Senior Counter Fraud Investigator

4 months ago

Haverhill, United Kingdom AXA UK Full time

**About the role**:
We're looking for positive, passionate people to help combat the criminal activities that plague the insurance industry, our successes directly contribute to our customers premiums, keeping AXA a market-leading insurance provider. Combating criminal activities in the Insurance industry, sounds awesome. This is done through our Counter Fraud department.

As a Senior Counter Fraud Investigator, you'll manage investigations and provide expertise and guidance into more technically complex matters in an ethical and professional manner. You'll employ best practice and key investigative competencies to minimise the company's exposure to fraud. Developing the technical expertise of fellow staff within the Fraud and non-fraud areas and enhance current processes and counter fraud capabilities within the Group to strengthen our fraud control environment.

At AXA we work smart, empowering our people to balance their time between home and the office in a way that works best for them, their team and our customers. You'll work at least 40% of your week away from home at either our Haverhill or Bolton office.

**What you'll be doing**:

- Detect, defend and deter claims fraud against the Group to include suppliers, customers and third parties, acting individually or in concert as organised fraudsters. Provide guidance and support to Counter Fraud Investigators on cases in their portfolio that sit outside of their authority (development files)
- Manage a portfolio of suspected fraudulent claims of all types and managing the same until completion (repudiation/settlement) using a combination of investigation techniques at our disposal to embed strong evidence gathering practices to secure the correct claims outcomes - within authority and referral guidelines
- Adept use of validation techniques and tools available to validate claims. Develop those at Counter Fraud Investigator level in the use of these and any new tools obtained
- Actively seek out and share general intelligence with industry contacts, undertake specific pro-active enquiries based upon the output of data mining / analytics tools where available
- Carrying out QA for Counter Fraud Investigators, assist with coaching plans, competency framework progression and any training that is required from both internal and external sources
- Referral point for fraud cases managed outside of CFU i.e. LLU, Complex, Liability, STN
- Assist police in criminal prosecutions by preparing statements in accordance with relevant legislation and present evidence in court where required
- Assist in analysing repudiation/walkaway rates/Fraud savings to identify trends and suggest changes in rules/process/identification/investigation opportunities

**About you**:
**What we’re looking for**:

- Excellent knowledge of the AXA Fraud Policy (Definition / Sanctions & Recovery Policy, etc)
- Expert knowledge of AXA’s philosophy relating to POCA, AML and DPA relating specifically to fraud
- In depth knowledge of the claims process and current legislation
- Knowledge of claims reserving and assessment methodology
- Expert knowledge of insurance principles and relevant case law, products, policies and claims philosophy
- Excellent understanding of arbitration, legal liability, the legal environment (litigation approach) and tactics appropriate to customer and third party claims
- Track record of interacting with key agencies such as IFIG, IFB, IFED, FOS, Police, (operational awareness) ABI, FSA (strategic awareness)
- Awareness of broker / Corporate Partner environment and the importance of such relationships
- Application of managing the key types of fraud affecting claims handled across AXA UK with excellent knowledge of those affecting specific workstream
- Excellent coaching skills
- Demonstrable experience in a fraud investigation position

As a precondition of employment for this role, you must be eligible and authorised to work in the United Kingdom.

**What we offer**:
At AXA UK, we’re appreciative of the people who work for us and our rewards package is reviewed regularly to reflect that. You can expect to receive:

- Competitive annual salary
- Annual company & performance-based bonus
- Contributory pension scheme (up to 12% employer contributions)
- Life Assurance (up to 10 x annual salary)
- 25 days annual leave plus Bank Holidays
- Opportunity to buy up to 5 extra days leave or sell up to 5 days leave
- AXA employee discounts
- Gym benefits

LI-Hybrid

**About AXA**:
AXA Commercial protects businesses, from multinationals to micro start-ups, giving them the confidence to thrive. We’re currently making our biggest ever investment to develop the expertise and skills we need to be the best. We’re a vibrant community where everyone is supported to learn, develop, and take ownership of their work.

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