Specialist Fraud Consultant
4 weeks ago
Ecclesiastical Insurance Group is seeking a highly skilled Specialist Fraud Consultant to join our team. As a key member of our fraud prevention team, you will be responsible for handling a mixed caseload of property and liability fraud claims, driving indemnity savings, and supporting our teams with referrals.
This is a newly created role that involves setting fraud strategy, taking successful matters to conclusion, and providing training to our colleagues. You will also be responsible for offering strategic insights into technology needs and process changes as part of our continuous improvement programme.
The ideal candidate will have high levels of personal organisation and accuracy, with the ability to manage their own workload. They will also be proactive, with a desire to continuously improve, and have competent IT and data skills.
We are looking for someone who is committed to delivering exceptional service, contributing both as an individual and as an effective part of a team. The successful candidate will have a strong understanding of all relevant regulations and be able to analyse and produce relevant reports.
Key Responsibilities- Claims Management:
- Handle a mixed caseload of property and liability fraud claims.
- Drive indemnity savings and ensure successful resolution of fraud cases.
- Liaise with suppliers to set and implement fraud strategy and set KPIs.
- Responsible for making critical decisions on taking fraud cases to trial, while balancing the interests of both the customer and the business.
- Training and Development:
- Provide training and support to staff on fraud detection and prevention techniques.
- Develop and deliver training programs to enhance team capabilities.
- Deliver our internal and external audit requirements across our claims teams, broker delegated authority arrangements, and our supply chain.
- Strategic:
- Offer market insights and strategic views on fraud tools and detection techniques.
- Stay updated with industry trends and best practices in fraud detection and prevention.
- Effectively benchmark our fraud detection performance against other market providers.
- Responsible for the development and implementation of risk control measures including fraud standards, best practice, fraud indemnity savings, leakage, conduct risk and internal/external risk compliance.
- Collaborate with our underwriting teams to proactively share fraud insights, enhancing fraud screening from the outset.
- Drive the development and ongoing enhancement of processes and procedures that enforce a zero-tolerance approach to fraud, ensuring maximum efficiency and effectiveness while adhering to regulatory requirements.
- Data Analysis:
- Utilize data literacy skills to analyse fraud patterns and trends.
- Implement data-driven strategies to mitigate fraud risks.
- Support the Claims Risk and Performance Manager with MI reporting to manage internal performance and to provide insight to external stakeholders.
- Collaboration:
- Work closely with the Claims Risk and Performance Manager to align fraud prevention strategies with overall business goals.
- Collaborate with internal and external stakeholders to enhance fraud detection and prevention measures.
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