Counter Fraud Motor Claims Referral Lead

7 months ago

Leeds, United Kingdom Direct Line Group Full time

**Counter Fraud Motor Claims Referral Lead**:
**Leeds - Hybrid**

**About us**:
We are Direct Line Group - the driving force behind household brands like Direct Line, Churchill, Privilege and Greenflag. We're rewriting the insurance narrative, transforming it into a personal, inclusive, and impactful tool. Our mission is simple: to offer people peace of mind today and tomorrow, enabling them to embrace life fully.

We're looking for A Counter Fraud Motor Referral Lead to join our Counter Fraud Operations Department. This role offers - two days a week at our Leeds office, and the rest from home.

**What you'll be doing**:

- Deliver Counter Fraud benefit by identifying and investigating insurance fraud and undertaking investigations to validate or substantiate concerns.
- Effective portfolio management, including proactive review of new work and conversion to detected benefit, whilst ensuring SLA’s and the lifecycle of cases are kept within process guidelines.
- Lead and participate in identifying departmental opportunities and new workstreams to continuously improve the way we work.
- Provide feedback to team leader for handler development, analysing team performance and highlighting trends and opportunities.
- Technical referral point for team members and the wider department, sharing industry updates, providing coaching, mentoring, signing off key decisions, undertaking quality reviews.
- Effectively manage and control fraud rings/ linked operations, ensuring adherence to agreed strategic approach and outcomes.
- Use your knowledge to coach and develop your colleagues to achieve desired outcomes.
- Recognise and discuss any potential opportunities, risks or problems in order to continually improve the way we work.
- Understand the balance between preventing fraud and treating our customers fairly, removing innocent parties from the process at the earliest opportunity and minimising avoidable complaints.
- Provide advice, guidance and direction to relevant key stake holders including, but not limited to; Underwriting, Customer Relations, AML, Internal investigations, Bodily Injury, Motor Claims, Home Claims and Technical and Large Loss to maximise fraud detection opportunities.
- Mitigate spend and control the cost of investigations by identifying threats, leakage and where appropriate referring to senior staff members. Have knowledge, understanding and control of file reserving when required.
- Conduct cognitive investigation interviews, assessing behaviour and fraud types, ensuring informed decisions are made.
- Demonstrate capability in preventing and detecting insurance fraud, with the ability to effectively manage potential outcomes including, but not limited to; cancellation, voidance, repudiation, negotiating settlement, litigation and recovery.
- Management of customer expectations, including enquiries into indemnity, liability and updating them appropriately throughout the lifecycle of an investigation.
- Demonstrate all cases adhere to legislation and risk regulations set internally and by external governing bodies.

**What you'll need**:

- You will have a background in Motor insurance claims.
- At least 12 months experience working in a claims fraud role.
- Excellent organisational and time management skills.
- Good communication skills.
- Ability to prioritise and manage workload efficiently.

**Ways of Working**:
Our mixed model way of working offers a 'best of both worlds' approach combining the best parts of home and office-working, offering flexibility for everyone. How much you'll be in the office depends on your role, and we'll consider the flexible working options that work best for you.

Read our flexible working approach here.

**Benefits**:
We recognise we wouldn't be where we are today without our colleagues, that's why we offer excellent benefits designed to suit your lifestyle:

- 9% employer contributed pension
- 50% off home, motor and pet insurance plus free travel insurance and Green Flag breakdown cover
- Additional optional Health and Dental insurance
- Generous holidays
- Buy as you earn share scheme
- Employee discounts and cashback
- Plus many more

**Being yourself**:
Direct Line Group is an equal opportunity employer, and we think diversity of background and thinking is a big strength in our people. We're delighted to feature as one of the UK's Top 50 Inclusive Employers and are committed to making our business an inclusive place to work, where everyone can be themselves and succeed in their careers.

We know you're more than a CV, and the things that make you, you, are what bring potential to our business. We recognise and embrace people that work in different ways so if you need any adjustments to our recruitment process, please speak to the recruitment team who will be happy to support you.

L1-MW1

L1-Hybrid

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