Motor Claims Counter Fraud Investigator
2 weeks ago
03177 Motor Claims Counter Fraud Investigator Tonbridge £30,000 pa
WE WANT YOU TO BE:
Able to handle, investigate and conclude motor claims where fraud is suspected.
WE’LL NEED YOU TO BE ABLE TO:
Undertake open source and company provided data base searches for the validation of claims identified as requiring such research
Conducting extensive and confidential investigations of suspected fraud allegations
Dealing with risk referrals to determine whether the referral is a false positive or whether further enhanced validation work is required and if so what is required
Maintaining the MI data for cases worked upon and gathering intelligence data on the ground.
Accurately record savings achieved
Writing discrepancy and reservation of rights letters
Writing repudiation letters where fraud is present
Instructing approved external suppliers where appropriate with accurate and clear guidance and information designed to maximise the supplier’s effectiveness
Taking a methodical approach to each investigation and working through appropriate validation processes to achieve the desired outcome for claims where fraud can be evidenced i.e. policy voidance or claim repudiation.
Managing multiple activities by prioritising important and urgent tasks
To undertake any individual or team task or activity reasonably requested and in line with the company values.
WE’RE LOOKING FOR:
Skills required
The role requires the ability to "think on your feet" and be adaptive to deal with the different strategies a suspicious claimant may deploy during the interview.
Also key is the ability to manage claims under investigation by skilful correspondence, particularly discrepancy letters and dealing with policy holder responses to them in a way that manages fraudulent or suspicious claims to a satisfactory outcome.
A flexible approach to combating fraud is required which will include an ability to think laterally, respond to encountered misdirection whilst keeping a clear focus on the overall strategy on a claim and always be alive to potential technical knockoutsfor misrepresentation at the underwriting stage as well as misrepresentation in the claim
Professional, polite assertiveness and determination when faced with claimants who may be trying to deflect or mislead
The appetite and ability to strategize and think tactically through and around obstacles deployed by a suspicious claimant to pursue an investigation
Accuracy and attention to detail
A methodical approach that does not leave loose ends
Ability to work well under pressure and meet deadlines
PC literate with good administrative skills.
Ability to take on increased ownership and responsibility when necessary.
Drive / motivation
A passion for counter fraud work
Attention to detail and nuance both verbal and written
A questioning, analytical mind-set
Excellent customer service skills
Experience / knowledge
At least 5 year’s previous experience of working in an fraud investigation role
Knowledge of legal proceedings, especially the Fraud Act 2006
**Qualifications**:
Secondary education with qualifications in Maths and English, or demonstrable ability in numeracy skills & written English.
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