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Fraud Claims Investigator

3 months ago

Salford, United Kingdom Keoghs Full time

Keoghs is looking to recruit an Fraud Claims Investigator to join the busy, fast paced Intelligence Team. The Fraud Claims Investigator in an entry-level role with future progression prospects. The Fraud Claims Investigator will be part of a team that form part of a wider Intelligence team based in our Horwich, Bolton office.

The successful candidate will be finding and collating evidence for potential fraudulent claims.


The nature of the role includes, but is not limited to the following;


• Reviewing and adding new suspected fraudulent insurance claims onto our Keoghs Intelligence Database

• Verbal and written communication with external organisations, such as insurers, to obtain information to assist with gathering intelligence on suspected fraudulent insurance claims

• Assisting the Intelligence Analysts with progressing investigations and intelligence searches when necessary, answering phone calls, preparing outgoing correspondence, maintenance of internal databases.

• Responding to incoming requests for information from external organisations, assisting the wider industry with the prevention and detection of fraud


Key Accountabilities


• Identifying key information from new files and manual entry of data onto various internal databases.

• Decision making on what enquiries can be followed up and liaising with the Intelligence Analyst and internal file handler accordingly.

• Making calls to insurers to obtain information relating to previous claims.

• Compliance with service level agreements (SLAs) and internal policies and procedures

• Prioritising own workload and ability to maintain focus and commitment once sign off has been achieved.

• Prepare responses to internal and external requests received based on the file information.

• Communicate in a professional manner to obtain information.

• Chargeable time recording targets – the target will increase during the probation period in accordance with progression and competency in addition to team focussed targets

• Provide and maintain accurate MI Spreadsheets.


Working Hours


35 hours per week

Monday – Friday 9am – 5pm with 1 unpaid hour for lunch.

Primary location for this role is Parklands, Bolton Office. We are agile workers and currently attend the office at least 1 day a week.


Recruitment Criteria:

Essential:

• Pass in English & Maths GCSE or equivalent

• IT literacy

• Good telephone manner

• Good communication skills

• Accuracy and attention to detail must be of a high standard, especially when dealing with repetitive type tasks

• Ability to prioritise and work on own initiative

• Ability to work under pressure, meet deadlines and organise workload

• Commitment to learning and understanding processes and building a level of experience within the role.

Desirable:

• Previous experience of working in a target driven environment and/or time recording.

Values

Our culture is focused on making Keoghs sustainable and successful for our people and clients, with this our four values are at the heart of everything we do;


Our Values


We are connected

We are Dynamic

We are Innovative

We succeed together