Claims Fraud Specialist
3 weeks ago
About the Role:
John Williams Recruitment is representing a prominent Accident Management firm specializing in handling claims related to Motor incidents, including Fire, Theft, and damage. This organization is seeking to expand its team by recruiting a dedicated professional to manage claims from initial validation through to final settlement.
Key Responsibilities:
- Demonstrate a strong understanding of motor fraud indicators.
- Recognize risk factors associated with significant loss or catastrophic claims and follow the appropriate escalation procedures.
- Thoroughly review and comprehend all policy and procedural documentation.
- Identify personal training requirements and proactively seek relevant training to achieve performance objectives.
Claims Management:
Effectively manage a caseload of claims from policyholders and third parties, ensuring that new claims are processed within a timely manner, adhering to the established validation protocols.
Communication:
- Respond to inquiries via telephone, ensuring the use of appropriate greetings and data protection protocols.
- Handle written inquiries through email and other formats, providing clear and concise responses.
- Address any expressions of dissatisfaction in line with the established complaints procedure.
- Ensure accurate calculation of claim reserves, payments, and Large Movement Reports in accordance with company standards.
- Investigate and resolve claims efficiently and professionally, maintaining a proactive approach throughout the process.
Ideal Candidate:
The successful candidate will be flexible, adaptable to change, and continuously seek opportunities for improvement within the claims handling process.
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