Counter Fraud Specialist
19 hours ago
First Central Services is seeking a skilled Counter Fraud Specialist to join its Motor Insurance team in Salford Quays, Manchester. As a key member of our Counter Fraud Services team, you'll play a vital role in protecting our business and customers from the impact of fraud.
Your primary responsibility will be to investigate suspected fraudulent claims, gather evidence, and identify inconsistencies in customer statements. You'll work closely with external suppliers, including accident investigators and motor engineers, to assess evidence and determine the outcome of cases.
Key duties include:
- Conducting thorough investigations into suspected fraudulent claims;
- Gathering evidence, including intelligence, police reports, and medical records;
- Assessing evidence to identify inconsistencies and determining the outcome of cases;
- Identifying potential Fundamental Dishonesty, private prosecutions, or professional enabler involvement;
- Providing advice and support to business areas regarding potential fraud risks;
- Processing payments on claims files as required and ensuring compliance with authorities;
- Maintaining accurate claim files and reserves;
- Meeting agreed fraud KPIs and targets;
- Ensuring compliance with Company financial crime procedures and related policies;
- Complying with TCF principles when liaising with customers;
- Adhering to health and safety policies at all times;
- Ensuring compliance with company and other relevant standards/regulations at all times.
To succeed in this role, you'll need:
- Strong experience handling fraudulent customer, third-party damage, and personal injury claims;
- A proven track record in investigating both opportunistic and organized motor fraud;
- A strong understanding of motor insurance fraud and the purpose of a Counter Fraud Team;
- A solid grasp of regulatory responsibilities (SMRC) and FCA requirements (including TCF);
- Excellent knowledge of computer systems, including Word, Excel, PowerPoint, and the internet;
- The ability to work flexibly, spending part of your time working from home and part of the week in the office.
This role offers flexible working arrangements, with the option to spend part of your time working from home and part of the week in the office. We're open to discussing different working patterns to suit your needs.
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