Insurance Fraud Analyst

1 day ago

Haywards Heath, West Sussex, United Kingdom First Central Insurance Management Ltd Full time
Job Title: Insurance Fraud Analyst

We're seeking an experienced Insurance Fraud Analyst to join our team at First Central Insurance Management Ltd. As an Insurance Fraud Analyst, you'll play a critical role in protecting our business from fraud risks.

Key Responsibilities:

  • Receive, triage, and disseminate all internally and externally sourced intelligence for use in protecting the business from fraud risks.
  • Manage a fraud intelligence repository, including data input, quality, retention, and disposal.
  • Undertake desktop research on suspect claims and policies and produce comprehensive intelligence and research reports.
  • Identify and refer suspect claims and policies to relevant teams using fraud databases and analytics tools.
  • Produce witness statements on policy misrepresentation and non-disclosure and give evidence in court.
  • Meet agreed fraud KPIs and targets.
  • Maintain an up-to-date knowledge of market counter-fraud activities specific to intelligence and related fraud/financial crime legislation.
  • Ensure compliance with company financial crime procedures and related policies.
  • Submit Suspicious Activity Reports as necessary to the Intelligence Manager and Money Laundering Reporting Officer.
  • Analyse fraud threats using multiple Excel datasets.
  • Maintain the fraud intelligence relationships with the Insurance Fraud Bureau (IFB), Insurance Fraud Enforcement Department (IFED), and Insurance Fraud Investigators Group (IFIG).
  • Adhere to and consider all regulatory requirements at all times, including TCF, DPA, and AML.
  • Ensure compliance with TCF principles when liaising with customers.
  • Build and maintain relationships both internally and externally.
  • Be compliant with health and safety policies at all times.
  • Ensure compliance with Company and other relevant standards/regulations at all times.

Requirements:

  • Proven motor insurance claims and policy experience (essential).
  • Fraud intelligence handling in the general insurance (motor) environment (desirable).
  • Undertaking research and writing reports.
  • Some knowledge of fraud intelligence handling practice.
  • Awareness of the IFB intelligence model.
  • Good understanding of relevant fraud-related legislation.
  • Good understanding of all aspects of motor insurance.
  • Excellent knowledge of FCA requirements (including TCF) and the regulatory framework relating to general insurance.

Skills and Qualifications:

  • Good communication skills, both verbal and written.
  • Negotiation and influencing skills.
  • Good time management and organisation skills with the ability to prioritise work.
  • Good analytical and problem-solving skills, with the ability to adopt a logical approach to resolving problems.
  • Strong customer service skills.
  • Good numeracy and literacy skills.

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