Insurance Fraud Claims Handler

2 weeks ago


Manchester, United Kingdom Massenhove Recruitment Limited Full time
Litigated Fraud Handler
Job Market – Insurance Claims / Fraud
Litigated Fraud Handler – About the role
The role involves working within a team of fraud specialists and legal support staff.
You will run a caseload of Litigated RTA suspected fraud files on behalf of a cross section of insurance clients, working closely with sophisticated claims handlers.
You will ensure all litigation and opportunities are taken in order to work towards shaping the future of the counter-fraud arena.
Litigated Fraud Handler – Key duties
The caseload will consist of a range of suspected fraudulent insurance claims consisting of the following types of claim:
Bogus Passenger
Staged/Contrived
Fraudulent Exaggeration
Induced accidents
Low Speed Impact
Late Notification Claims
Credit Hire Fraud
MIB
Linked & Organised Crime
Run fraud cases from the point of litigation through to the resolution of the case.
Detailed review and analysis of evidence throughout the life of the case
Setting and agreeing the case strategy on files with clients, ensuring adherence to any KYO or generic strategies that may be put in place by Lead Lawyer and Technical Leads
Identifying strategic litigation opportunities and complex cases when appropriate
Handling files in accordance with agreed client guidelines on a non-delegated basis
Ensuring maximum client satisfaction on each case
Ensuring accurate and timely completion of all client and internal MI
Reporting to Insurer client throughout the lifetime of the claim
Liaising with all appropriate involvements on the case in order to carry out agreed investigations to meet the set strategy
Compliance with all procedural and investigative deadlines
Achieving, the best result in litigation – protecting the client’s position in relation to proceedings, ensuring full compliance with the court timetable utilising procedural tactical advantages where possible. Undertaking advocacy where required and cost-effective to do so
Dealing pro-actively and achieving the best results with the case investigations and strategy from receipt until point of resolution
Delegating tasks as appropriate to assistants to take the case forward
Timely and accurate maintenance of all Case Management Systems from opening to closure
Adherence to file management policies
Litigated Fraud Handler – Key requirements
Experience in civil litigation claims handling / as a legal File Handler or suitably qualified (ILEX, LPC etc.)
Experience in one of the following:
Experience of handling RTA pre-litigated and / or litigated case load
An understanding of insurance litigation practice and processes together with indemnity principles
Knowledge of the litigation process / working knowledge of the CPR
Good advocacy skills
Good client care skills and evidence of working to client guidelines
Experience of time recording and billing systems

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