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Claims Fraud Team Leader

2 months ago

Halifax, Calderdale, United Kingdom Zego Full time
About Zego

Zego is a pioneering insurance company that's revolutionizing the traditional motor insurance industry. We're committed to offering the lowest priced insurance for good drivers, and our mission is to make insurance more accessible and affordable for everyone.

As a company, we're driven by a passion for innovation and a desire to challenge the status quo. We're proud of our team's expertise and dedication to delivering exceptional results, and we're always looking for talented individuals who share our vision.

Role Overview:

The Claims Fraud Team Leader at Zego will be responsible for overseeing a team of fraud investigators dedicated to detecting, investigating, and preventing fraudulent claims. This role requires strong leadership skills, a deep understanding of motor insurance and fraud, and the ability to work collaboratively across various departments.

Key Responsibilities:
  • Team Leadership & Management:
    • Lead, manage, and develop a team of claims fraud investigators/claims handlers, fostering a culture of excellence and continuous improvement.
    • Set clear performance expectations, conduct regular reviews, and provide ongoing coaching and support to team members.
    • Ensure the team operates efficiently, with well-defined roles, responsibilities, and objectives.
    • Undertake regular 121 review sessions with your team members in accordance with frequency agreed with your line manager and ensure development plans and priorities are in place to ensure continuous improvement through self-learning, including growth and goal setting.
  • Fraud Detection & Investigation:
    • Oversee the detection, investigation, and resolution of potential fraud cases within the claims process.
    • Ensure that all claims flagged for fraud are thoroughly investigated, with appropriate actions taken to mitigate risk.
    • Review and approve fraud investigation reports, ensuring accuracy and compliance with company standards.
  • Operational Management:
    • Manage the daily operations of the claims fraud team, including case assignment, workload distribution, and process optimization.
    • Develop and implement best practices for fraud detection and claims handling, ensuring operational efficiency and effectiveness.
    • Monitor key performance indicators (KPIs) to track team performance and identify areas for improvement.
  • Collaboration & Communication:
    • Work closely with other departments, including Claims teams, Underwriting, Legal, Compliance, and Customer Service, to ensure a coordinated approach to fraud prevention.
    • Liaise with external stakeholders, such as panel solicitors, law enforcement, industry bodies, and fraud prevention networks, to enhance fraud detection capabilities.
    • Communicate findings and insights from fraud investigations to senior management and other relevant stakeholders.
  • Training & Development:
    • Identify training needs within the team and provide appropriate development opportunities to enhance skills and knowledge.
    • Complete regular quality audits on claims investigators.
    • Stay up-to-date with the latest trends and techniques in fraud detection and prevention, and ensure the team is informed of relevant updates.
Requirements:
  • Motor insurance claims experience - whilst fraud experience is an advantage, it is not essential if the candidate can demonstrate strong operational background.
  • Experience in coaching and mentoring.
  • Strong Communication and organizational skills.
  • Continuous improvement mindset.
About Working at Zego:

Zego is an equal-opportunity employer and we value diversity at our company. We do not discriminate on the basis of race, religion, national origin, gender, sexual orientation, age, marital status, or disability status.

We're a company that's passionate about innovation and committed to delivering exceptional results. We're always looking for talented individuals who share our vision and are passionate about making a difference in the insurance industry.