Fraud Investigator

**Job Title**: Counter Fraud Investigator

**Location: Haywards Heath** (hybrid working)

**Overview**

We are now looking to recruit an experienced Claims Fraud Investigator to join our dynamic and forward-thinking teams.

My Client is a leading provider of private insurance in the UK, insuring around 5% of the private cars on the UK roads, 20% of commercial vehicles and over 30% of motorcycles in total premium levels of circa £1b. Most of my client's business is written as the insurance pricing provider behind household names such as Tesco, Sainsbury’s, O2, Halifax, AA, Saga and Lloyds Bank to list a few.

The main purpose of this role is too pro-actively screen and investigate portfolio of suspect motor accident claims.

**Responsibilities**

Screening incoming claims referrals against known fraud indicators and other risk factors, identifying cases where investigation is required as well as providing detailed feedback on those that do not to the Claims Department to assist in improving referral quality.
- Managing fraud rings and linked claim investigation, adhering to internal and IFB protocols.
- Utilising a variety of desktop tools (CUE, MIAFTR etc.) as well as various internet checks and databases to assist with claimant profiling and to determine the direction of the investigation.
- Utilise conversation management techniques in order to further determine risk and separate honesty from inconsistency when dealing with all claimants and their representatives.
- Pursuing follow up inquiries with external parties including regulatory and licensing authorities, other insurers and law agencies.
- Providing focused instructions to, and subsequently liaising with, specialist investigative suppliers including field investigators, engineers and forensic specialists.
- Validating documents.
- Ability to assess the evolving ‘evidential picture’ of a claim in order to drive a proactive investigation and determine the correct outcome.
- Managing claims caseload, in accordance with the claims philosophy, claims handling procedures and service levels.
- Adhering to agreed personal authority limits, referring to line manager for authorisation where activity exceeds such limits.
- Maintaining good file discipline and accurate reserves, together with an effective diary system which ensures that cases are reviewed on a regular basis.
- Developing and maintaining effective relationships with colleagues and business partners.
- Pro-actively managing personal training and development requirements.
- Undertaking general claims tasks, as required.
- To adhere to Company processes with regard to FCA compliance, DPA and Treating Customers Fairly, ensuring strict compliance in all these areas.

**Essential Skills and Knowledge**:

- Bodily injury claims handling experience
- Investigation of suspect fraudulent RTA/bodily injury claims.

**Job Types**: Full-time, Permanent

**Salary**: £23,000.00-£35,000.00 per year

**Benefits**:

- Additional leave
- Casual dress
- Company car
- Company events
- Company pension
- Cycle to work scheme
- Discounted or free food
- Employee discount
- Free parking
- Health & wellbeing programme
- Life insurance
- On-site parking
- Paid volunteer time
- Sick pay
- Work from home

Schedule:

- 8 hour shift
- Monday to Friday

Ability to commute/relocate:

- Sussex, RH16 3DU: reliably commute or plan to relocate before starting work (required)

**Experience**:

- Investigations: 3 years (preferred)

Work Location: Hybrid remote in Sussex, RH16 3DU