Motor Claims Crime Prevention Consultant

4 days ago

Ipswich, United Kingdom LV= General Insurance Full time

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.

Role Description

To prevent, investigate and detect insurance claims fraud through the proactive management case portfolio’s, providing business referral support and working with external bodies such as the Insurance Fraud Bureau and other law enforcement agencies.

Key Accountabilities

Responsibility for the decision making in respect of the retention of referrals from internal and external sources to the Motor Claims Crime Prevention Teams, returning genuine claims urgently with constructive feedback.

To compile intelligence searches and more advanced ad hoc searchers as required to aide decision whether to retain or return claim

To engage with other departments support relationships and provide technical support

Ability to carry out appropriate Intel searches to ascertain is the claim is genuine or potentially fraudulent. This involves working across all systems and databases and evaluation of this data.

To have a good understanding of the different types of fraud scenarios and determining appropriate investigations to resolve suspicions of fraudulent activity

To effectively manage own within individual authority or on referral where applicable, implementing a wide range of relevant investigative techniques including instruction of suppliers to maximise the identification and repudiation of fraud while minimising any adverse impact upon customer experience, financial spend and company reputation.

Where a claim is deemed potentially fraudulent to capture and highlight relevant concerns and record this information accurately.

To identify and manage potential linked and organised cases, as well as claims farming (KYO) with referral to senior where appropriate

To identify and highlight specific fraud trends or companies to senior level

To be responsible for complying with all internal, regulatory and statutory standards and controls, so that the requirements of the Group and regulatory bodies are met.

Liaise with law enforcement and industry bodies.

Negotiate effectively with Policyholders & Third Parties to conclude settlement if appropriate

To manage litigation and ensure cases are progressed in a effective, timely and cost effective manner with referral to mentor or senior

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 manage their own self development and contribute to their 1-2-1’s, team discussions, and continuous improvement programmes

To provide constructive feedback on supplier performance and raise and issues as appropriate

Ability to come up with practical solutions to problems and suggest new ways of working

Ability to interpret I2 charts

Ability to prepare witness statements and attend court as required

About you

Level 2 Role Accountabilities

To demonstrate a positive and proactive approach to the customer at all times during investigation keeping in line with TCF guidelines

To understand and adherence to the Data Protection Act

To be aware of and be able to demonstrate an understanding of claims and underwriting processes used across LV= Operations

To have a good understanding of principles of insurance, money laundering and POCA

To have a good understanding of personal injury claims, the MOJ process and required actions

To have a detailed understanding of investigation principles

To have a good knowledge of basic credit hire principles and fee structure

To demonstrate good communication skills both over the telephone and face to face, at all levels

To have a good understanding of insurance case law relating to fraud

Good knowledge of Paid Away and SARS

The ability to liaise with suppliers and law enforcement agencies confidently and proactively; and within agreed cost ratios

Ability to identify potential leakage on a case by case basis and provide suggested recovery including taking action to recover losses

Knowledge of basic Linked and Organised fraud and investigation techniques

Knowledge of basic credit hire principles and fee structure

To have a detailed understanding of investigation principles

To have a good understanding of insurance case law relating to fraud

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 flexible wor

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