Fraud Claims Specialist

3 weeks ago

Salford, Salford, United Kingdom Keoghs Full time
Position Overview

Objective

We are seeking motivated and ambitious individuals to join our innovative and collaborative team, taking a significant step forward in their legal careers. You will engage with industry leaders and well-known names in the insurance sector. Many of our leadership team and partners began their careers at Keoghs, highlighting our commitment to employee development and career progression.

Our counter-fraud division is the largest and most established in the UK, characterized by a relaxed and approachable atmosphere that values the delivery of legal excellence. We take pride in our reputation and the work we do with clients to combat fraudulent motor claims while developing strategies to identify and mitigate emerging risks. We are looking for like-minded individuals who are eager to contribute to this vital work and advance their careers.

The role of the Fraud Claims Specialist involves collaborating with a team of fraud experts and legal support personnel. You will manage a caseload of pre-litigation matters encompassing various types of fraud. The Specialist will work closely with the Team Leader and the designated Lead Lawyer to achieve optimal outcomes in a commercially viable manner. This position requires adherence to established processes and a meticulous, analytical approach to evaluating evidence. A strong understanding of commercial considerations related to fixed fee work is essential. A critical aspect of this role is making informed decisions within a specified timeframe, aligned with the case strategy and the client's best interests.

The Specialist will operate with strategic foresight to ensure all opportunities are leveraged to shape the future of the counter-fraud landscape.

Key Responsibilities

The Fraud Claims Specialist will be responsible for managing cases from the point of identification through to resolution or litigation. Key responsibilities include:

Strategic Excellence

  • Conducting thorough reviews and analyses of evidence throughout the case lifecycle.
  • Establishing case strategies in compliance with any guidelines set by the Lead Lawyer and Technical Leads.
  • Adhering to all procedural stages relevant to the work type.
  • Identifying strategic litigation opportunities and complex cases when necessary.
  • Recognizing client trends and opportunities to enhance client engagement.

Client Excellence

  • Managing files in accordance with established client guidelines.
  • Ensuring maximum client satisfaction for each case.
  • Completing all client and internal management information accurately and promptly.
  • Meeting both client and internal key performance indicators.

Technical Excellence

  • Coordinating with all relevant parties involved in the case to conduct agreed investigations that align with the established strategy.
  • Complying with all procedural and investigative deadlines.
  • Safeguarding the client's position regarding litigation by clearly communicating the nomination and indemnity stance to all parties.
  • Proactively managing case investigations and strategies from initiation to resolution.
  • Delegating tasks appropriately to support staff to advance the case.
  • Maintaining accurate records in all Case Management Systems from inception to closure.
  • Adhering to file management policies and complying with regulatory standards.

Financial Excellence

  • Demonstrating commercial awareness by working efficiently within a fixed fee framework.
  • Maintaining profitability through effective case management.
  • Achieving financial targets and ensuring timely billing.

Cultural Excellence

Upholding the core values of Keoghs.

Working Hours

This position entails a commitment of 35 hours per week, Monday to Friday, from 9 am to 5 pm, with a one-hour unpaid lunch break. This role supports agile working, requiring attendance at the office at least once a week.

Essential Skills and Attributes:

  • Experience managing a pre-litigation caseload.
  • Strong analytical skills.
  • Excellent verbal and written communication abilities.
  • Capability to prioritize tasks, meet deadlines, and perform under pressure.
  • Proactive problem-solving skills.
  • Proficient IT skills.
  • Experience with time recording and billing systems.

Required Soft Skills:

  • Client care and service orientation.
  • Organizational skills.
  • Adaptability and prioritization abilities.
  • Teamwork and collaboration.
  • Strong interpersonal and communication skills.

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