Derbyshire-Chesterfield, Tunbridge Wells or Manchester


Overview:


Due to the continued success and expansion of the Markerstudy Group, we are now looking to recruit an experienced Claims Fraud Investigator to join our dynamic and forward thinking teams.

The main purpose of this role is to pro-actively screen and investigate portfolio of suspect motor accident claims.


Responsibilities:


Screening incoming claims referrals against known fraud indicators and other risk factors, identifying cases where investigation is required as well as providing detailed feedback on those that do not to the Claims Department to assist in improving referral quality.


  • 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 in order 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 to, and subsequently liaising with, specialist investigative suppliers including field investigators, engineers and forensic specialists.
  • Validating documents.
  • Ability to assess the evolving 'evidential picture' of a claim in order to drive a proactive investigation and determine the correct outcome.
  • Managing claims caseload, in accordance with the Markerstudy claims philosophy, claims handling procedures and service levels.
  • 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 which ensures that cases are reviewed on a regular basis.
  • Developing and maintaining effective relationships with colleagues and business partners.
  • Proactively managing personal training and development requirements.
  • 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.

Qualifications:


Essential Skills:


  • Bodily injury claims handling experience
  • Investigation of suspect fraudulent RTA/bodily injury claims

Job Title:
CFT Investigator


Location:
Whitstable Kent / Hybrid

Monday to Friday - 5

£25,000 to £30,000


Overview:
The main purpose of this role is to pro-actively screen and investigate portfolio of suspect motor accident claims.


Responsibilities:


  • Screening incoming RTA referrals against known fraud indicators and other risk factors, identifying cases where investigation is required.
  • 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.
  • Telephonic interviewing of claimants utilising specialist cognitive interviewing and conversation management techniques in order to further determine risk and separate honesty from inconsistency.
  • Pursuing follow up inquiries with external parties including regulatory and licensing authorities, other insurers and law agencies.
  • Providing focused instructions to, and subsequently liaising with, specialist investigative suppliers including field investigators, engineers and forensic specialists.
  • Validating documents.
  • Assessing the completed 'evidential picture' in order to determine the correct outcome for the claim.
  • Managing claims caseload, in accordance with the Markerstudy claims philosophy, claims handling procedures and service levels.
  • Adhering to agreed personal authority limits, referring to line manager for authorisation where activity exceeds such limits.
  • Ensuring compliance with all regulatory requirements (including "treating customers fairly" principles).
  • Maintaining good file discipline and accurate reserves, together with an effective diary system which ensures that cases are reviewed on a regular basis.
  • Developing and maintaining effective relationships with colleagues and business partners.
  • Proactively managing personal training and development requirements.
  • Undertaking general claims tasks, as required
  • To adhere to Company processes with regard to FCA compliance and Treating Customers Fairly;
  • To ensure that DPA, FCA & TCF and other regulatory requirements are met.

Job Types:
Full-time, Permanent


Salary:
£30,000.00-£35,000.00 per year


Schedule:

  • Monday to Friday

Ability to commute/relocate:

  • Whitstable, Kent: reliably commute
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