Claims Crime Prevention Consultant
6 months ago
**Who we are**
We are not your average insurance company; in fact, we strive to be different. You will not find strict dress codes, jargon-filled documents, or unrealistic targets here. What you will find is a welcoming culture, a clear vision and teams of passionate people doing their best for our customers.
LV= GI is a large, multi-award-winning general insurance company, with nearly 7 million customers and aspirations for future growth. Having recently become part of the Allianz family, we’re proud to be one of the largest personal insurers in the UK.
**Diversity & Inclusion**
At LV=GI, we value diversity and inclusion and back this up with our accreditations. Allianz is EDGE certified for gender inclusion, members of the Women in Finance Charter, a Disability Confident employer, Stonewall Diversity Champion members, signatories of Business in the Community’s Race at Work Charter, and an Armed Forces Covenant gold standard employer.
At LV=GI, we encourage our people to advocate for what they need, we listen, and we act - this could include providing assistive technology, ergonomic specialist equipment, mentoring and coaching, or flexibility in the way you work, among a wide range of other adjustments.
**The Details**
We are growing our team in our Claims Crime Prevention Team in Ipswich and are seeking to appoint a CCPT Motor Single Vehicle Consultant
**Role Description**
To protect LV= and its customers from fraud by investigating a portfolio of potentially fraudulent Single Vehicle motor claims (Theft, Fire, Vandalism, RTA), providing support and feedback to other areas of the business to raise fraud awareness. Work with external law enforcement agencies and regulatory bodies to support wider industry action to combat fraud.
**Key Accountabilities**:
Responsibility for the decision making in respect of the retention of referrals from internal and external sources to the Claims Crime Prevention Teams. When deemed genuine, minimise impact to the customer journey by returning claims with clear rationale and constructive feedback.
To manage personal portfolio and proactive investigation of a range of insurance claims fraud scenarios utilising investigation techniques and suppliers appropriately, minimising leakage to the business. Where a claim is deemed potentially fraudulent capture and highlight relevant concerns and record this information across all systems and databases.
Display knowledge of how to use and interpret conversation management skills in active situations and have the ability to highlight key factors for investigation
To proactively manage complaints in line with LV= policy and procedures within own authority limit.
Be responsible for complying with all internal, regulatory and statutory standards and controls so that the requirements of LV= and regulatory bodies are met. Liaise with law enforcement and industry bodies.
Manage own self development and contribute to 1-2-1’s, team discussions, and continuous improvement programmes.
Manage customer expectations, claims lifecycle and outcomes
Knowledge and awareness of strengths and weaknesses of individual claims
To conduct intelligence searches as required to aide decision whether to retain or return claim
To provide feedback of an appropriate standard on all claims returned to Operations
To engage with other departments, support relationships and provide technical support
To support CCPT by investigating potential fraudulent claims within agreed authority and skill level
Understanding of the different types of fraud scenarios and determining appropriate investigations to resolve suspicions of fraudulent activity
Negotiate effectively with Customers to conclude settlement if appropriate
To demonstrate excellent communication skills both over the telephone and face to face at all levels
To manage all complaints and to be responsible for maintaining contact with our customer through the complaint procedure, including keeping the complaints database up to date
To be aware of and be able to demonstrate an understanding of claims and underwriting processes used across LV= Operations
To understand and adhere to all TCF principles
To identify and highlight specific fraud trends
To help raise awareness across the business of fraud through the sharing of trends and case studies via appropriate channels
**About you**:
To demonstrate a basic understanding of claims processes/procedures
To have a basic understanding of investigation principles
A basic understanding of insurance case law relating to fraud
To have a basic understanding of principles of insurance, money laundering and POCA
To have a working knowledge of the Data Protection Act/GDPR
Basic knowledge of Insurance Fraud Register, Paid Away and SARS
**What we can offer you**
Recognised and rewarded for a job well done, we have a range of flexible benefits for you to choose from
- so you can pick a package that’s perfect for you. We also offer flexib
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