Claims Fraud Technical Coach

1 week ago

Haywards Heath, West Sussex, United Kingdom First Central Services Full time

Location:

  • Haywards Heath or Manchester
  • Salary:
  • Between £35,000 to £37,000
  • Depending on experience
  • Department:
  • Customer & Operations

We're First Central Insurance & Technology Group (First Central for short), an award-winning innovative insurance and technology organisation, delivering market-leading motor insurance, underwriting, distribution, finance, technology and legal services.

Strategic thinker with the ability to look at the bigger picture and lead by example - sound like you? Happy to roll your sleeves up and get stuck in Then how about joining us as a
Claims Fraud Technical Coach in our
Haywards Heath, West Sussex or
Salford Quays, Manchester office.

You'll be reporting into our Technical Manager and primarily providing technical support to the Claims Fraud Investigation team.

This is a superb chance to bring your training and coaching skills to the test and conduct regular coaching sessions for our Claim Fraud Investigators, ensuring our colleagues in the team are provided with the resources needed to grow and develop.


This role will be working a 37.5 hour working week Monday to Friday with flexible hybrid working available of 4 days from home and 1 day in the office after the first week or two in the office for training and support.

Want to know more? Sounds like you?

Job responsibilities:

  • Handle a personal caseload of potential fraud risks, including fraud networks, in accordance with CFS SLA's, FCA regulations, and legislative and policy guidelines where required.
  • Caseload to include desktop handling, with direct interaction with policyholders, third parties and witnesses; extending to incorporate telephonebased interviews and written communications, and the appointment of external specialists to include investigators, law firms and motor engineers
  • Produce high quality written reports and advice for the business, to include recommendations.
  • Complete monthly audits on Claims Fraud and Complex Fraud investigators to assess quality and leakage.
  • Conduct monthly coaching sessions with Claims Fraud investigators to discuss audit results and technical development.
  • Provide additional support to Claims Fraud Investigators where required.
  • Prepare and deliver training material to Claims Fraud investigators and wider business areas.
  • Support the development and improvement of processes in CFS.
  • Manage and action technical referrals from the Claims Fraud investigators in line with their career job level.
  • Help to manage the relationship with FCIM panel of service providers including law firms and investigators
  • As required assist with external supplier audits
  • Provide advice and support to business areas and CFS with regard to potential fraud risks.
  • Process and authorise cheques on claims files as required and in accordance with authorities.
  • Ensure claim files are reserved accurately and reserves amended where required
  • Meet agreed fraud KPI's and targets.
  • Comply with the requirements, and act in accordance with, the Group Code of Conduct and Fitness and Propriety policies at all times
  • Ensure compliance with Company Policies, Values and guidelines and other relevant standards/ regulations at all times.
  • Any other reasonable duties

Experience & knowledge:

  • Strong motor claims fraud a experience
  • Coaching experience and comfortable training a group
  • Proven track record in investigating fraud risks impacting on a motor insurer.
  • Claims fraud investigation and management, to include organised motor fraud.
  • Experience in assisting with team management duties
  • Excellent knowledge of processes and tactics used to investigate and manage insurance fraud, and a solid understanding of relevant fraud related legislation.
  • Excellent knowledge of FCA requirements (including TCF) and the regulatory framework relating to general insurance.
  • Sound understanding of all aspects of motor insurance.

Skills & Qualifications:

  • Good communication skills, both verbal and written
  • Good time management and organisation skills
  • Negotiation and influencing skills.
  • Strong analytical and problem solving skills, with the ability to adopt a logical approach to resolving problems.
  • Strong customer service skills.
  • Good numeracy and literacy skills.
  • Computer literate, to include Word, Excel, PowerPoint and the internet.
  • Desktop fraud investigation, to include telephone interviews.
  • Appointment and management of external fraud service providers.
  • Excellent report production skills.
**What can we do for you?
**We believe we can offer you a great working environment as we're so passionate about our people. Here are just some of the benefits and perks that we offer

  • Fantastic training and development opportunities
  • Employee benefit packages to suit your lifestyle
  • Flexible working
  • YOUday we give you an extra day off to celebrate a special day
  • The opportunity to take a paid day off each year to do charity work
  • A health

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