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Motor Claims Investigator

2 months ago

Haywards Heath, West Sussex, United Kingdom First Central Insurance Management Ltd Full time
About the Role

We are seeking a highly skilled and experienced Intelligence Analyst to join our Counter Fraud Services team at First Central Insurance Management Ltd. As an Intelligence Analyst, you will play a critical role in protecting our business from fraud risks by analyzing and interpreting complex data, identifying potential threats, and developing strategies to mitigate them.

Key Responsibilities
  • Receive, triage, and disseminate all internally and externally sourced intelligence to protect the business from fraud risks, in line with department policies and procedures.
  • Manage a fraud intelligence repository, including data input, quality, retention, and disposal, referring to the Intelligence Manager as necessary.
  • Undertake desktop research on suspect claims and policies, producing comprehensive intelligence and research reports.
  • Identify and refer suspect claims and policies to relevant teams using fraud databases and analytics tools.
  • Produce witness statements on policy misrepresentation and non-disclosure and give evidence in court.
  • Meet agreed fraud KPIs and targets.
  • Maintain an up-to-date knowledge of market counter-fraud activities specific to intelligence and related fraud/financial crime legislation.
  • Ensure compliance with company financial crime procedures and related policies.
  • Submit Suspicious Activity Reports as necessary to the Intelligence Manager and Money Laundering Reporting Officer.
  • Analyze fraud threats using multiple Excel datasets.
  • Maintain the fraud intelligence relationships with the Insurance Fraud Bureau (IFB), Insurance Fraud Enforcement Department (IFED), and Insurance Fraud Investigators Group (IFIG).
  • Adhere to and consider all regulatory requirements at all times, including TCF, DPA, and AML.
  • Ensure compliance with TCF principles when liaising with customers.
  • Build and maintain relationships both internally and externally.
  • Be compliant with health and safety policies at all times.
  • Ensure compliance with Company and other relevant standards/regulations at all times.
  • Perform any other reasonable duties as required.
  • Carry out duties, activities, and tasks as directed within the Claims and Fraud pillar.
Requirements
  • Proven motor insurance claims and policy experience.
  • Fraud intelligence handling in the general insurance (motor) environment.
  • Undertaking research and writing reports.
  • Some knowledge of fraud intelligence handling practice.
  • Awareness of the IFB intelligence model.
  • Good understanding of relevant fraud-related legislation.
  • Good understanding of all aspects of motor insurance.
  • Excellent knowledge of FCA requirements (including TCF) and the regulatory framework relating to general insurance.
Skills and Qualifications
  • Good communication skills, both verbal and written.
  • Negotiation and influencing skills.
  • Good time management and organization skills with the ability to prioritize work.
  • Good analytical and problem-solving skills, with the ability to adopt a logical approach to resolving problems.
  • Strong customer service skills.
  • Good numeracy and literacy skills.
  • Basic to Intermediate Excel spreadsheet skills.
  • Good report writing skills.
Behaviours
  • Customer-focused (internal customers & external).
  • Self-motivated and enthusiastic.
  • Embrace, embed, and incorporate the Company values.
  • Passionate about reducing the business exposure to fraud risk.
  • Takes initiative to make decisions.
  • An organized and proactive approach.
  • Emphasis on attention to detail and accuracy.
  • Able to work on own initiative and as part of a team.
  • A flexible approach and positive attitude.
  • Confident in presenting complex information in a clear and concise manner.
  • Strives to deliver performance targets and drive business improvements.