Anti Money Laundering Investigator

4 weeks ago


Manchester, United Kingdom Private Investigator Herne Bay Full time
Fraud Investigator Job Description

We're Private Investigator Herne Bay, a leading insurance company that relies on data-driven insights to drive our success. Our Counter Fraud Services team is looking for a skilled Fraud Investigator to join our team in Salford Quays, Manchester or Haywards Heath, West Sussex.

Key Responsibilities:
  • Conduct thorough investigations and gather evidence on suspected fraudulent claims for personal injury, vehicle damage, and credit hire.
  • Carry out telephone interviews with customers and engage external suppliers, including accident investigators, motor engineers, and panel solicitors.
  • Assess evidence, including intelligence, Police reports, medical records, and engineering evidence, to identify inconsistencies and determine the outcome.
  • Identify cases of potential Fundamental Dishonesty, private prosecutions, or professional enabler involvement.
  • Provide advice and support to business areas regarding potential fraud risks.
  • Process payments on claims files as required and in accordance with authorities.
  • Ensure claim files are reserved accurately and reserves amended where required.
  • Meet agreed fraud KPIs and targets.
  • Ensure compliance with Company financial crime procedures and related policies.
  • Ensure compliance with TCF principles when liaising with customers.
  • Comply with health and safety policies at all times.
  • Ensure compliance with company and other relevant standards/regulations at all times.
  • Produce high-quality written reports and advice for the business, including recommendations.
  • Carry out duties, activities, and tasks as directed within the Claims and Fraud pillar.
Requirements:
  • Strong experience of handling fraudulent customer, third-party damage, and personal injury claims.
  • Proven track record in investigating both opportunistic and organized motor fraud.
  • Strong understanding of motor insurance fraud and the purpose of a Counter Fraud Team.
  • Strong understanding of the various indemnity levels and the subsequent impact that this may have on the claim/policy.
  • Strong understanding of the litigation process and the impact that this has on the business both procedurally and economically.
  • Strong understanding of regulatory responsibilities (SMRC).
  • Excellent knowledge of FCA requirements (including TCF) and the regulatory framework relating to general insurance.
  • Computer literate, to include Word, Excel, PowerPoint, and the internet.
  • Passionate about reducing business exposure to fraud risk.


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