Fraud Investigator

4 days ago

Manchester, United Kingdom First Central Services Full time

Location:

- Manchester
- Salary:

- Up to £34,000 - Depending on experience
- Department:

- Customer & Operations

We’re First Central Insurance & Technology Group (First Central for short), an innovative, market-leading insurance company. We protect the things customers love so they can get on with what matters to them in life.

Data drives us. It fuels our outstanding distribution, finance, technology and legal services. Our underwriting skills built on data expertise; it creates the insights we need to give the right cover to the right customers at the right price. But, it’s the people inside and outside our business that power us. They make us stand out, help us succeed. We’re ambitious. We’re growing. We’ve won awards.
- 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
**Salford Quays, Manchester.**

**This is an office desk role offering hybrid working of 1 day in the office and 4 days from home for a work and life balance**

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**:

- Carry out thorough investigations and gather evidence on suspected fraudulent claims for personal injury, vehicle damage and credit hire
- 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.
- Process payments on claims files as required and in accordance with authorities.
- 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.
- 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.
- Carry out duties, activities and tasks as directed within the Claims and Fraud pillar to ensure all departments perform effectively and efficiently and meet the demands of First Central’s customers and any third parties.

**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
- An 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 and negotiation and influencing skills.
- Good time management and organisation skills with the ability to prioritise work.
- 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.

**What can we do for you?**

People first. Always. We’re passionate about our colleagues and know the best people deserve an extraordinary working environment. We owe it to them so that’s what we offer. Our workplaces are energetic, inspirational, supportive. To get a taste of the advantages you’ll enjoy.

Intrigued? Our Talent team can tell you everything you need to know about what we want and what we’re offering, so feel free to get in touch.

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