Fraud Investigator

3 weeks ago

Haywards Heath, United Kingdom First Central Full time

**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.**

Are you looking for a new career with a fast-growing, dynamic company? Well look no further We need a Fraud Investigator to join our Counter Fraud Services team in our Salford Quays, Manchester or Haywards Heath, West Sussex office

Working as part of a growing, innovative team, you’ll be responsible for protecting the business and customers from the impact of fraud. You’ll be investigating a caseload of suspected fraudulent claims, ranging from Low Velocity Impacts to Staged and Contrived collisions.
**Job responsibilities**:

- You will carry out thorough investigations and gather evidence on suspected fraudulent claims for personal injury, vehicle damage and credit hire
- You will conduct telephone interviews with customers as well as engaging external suppliers including accident investigators, motor engineers and panel solicitors
- Assessing evidence including intelligence, Police reports, medical records and engineering evidence to identify inconsistencies and determine the outcome of the claim
- Identifying cases of potential Fundamental Dishonesty, private prosecutions, or professional enabler involvement
- Provide advice and support to business areas with regard to potential fraud risks.
- To process payments on claims files as required and in accordance with authorities.
- To ensure claim files are reserved accurately and reserves amended where required.
- Meet agreed fraud KPI’s and targets.
- Ensure compliance with Company financial crime procedures and related policies.
- Submit Suspicious Activity Reports as necessary to the Company MLRO.
- Ensure compliance with TCF principles when liaising with customers.
- Build and maintain relationships both internally and externally.
- To be compliant with health and safety policies at all times.
- To ensure compliance with company and other relevant standards/ regulations at all times.
- Produce high quality written reports and advice for the business, to include recommendations.
- Any other reasonable duties as required.
**Experience & Knowledge**:

- Strong experience of handling fraudulent customer, third party damage and personal injury claims.
- Proven track record in investigating both opportunistic and organised motor fraud.
- Managing a caseload with adherence to SLAs
- Proven track record of stakeholder management
- Strong understanding of motor insurance fraud and the purpose of a Counter Fraud Team
- Strong understanding of the various indemnity levels and the subsequent impact that this may have on the claim/policy
- Strong understanding of Part 7 and Part 8 Proceedings.
- Strong understanding of the litigation process and the impact that this has on the business both procedurally and economically.
- Strong understanding of regulatory responsibilities (SMRC)
- Excellent knowledge of FCA requirements (including TCF) an the regulatory framework relating to general insurance
**Skills & Qualifications**:

- Strong communication skills, both verbal and written.
- Strong negotiation and influencing skills.
- Strong time management and organisation skills with the ability to prioritise work.
- Strong analytical and problem solving skills, with the ability to adopt a logical approach to resolving problems.
- Excellent customer service skills.
- Computer literate, to include Word, Excel, PowerPoint and the internet.
**Behaviours**
- Self-motivated and enthusiastic.
- Consistently demonstrates a positive attitude
- Can receive and give constructive feedback
- Adopts a proactive approach to their workload
- Identifies and communicates potential process and efficiency improvements
- Embrace, embed and incorporate the Company values
- Passionate about reducing the business exposure to fraud risk.
- Emphasis on attention to detail and accuracy.
- Able to work on own initiative and as part of a team.
**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 cash plan
- Help with travel expenses
- The opportunity to buy additional holiday
- Company pension scheme
- Group life assurance
- Enhanced maternity and paternity pay
- Professional subscription fees paid

Employee wellbeing is high on the agenda here too. We provide a weekly free fruit delivery, discounted membership at a local health club and access to an Employee Assistance Programme, which promotes physical and emotional wellbeing at work and

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