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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