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Fraud Investigator

2 months ago

Manchester, United Kingdom First Central Services Full time

We're First Central Insurance & Technology Group, an innovative, market-leading insurance company that relies on data to drive our success.

What we're looking for:

  • Counter Fraud Team Member: We're seeking a Fraud Investigator to join our Counter Fraud Services team in Salford Quays, Manchester.

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 to identify inconsistencies and determine the outcome.
  • Assess evidence, including intelligence, Police reports, medical records, and engineering evidence.
  • Identify cases of potential Fundamental Dishonesty, private prosecutions, or professional enabler involvement.
  • Provide advice and support to business areas with regard to 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 KPI's and targets.
  • Ensure compliance with Company financial crime procedures and related policies.
  • Ensure compliance with TCF principles when liaising with customers.
  • Be compliant 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, to include 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 organised 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 the business exposure to fraud risk.