Fraud Investigator Home Claims

4 days ago

Tonbridge, United Kingdom Multi Trades Recruitment Limited Full time

Multi-Trades Recruitment is looking for a Motor fire and theft claims handler for a well-established company in TONBRIDGE.

**About you**:

- Particularly key is the ability to deploy conversation management and cognitive interviewing techniques and thereby to undertake effective counter-fraud telephone interviews
- The role requires the ability to “think on your feet” and be adaptive to deal with the different strategies a suspicious claimant may deploy during the interview.
- Ability to manage claims under investigation by skillful correspondence, particularly discrepancy letters, and dealing with policyholder responses to them in a way that manages fraudulent or suspicious claims to a satisfactory outcome.
- A flexible approach to combating fraud is required which will include an ability to think laterally, respond to encountered misdirection whilst keeping a clear focus on the overall strategy of a claim, and always be alive to potential technical knockouts for misrepresentation at the underwriting stage as well as misrepresentation in the claim
- Professional, polite assertiveness and determination when faced with claimants who may be trying to deflect or mislead
- The appetite and ability to strategize and think tactically through and around obstacles deployed by a suspicious claimant to pursue an investigation
- Accuracy and attention to detail
- A methodical approach that does not leave loose ends
- Ability to work well under pressure and meet deadlines
- PC literate with good administrative skills.
- Ability to take on increased ownership and responsibility when necessary.
- A passion for counter-fraud work
- Attention to detail and nuance both verbal and written
- A questioning, analytical mindset
- Excellent customer service skills
- At least 5 years’ previous experience of working in a fraud investigation role in a desktop basis or field basis preferably.
- Knowledge of legal proceedings, especially the Fraud Act 2006
- Secondary education with qualifications in Maths and English, or demonstrable ability in numeracy skills & written English.

**About the job**:

- Monday-Friday (40 hours per week)
- Salary: £30000
- Hyrid working
- Preparing and undertaking CF review calls with policyholders that have been identified as requiring a CF review call
- Undertaking open-source and company-provided database searches for the validation of claims identified as requiring such research
- Creating locus reports and site investigations across lines of business, mainly focusing on the motor claims from a locus point of view, but also assisting with commercial and property claims from a liability perspective.
- Conducting extensive and confidential investigations of suspected fraud allegations may include attending individual premises, homes, or other places and interviewing individuals who may have information on particular fraud allegations.
- Dealing with risk referrals to determine whether the referral is a false positive or whether further enhanced validation work is required and if so what is required
- Maintaining the MI data for cases worked upon and gathering intelligence data on the ground.
- Writing discrepancy and reservation of rights letters
- Instructing approved external suppliers where appropriate, such as Robertson’s or equivalent, with accurate and clear guidance and information designed to maximize the supplier’s effectiveness
- Taking a methodical approach to each investigation and working through appropriate validation processes to achieve the desired outcome for claims where fraud can be evidenced ie policy voidance or claim repudiation. Where fraud can be reasonably suspected with evidenced substantive concerns, but the final threshold of demonstrable fraud cannot be obtained, the claim is to be managed in such a way as to aim to achieve a “walk-away”
- Managing multiple activities by prioritizing important and urgent tasks
- To undertake any individual or team task or activity reasonably requested and in line with the company values.
- Start: Subject to interview

**To get more information about this role please CALL Josh 9 am-5 pm on Weekdays or TEXT any other time on - 07807056129

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