Counter Fraud Motor Claims Referral Lead
15 hours ago
About Direct Line Group
We are a leading insurance provider dedicated to offering peace of mind to our customers. Our mission is to provide a personal, inclusive, and impactful tool for people to embrace life fully.
Counter Fraud Motor Claims Referral Lead Role
We are seeking a skilled Counter Fraud Motor Claims Referral Lead to join our Counter Fraud Operations Department. This role offers a unique blend of home and office working, with two days a week spent at our Leeds office and the rest from home.
Key Responsibilities
- Deliver Counter Fraud benefits by identifying and investigating insurance fraud and undertaking investigations to validate or substantiate concerns.
- Effectively manage and control fraud rings/linked operations, ensuring adherence to agreed strategic approach and outcomes.
- Provide feedback to team leaders for handler development, analysing team performance and highlighting trends and opportunities.
- Technical referral point for team members and the wider department, sharing industry updates, providing coaching, mentoring, signing off key decisions, undertaking quality reviews.
- Use your knowledge to coach and develop your colleagues to achieve desired outcomes.
- Recognise and discuss any potential opportunities, risks, or problems in order to continually improve the way we work.
- Understand the balance between preventing fraud and treating our customers fairly, removing innocent parties from the process at the earliest opportunity and minimising avoidable complaints.
- Provide advice, guidance, and direction to relevant key stakeholders, including Underwriting, Customer Relations, AML, Internal investigations, Bodily Injury, Motor Claims, Home Claims, and Technical and Large Loss to maximise fraud detection opportunities.
- Mitigate spend and control the cost of investigations by identifying threats, leakage, and where appropriate referring to senior staff members.
- Conduct cognitive investigation interviews, assessing behaviour and fraud types, ensuring informed decisions are made.
- Demonstrate capability in preventing and detecting insurance fraud, with the ability to effectively manage potential outcomes, including cancellation, voidance, repudiation, negotiating settlement, litigation, and recovery.
- Management of customer expectations, including enquiries into indemnity, liability, and updating them appropriately throughout the lifecycle of an investigation.
Requirements
- You will have a background in Motor insurance claims.
- At least 12 months experience working in a claims fraud role.
- Excellent organisational and time management skills.
- Good communication skills.
- Ability to prioritise and manage workload efficiently.
Flexible Working
We offer a mixed model way of working, combining the best parts of home and office working. This role will spend two days a week at our Leeds office and the rest from home.
Benefits
We offer excellent benefits designed to suit your lifestyle, including:
- 9% employer contributed pension.
- 50% off home, motor, and pet insurance, plus free travel insurance and Green Flag breakdown cover.
- Additional optional Health and Dental insurance.
- Generous holidays.
- Buy as you earn share scheme.
- Employee discounts and cashback.
- Plus many more.
Being Yourself
We are an equal opportunity employer, committed to making our business an inclusive place to work, where everyone can be themselves and succeed in their careers. We recognise and embrace people who work in different ways, so if you need any adjustments to our recruitment process, please speak to the recruitment team who will be happy to support you.
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