Senior Counter Fraud Handler - Liverpool, United Kingdom - Resolve Recruitment Services

Tom O´Connor

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Tom O´Connor

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Description

Resolve Recruitment are delighted to be working with a dynamic and forward-thinking insurer who have an exciting opportunity available for a Senior Counter Fraud Handler to join their fast-paced claims division.

This is a hybrid role and offers a truly great career path.


Salary:
up to £36k plus extensive benefits


Purpose of the Role:
To investigate and manage a portfolio of suspect claims encompassing all types of fraud a motor insurer may face.

You will be responsible for the effective control and investigation of a portfolio of claims from cradle to grave (including overseeing the investigation and management of fraud rings).

You must adopt a proactive approach towards the investigation of claims and generate ideas contributing towards the continuous improvement and development of the team/department.


Key Responsibilities:


  • Management of investigations, assessment of intelligence and interaction with investigative service suppliers to achieve the correct case outcome
  • Expediently assess a wide variety of claims/referrals and decide on the appropriate course of action
  • Accurately interpret intelligence and use it to drive an appropriate investigation strategy
  • Proactively manage a portfolio of claims (including fraud rings) ensuring adherence to claims handling and investigation procedures, protocols and service level agreements
  • Ensure output achieves acceptable levels of accuracy and quantity, including authorisation of team payments within authority limit
  • Ensure strict adherence to company policies regarding Treating Customers Fairly, GDPR and FCA compliance
  • Avoid any claims leakage whilst maximising savings/repudiations
  • Ensure strict adherence to agreed counter fraud strategies
  • Respond efficiently to telephone calls into the team/department
  • Act as a technical referral point for the counter fraud team, assisting with technical queries and leading by example
  • Provide coaching, mentoring, training, and guidance to colleagues identifying and supporting their development needs, including liaising with each business area across claims to drive quality referrals
  • Produce accurate witness statements and sign defences in support of claims defences/prosecutions, attending trials on behalf of the company where necessary
  • Contribute towards the continuous improvement and development of the team/department and identify any possible process improvements and initiatives to drive quality referrals into the team
  • Assist in the auditing of claims including actions/decisions taken. Provide constructive feedback/report on any identified development areas and assist in implementing improvements where necessary

Critical Competencies:


  • Excellent understanding of all aspects of claims handling including indemnity, liability, credit hire, property damage, first party claims, bodily injury claims, plus experience of managing fraud rings and litigation
  • Technically sound judgement along with effective portfolio management and file discipline ensuring the accuracy of reserves, communications and service levels are maintained
  • Excellent organisational skills and the ability to work independently without supervision
  • Strong negotiation skills along with excellent customer services skills
  • A detailed understanding of the intelligence and investigative tools available to validate claims
  • Ability to provide clear and concise instructions to service providers to assist in the investigation of claims


If you are ambitious and would like to start a career with this fast-growing insurer, then please get in touch ASAP.

IND1


Job Types:
Full-time, Permanent


Salary:
£31,000.00-£36,000.00 per year


Schedule:

  • Monday to Friday

Ability to commute/relocate:

  • Liverpool, Merseyside: reliably commute or plan to relocate before starting work (required)

Application question(s):

  • You will need to have the right to work in the UK

Experience:

Motor Claims: 2 years (required)
- counter fraud handling: 2 years (required)

Work Location:
Hybrid remote in Liverpool


Reference ID:
A7768

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