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